3D OCT-2000 - User Manual PDF

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The document outlines the operating procedures, troubleshooting, maintenance and cleaning instructions for the 3D OCT-2000 3D Optical Coherence Tomography device.

The device has capabilities for observing, photographing and recording fundus and anterior segment images and tomograms. It can also measure quantities and connect to a computer for storage and analysis of images. Its main innovative features include high quality digital imaging, easy operation and enhanced computerized features.

Safety precautions include being careful not to injure the patient by bumping their eye or nose during operation. The device should also be used carefully for patients with infections or on certain medications. Basic cautions like not pinching hands in the chin rest are also mentioned.

INSTRUCTION MANUAL

3D OPTICAL COHERENCE TOMOGRAPHY

3D OCT-2000
INTRODUCTION
Thank you for purchasing the TOPCON 3D OCT-2000 3D Optical Coherence Tomography.

This instrument is a special photography device to observe, photograph and record the image and
tomogram of fundus and to present its electronic image for diagnosis.
By mounting the attachment for anterior segment, you can observe, photograph and record the
image and tomogram of anterior segment.
After photographing, the images and tomograms of fundus and anterior segment can be recorded
in a commercial personal computer connected to this instrument, a personal computer connected
through network and a commercial recording device (flash memory, hard disk, etc.) connected to
this instrument.
The analysis software to be installed to a personal computer is provided in order to display the three-
dimensional tomograms of fundus and anterior segment and to measure the quantity. Moreover,
there are special cables (camera link cable and USB cable) to connect with a personal computer.
This instrument has the following innovative features:
• High-quality digital imaging
• Easy operation
• Enhanced computerized features

This manual outlines the 3D OCT-2000 3D Optical Coherence Tomography, including operating
procedures, troubleshooting, maintenance and cleaning.
Before using the instrument, carefully read the "DISPLAY FOR SAFE USE" and the "SAFETY
CAUTIONS" to familiarize yourself with the features of the TOPCON 3D OCT-2000 3D Optical
Coherence Tomography and to ensure that you operate it efficiently and safely.
Always keep this Instruction Manual at hand.

[Warning]
Be careful not to hit the patient's eyes or nose with the instrument during operation.
[The patient may be injured.]

[Caution]
This instrument must not be used for the following patients.
• Patients who are hypersensitive to light
• Patients who recently underwent photodynamic therapy (PDT)
• Patients taking medication that causes photosensitivity.

This symbol is applicable for EU member countries only.


To avoid potential damage to the environment and possibly human health, this
instrument 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 local disposal and recycling laws.

CAUTION : Federal laws restricts this device to the sale by or on the order of a physician.

WARNING : Handling the cord on this product or cords associated with accessories sold
with this product, will expose you to lead, a chemical known to the State of California to
cause birth detects or other reproductive harm. Wash hands after handling.
This Product Contains Mercury in the backlighting of the LCD display. Prior to disposal
remove of otherwise ensure that this is disposed of in accordance with Local, State and
Federal Laws. This information is applicable in U.S.A only.

This product contains a CRL Litium Battery which contains CLASS


Perchlorate Material-special handling may apply.
See http://www.dtsc.ca.gov/hazardouswaste/perchlorate/
Note;This is applicable to California,U.S.A.only IEC60601-1 0123

1
CAUTIONS FOR USE
Important cautions
Use this instrument carefully on the following patients.
• Patients who have epidemic corneitis, conjunctivitis or any other infectious disease
• Patients who are taking medications that cause light hypersensitivity.

Basic caution
When operating the chin-rest up/down switch, be careful not to pinch the patient's hand to
avoid possible injury.
To avoid injury of the patient, be careful not to bump the patient's eye or nose with the instru-
ment when operating the touch panel.
To avoid electric shock, do not open the instrument.
Request service from an authorized Topcon distributor.
Electric shock may cause burns or a possible fire. Turn the power switch OFF and unplug the
power cord before replacing the fuses.
Replace only with fuses of the correct rating.
To avoid injury, do not touch the focusing knob in auto focus operation.

Disposal
When disposing the instrument and/or parts, follow the local regulations for disposal and recy-
cling.

ENVIRONMENTAL CONDITIONS FOR USE


Temperature : 10°C - 40°C
Humidity : 30% - 90% (non-condensing)
Air pressure : 700hPa - 1060hPa

STORING PLACE, USAGE PERIOD AND OTHERS


1. Environmental conditions for installation (without package)
* Temperature : 10°C - 40°C
Humidity : 10% - 95% (non-condensing)
Air pressure : 700hPa - 1060hPa
* THIS INSTRUMENT DOES NOT MEET THE TEMPERATURE REQUIREMENTS OF
ISO 15004-1 FOR STORAGE. DO NOT STORE THIS INSTRUMENT IN CONDITIONS
WHERE THE TEMPERATURE MAY RISE ABOVE 40°C OR FALL BELOW 10°C.
2. When storing the instrument, ensure that the following conditions are met:
(1) The instrument should not be splashed with water.
(2) Store the instrument away from the environment where air pressure, temperature,
humidity, ventilation, sunlight, dust, salty/sulfurous air, etc. could cause damage.
(3) Do not store or transport the instrument on a slope or uneven surface or in an area
where it is subject to vibrations or instability.
(4) Do not store the instrument where chemicals are stored or gas is generated.
3. Usage period
8 years from delivery providing regular maintenance is performed (according to the self-cer-
tification [Topcon data])

2
ENVIRONMENTAL CONDITIONS FOR PACKAGING IN STORAGE
Temperature : -20°C - 50°C
Humidity : 10% - 95%

ENVIRONMENTAL CONDITIONS FOR PACKAGING IN TRANSPORTATION


Temperature : -40°C - 70°C
Humidity : 10% - 95%

CHECKPOINTS FOR MAINTENANCE


1. Periodically inspect the instrument and its parts.
2. Before using the instrument after a long period of inactivity, make sure that it operates
safely and normally.
3. Be careful not to stain the objective lens with fingerprints, dirt, etc., as this will affect the
quality of pictures.
4. When the instrument is not in use, cap the objective lens and apply the dust cover to the
instrument.
5. If the objective lens is stained, clean it according to "Cleaning the objective lens" in this
manual.

3
DISPLAY FOR SAFE USE
To encourage safe and proper use and to prevent injury to the operator and others or potential
damage to property, important messages are put on the instrument body and inserted in the
instruction manual.
We suggest that everyone understand the meaning of the following displays, icons and text before
reading the "SAFETY CAUTIONS" and observe all listed instructions.

DISPLAYS

Display Meaning

Incorrect handling by ignoring this display may lead to a risk of


WARNING
death or serious injury.

Incorrect handling by ignoring this display may lead to


CAUTION
personal injury or physical damage.

• Injury refers to cuts, bruises, burns, electric shock, etc. which do not require hospitaliza-
tion or extended medical treatment.
• Physical damage refers to extensive damage to the building, nearby equipment and/or
surrounding furniture.

ICONS

Icon Meaning

Prohibition.
Specific content is expressed with words or a picture near the
icon.
Mandatory Action
Specific content is expressed with words or a picture near the
icon.
Caution
Specific content is expressed with words or a picture near the
icon.

4
SAFETY CAUTIONS
WARNINGS

Icon Prevention item Page

To avoid fire and electric shock in case of leakage, be sure to use


a power supply equipped with a 3-pin plug AC receptacle for 31
proper grounding.

To avoid electric shock, do not attempt disassembling, rebuilding


and/or repairs on your own. Ask your dealer for repairs.
83

Do not remove the covers from the main unit, chin-rest unit or
power supply unit except for the lamp house cover. You may 83
receive an electric shock.
Do not remove the covers from the main unit except for the lamp
house cover. Your eye or skin may be exposed to the laser radia- 83
tion.
To avoid electric shock, be sure to remove the power cord from the
instrument body before removing the fuse cover. Also, do not con-
nect the power cord to the instrument body with the fuse cover left
97
open.
To avoid fire, use a properly rated fuse (Europe: 110/120V T 5A
125V, 230/240 T 2.5A 250V Outside Europe: 100/110/120V T 5A
125V, 220/230/240V T 2.5A 250V) which matches the display pro-
97
vided on the fuse holder.

To avoid fire and electric shock, install the instrument in a place


-----
free of water and other liquids.

To avoid fire and electric shock, do not put cups or vessels con-
-----
taining liquids near the instrument.

To avoid electric shock, do not insert metal objects into any vents
-----
and/or slots.

To avoid fire in the event of an instrument malfunction, immedi-


ately turn OFF ( ) the Power switch and unplug the cable if you
-----
see smoke coming from the instrument or if you detect other prob-
lems. Ask your dealer for repairs.

5
SAFETY CAUTIONS
CAUTIONS

Icon Prevention item Page

To prevent the instrument from falling and to avoid injury, install


the instrument on a level surface.
29, 95

To avoid electric shock, do not handle the plugs with wet


fingers.
31

After turning on the power, do not press the shutter button of the
digital camera. Each time you press the shutter button, the image
is saved in the digital camera. Then, the image is displayed as the 52
color fundus image that should be obtained by photographing the
patient's eye on the 3D OCT-2000.

To avoid discomfort to the patient, do not brighten the illumination


lamp more than necessary.
57

To avoid discomfort to the patient, do not brighten the photography


light more than necessary.
57

To avoid injury, do not place your fingers into the gap between the
instrument body and the power supply unit.
59

To avoid electric shock and burns, do not replace the lamp by


yourself. Ask your dealer for repairs.
96

To avoid damage to the instrument or injury due to an electric


shock, turn off the power switch and remove the power cord 99
before cleaning the instrument.

6
SAFETY CAUTIONS
CAUTIONS

Icon Prevention item Page

To prevent the instrument from falling and to avoid injury during


carrying, be sure to secure the instrument with the fixing knob at 29
the bottom.
To avoid injury or damage, two people should be employed for
supporting the instrument from the underside. Carrying by one
person may result in personal injury and/or damage to the instru-
29
ment should the person slip or fall.
To avoid falling and injury while moving the table with the instru-
ment on top of it, be sure to use an approved automatic instrument 29
table.

When moving the chin-rest up and down, be careful not to pinch


the patient's hand to avoid possible injury.
53

To avoid injury to the patient's eyes and nose while moving the
instrument body, be attentive to the distance between the patient 59
and the objective lens.

To avoid injury of the patient, be careful not to bump the patient's


eye or nose with the instrument when operating the touch panel.
54, 73

Do not put any substance over the vent on the top surface of the
power supply unit. If the vent is covered with something, the tem-
perature of the power supply unit may rise abnormally to cause a -----
malfunction. To prevent the instrument from malfunction, do not
drop any liquid into the vent.
This instrument has been tested (with 120V/230V) and found to
comply with IEC60601-1-2 Ed.3: 2007.
This instrument radiates radio frequency energy within standard
and may affect other devices in the vicinity.
If you have discovered that turning on/off the instrument affects -----
other devices, we recommend you change its position, keep a
proper distance from other devices, or plug it into a different outlet.
Please consult the dealer from whom you purchased the instru-
ment if you have any additional questions.

7
USAGE AND MAINTENANCE
USAGE
• The 3D OCT-2000 3D Optical Coherence Tomography is an electric instrument for medical
use. Use this instrument under a doctor's guidance.

USER MAINTENANCE
To ensure the safety and performance of the instrument, all maintenance work, unless speci-
fied in this manual, shall be conducted by trained service engineers.
The following maintenance tasks may be done by the user.
For details, see the relevant part of this manual.

Replacing fuses:
The fuses on the instrument body may be replaced by the user. For details, see "CHANGING
THE FUSE" on page 97.

Cleaning the objective lens:


The objective lens may be cleaned by the user. For details, see "CLEANING THE OBJECTIVE
LENS" on page 100.

ESCAPE CLAUSES

• TOPCON shall not take any responsibility for damage due to fire, earthquakes, actions
by third persons and other accidents, or damage due to negligence and misuse by the
user and any use under unusual conditions.
• TOPCON shall not take any responsibility for damage derived from inability to properly
use this instrument, such as loss of business profit and suspension of business.
• TOPCON shall not take any responsibility for damage caused from using this instru-
ment in a manner other than that described in this Instruction Manual.
• Diagnoses made shall be the responsibility of pertaining doctors and TOPCON shall not
take any responsibility for the results of such diagnoses.

8
WARNING DISPLAYS AND POSITIONS
To ensure safety, this machine provides warning displays.
Use the instrument correctly by observing the display instructions. If any of the following dis-
play labels are missing, contact your TOPCON dealer at the address listed on the back cover.

y To avoid injury, do not touch


the focusing knob in auto CAUTION
focus operation. y When operating the chin-rest
up/down switch, be careful not
to pinch the patient's hand to
avoid possible injury.

CAUTION
y To avoid potential injury during
operation, do not touch the
patient's eyes or nose with the
instrument.

WARNING
y To avoid electric shock, do not
open the instrument. Request
service from an authorized Top-
y Do not put any substance over the vent on con distributor.
the top surface of the power supply unit. If
the vent is covered with something, the
temperature of the power supply unit may CAUTION
rise abnormally to cause a malfunction. To y To avoid injury of the patient, be
prevent the instrument from malfunction, careful not to bump the patient's
do not drop any liquid into the vent. eye or nose with the instrument
when operating the touch panel.

y CAUTION-CLASS 3B LASER RADIA-


TION WHEN OPEN AVOID EXPOSURE
TO THE BEAM.

WARNING
y Electric shock may cause burns or a possible fire. Turn the
power switch OFF and unplug the power cord before replacing
the fuses. Replace only with fuses of the correct rating.

9
CONTENTS
INTRODUCTION .................................................................................................................1
CAUTIONS FOR USE ......................................................................................................... 2
ENVIRONMENTAL CONDITIONS FOR USE .....................................................................2
STORING PLACE, USAGE PERIOD AND OTHERS .......................................................... 2
ENVIRONMENTAL CONDITIONS FOR PACKAGING IN STORAGE ................................ 3
ENVIRONMENTAL CONDITIONS FOR PACKAGING IN TRANSPORTATION .................3
CHECKPOINTS FOR MAINTENANCE ............................................................................... 3
DISPLAY FOR SAFE USE .................................................................................................. 4
DISPLAYS ........................................................................................................................... 4
ICONS ..................................................................................................................................4
SAFETY CAUTIONS ...........................................................................................................5
SAFETY CAUTIONS ...........................................................................................................6
SAFETY CAUTIONS ...........................................................................................................7
USAGE AND MAINTENANCE .............................................................................................8
USAGE ................................................................................................................................8
USER MAINTENANCE ........................................................................................................ 8
ESCAPE CLAUSES ............................................................................................................. 8
WARNING DISPLAYS AND POSITIONS ............................................................................9
COMPONENTS ...................................................................................................................... 12
COMPONENT NAMES ...................................................................................................... 12
COMPOSITION OF PARTS WHICH CONTACT THE HUMAN BODY ............................. 12
CONTROL PANEL COMPONENTS .................................................................................. 13
SCREEN LAYOUT ............................................................................................................. 14
STANDARD ACCESSORIES ............................................................................................ 28
PREPARATIONS ................................................................................................................... 29
INSTALLING THE INSTRUMENT ..................................................................................... 29
INSTALLING THE DIGITAL CAMERA .............................................................................. 30
HOW TO CONNECT THE CABLES .................................................................................. 30
CONNECTING THE POWER CORD ................................................................................ 31
CONNECTING THE EXTERNAL DEVICE ........................................................................ 32
SETTING MENU ................................................................................................................ 33
RESET FROM POWER SAVE STATE .............................................................................. 50
BASIC OPERATIONS ........................................................................................................... 51
FLOW OF OPERATION .................................................................................................... 51
PREPARATION FOR PHOTOGRAPHY ............................................................................ 52
FUNDUS TOMOGRAPHY ................................................................................................. 54
ANTERIOR SEGMENT TOMOGRAPHY ........................................................................... 67
COLOR FUNDUS PHOTOGRAPHY ................................................................................. 73
PREVIEW SCREEN .......................................................................................................... 76
DISPLAY FORM OF PREVIEW SCREEN ......................................................................... 77
SAVING DATA ................................................................................................................... 80
PRINTING DATA ............................................................................................................... 80
HOW TO FINISH ............................................................................................................... 80
BEFORE REQUESTING SERVICE .................................................................................. 81
TROUBLESHOOTING ....................................................................................................... 81
SPECIFICATIONS AND PERFORMANCE .................................................................... 85

10
SYSTEM DIAGRAM .......................................................................................................... 85
SPECIFICATIONS ............................................................................................................. 86
OTHER SPECIFICATIONS ............................................................................................... 87
ELECTROMAGNETIC COMPATIBILITY ........................................................................... 88
Requirements for the EXTERNAL DEVICE ....................................................................... 91
PATIENT’S ENVIRONMENT ............................................................................................. 92
SPECIFICATIONS OF THE PERSONAL COMPUTER (COMMERCIAL
PRODUCT) TO BE CONNECTED .................................................................................... 92
ELECTRIC RATING ........................................................................................................... 93
SYSTEM CLASSIFICATION .............................................................................................. 93
DIMENSIONS AND WEIGHT ............................................................................................ 93
INTENDED USE ................................................................................................................ 94
OPERATION PRINCIPLE .................................................................................................. 94
MAINTENANCE ...................................................................................................................... 95
DAILY CHECKUPS ............................................................................................................ 95
ORDERING CONSUMABLES ........................................................................................... 95
REPLACING THE ILLUMINATION LAMP ......................................................................... 96
REPLACING THE XENON LAMP ..................................................................................... 96
CHANGING THE FUSE ..................................................................................................... 97
REFILLING THE CHIN-REST PAPER SHEET ................................................................. 98
ADJUSTING THE MONITOR ............................................................................................ 98
MAINTENANCE BY THE DEALER ................................................................................... 98
CLEANING ............................................................................................................................... 99
CLEANING THE EXTERNAL COVER, CONTROL PANEL AND OTHERS ...................... 99
CLEANING OF THE PARTS WHICH COME INTO CONTACT WITH THE PATIENT ...... 99
CLEANING THE MONITOR SCREEN .............................................................................. 99
CLEANING THE OBJECTIVE LENS ............................................................................... 100
REFERENCE MATERIAL ..................................................................................................101
TYPE OF PLUG ...............................................................................................................101
SYMBOL ..........................................................................................................................101
RELATION BETWEEN THE SETTING OF THE ILLUMINATION/FLASH LEVEL
AND MAXIMUM RADIANCE ............................................................................................. 102
INFORMATION ABOUT THE OPTICAL RADIATION
HAZARD FOR THE USER ................................................................................................103
END USER LICENSE AGREEMENT .............................................................................104

11
COMPONENTS
COMPONENT NAMES

External fixation target Main unit

Diopter compensation lens Main unit external cover


selector

Focusing knob Monitor


Brightness volume Photography switch

Control lever
IR filter selector

Vertical position mark


Base brake knob

Control panel Power lamp


Sliding board

Power supply unit


External connection terminal
(left side) Fixing knob (for carrying)

Forehead rest
Objective lens
Canthus marker

Forehead rest base Chin-rest unit

Chin-rest paper pin

Chin-rest

Lamp house cover screw

Lamp house cover

Power switch

Fuse holder
External connection terminal (right side)

COMPOSITION OF PARTS WHICH CONTACT THE HUMAN BODY


Forehead rest : Silicone rubber
Chin-rest : Acrylonitrile butadiene styrene resin
Chin-rest paper sheet : Paper

12
COMPONENTS
CONTROL PANEL COMPONENTS

Base brake knob

Photography switch
Internal fixation target position move switch
Chin-rest up/down switch (Up/Down/Left/Right/Reset)
Power lamp

Chin-rest up/down switch:


Adjusts the chin-rest up/down movement.
Internal fixation target position move switch:
Adjusts the internal fixation target position finely.
Power lamp:
Displays "power ON" (this lamp is ON) and "power OFF" (this lamp is OFF).
Photography switch:
Starts photography.
Base brake knob:
Locks and unlocks the base.

13
COMPONENTS
SCREEN LAYOUT
Display areas and functions of monitor screen
The monitor screen is a touch panel. The monitor displays information, and you can perform a
variety of operations by touching its screen. For the details of the monitor screen, refer to the
page relevant to each area.
Area 1

Area 2

Area 3 Area 4

Area 5

OCT live image area Fundus/anterior segment live image area

Area 1 ..................................Displays the ID of the patient. (Refer to P.15.)


Area 2 ..................................Displays the scan modes. You can change the modes. (Refer to
P.15.)
Area 3 ..................................Displays each scan pattern (icon) corresponding to the scan
mode selected in Area 2. You can change the scan patterns.
(Refer to P.16.)
Area 4 ..................................Changes the small pupil diaphragm, the internal fixation target
and others. (Refer to P.18.)
Area 5 ..................................Displays the message corresponding to the current status. (Refer
to P.21.)
Tomogram live image area...Displays the tomogram live image. Perform the operation on the
live image. (Refer to P.22.)
Fundus/anterior
segment live image area ......Displays the fundus or anterior segment live image and the
graphic image of the selected scan pattern with an interrupted
line. Displays the right/left eye, flash level and illumination level
around the live image. You can adjust the flash level and illumina-
tion level by the touch panel. (Refer to P.24.)
Displays the scan position adjustment range and the fine adjust-
ment buttons in the scan position adjustment mode. You can
adjust the scan position by the touch panel. (Refer to P.55.)

14
COMPONENTS
Area 1
Area 1 displays the ID of the patient.

Patient icon Patient ID

Area 2
In Area 2, you can access a desired scan mode, the fundus photography mode and the setting
menu.

Setting menu button


Scan mode setting button Fundus photography button

• Scan mode setting button .... Displays all the scan modes. You can change to a desired scan
mode. The selected scan mode is highlighted.
Macula Shifts to the scan mode which regards macula
as the center.
Glaucoma Shifts to the scan mode applicable to the glau-
coma diagnosis with the optic disc as the cen-
ter.
Anterior Seg. Shifts to the mode to scan the anterior seg-
ment.
• Fundus photography button . Shifts to the mode which performs only color fundus photogra-
phy without tomography.
• Setting menu button............. Shifts to the setting menu. (Refer to P.33.)

15
COMPONENTS
Area 3
Area 3 displays each scan pattern (total three types) corresponding to the scan mode selected
in Area 2 by icon. You can access a desired scan pattern. The selected scan pattern is high-
lighted.

• Macula

In the macula photography mode, the following scan patterns are set as default. In the setting
menu, the setting of these scan patterns can be changed in turn from the left by setting items
for "Macula1", "Macula2" and "Macula3". The "Circle" scan pattern cannot be selected. (Refer
to P.33.)

Scan Pattern : Cross Scan Pattern : 7Line Raster Scan Pattern : Radial
Scan Size : 6mm Scan Size : 6mm Scan Size : 6mm
Scan Resolution : 1024 Scan Resolution : 4096 Scan Resolution : 1024
Over Scan Count :4 Over Scan Count : None Over Scan Count : None
Fixation Position : Macula Fixation Position : Macula Fixation Position : Macula

• Glaucoma

In the glaucoma mode, the following scan patterns are set as default. In the setting menu, the
setting of these scan patterns can be changed in turn from the left by setting items for
"Glaucoma1", "Glaucoma2" and "Glaucoma3". (Refer to P.33.)

Scan Pattern : Line Scan Pattern : Circle Scan Pattern : 3D


Scan Size : 6mm Scan Size : 3.4mm Scan Size : 6×6mm
Scan Resolution : 1024 Scan Resolution : 1024 (Fixed) Scan Resolution : 512×128
Over Scan Count :4 Over Scan Count : None Over Scan Count : None
Fixation Position : Disc Fixation Position : Disc Fixation Position : Disc

16
COMPONENTS
• Anterior Seg.

In the anterior segment photography mode, the following scan patterns are set as default.
In the setting menu, the setting of these scan patterns can be changed in turn from the left by
setting items for "Anterior Seg.1", "Anterior Seg.2" and "Anterior Seg.3". For the scan pattern,
select one of "Line", "Radial" and "3D". (Refer to P.33.)

Scan Pattern : Line Scan Pattern : Radial Scan Pattern : 3D


Scan Size : 6mm Scan Size : 6mm Scan Size : 6 × 6mm
Scan Resolution : 1024 Scan Resolution : 1024 Scan Resolution : 512 × 128
Over Scan Count :4 Over Scan Count :4 Over Scan Count : None
Fixation Position : External fixation Fixation Position : External fixation Fixation Position : External fixation
target target target

17
COMPONENTS
Area 4
In Area 4, set or change the small pupil diaphragm and the internal fixation target and adjust
the scan position.
Set or change data with the buttons.

Small pupil diaphragm Internal fixation target Optic disc auto search
selector button position selector button button
Internal fixation target Scan position adjustment
shape selector button mode button

• Small pupil diaphragm selector button


Displays the small pupil diaphragm status (ON/OFF). You can change ON/OFF of the small
pupil diaphragm. When the pupil diameter of the patient is small (pupil diameter is approx.
φ4.0mm or less), set to ON and take a picture. (Refer to P.60.)
Only when the fundus photography mode is selected, the automatic small pupil (diaphragm)
function is used. While this function is working, the small pupil diaphragm is automatically
set to ON and the instrument takes a color picture of fundus if the pupil diameter is small
(pupil diameter is approx. φ4.0mm or less). After taking a picture, it is set to OFF. In the
fundus photography mode, it is not necessary to set the small pupil diaphragm to ON with
this button even if the pupil diameter is small.
• Internal fixation target shape selector button
Displays the selected internal fixation target shape. You can select the internal fixation tar-
get shape among the following five shapes by pressing this button.
• 1 dot/4-dot rectangle/4-dot rhomb/×/cross
• Internal fixation target position selector button
Displays the current internal fixation target position. You can select the internal fixation tar-
get position among the following four positions by pressing this button.

D (Disc):
Optic disc is the center of the screen.

C (Center):
The middle position between macula and optic disc is the center of
the screen.

M (Macula):
Macula is the center of the screen.

External fixation target (graphic image):


The internal fixation target is OFF and the external fixation target is
ON. You can set a desired position by moving the external fixation
target position.

In the scan mode for the anterior segment photography, all the buttons are not displayed
from time to time. Moreover, in the scan modes for macula photography and glaucoma,
the buttons are displayed in gray unclearly depending on the scan pattern set status.
Under this condition, you cannot set or change the data.

18
COMPONENTS
• Scan position adjustment mode button
The scan position adjustment mode is accessed. The selected scan pattern, the scan posi-
tion adjustment range, the scan possible range (only in "Cross" and "Radial" scan), the fine
adjustment buttons, the reset button (except when the optic disc auto search function is ON
in "Circle" scan), the optic disc auto search effective range and OK button (only when the
optic disc auto search function is ON in "Circle" scan, for both the range and button) are dis-
played in the fundus/anterior segment live image area.
When you want to change manually the circle scan position that is automatically detected
by the optic disc auto search function to the desired position, use this scan position adjust-
ment mode button.
Fine adjustment button (up) Reset button
*Displayed in others except Circle scan.

Scan pattern display Scan possible range (red)


(green and yellow) * Displayed only in Cross/Radial scan.
Scan position adjustment range (blue)

Fine adjustment button (left) Fine adjustment button (right)

Fine adjustment button (down)

Line scan
Rotation button (counterclockwise)
* Displayed only in Line scan.

Rotation button (clockwise)


* Displayed only in Line scan.

Circle scan

OK button
* Displayed only when the optic
disc auto search function is ON
in "Circle" scan.
Optic disc auto search effective
range (red)
* Displayed only when the optic
disc auto search function is ON
in "Circle" scan.

19
COMPONENTS
Scan pattern display (green and yellow)
Displays the graphic image of the scan pattern kinds. The green line shows the scan posi-
tion, and the arrow shows the scan advance direction. (The arrow direction for the right eye
is reversed for the left eye.)
The yellow line is displayed for the scan patterns except "Line" and "Circle". For "3D", the
yellow line shows the scan range and, for other scan patterns, the scan position in addition
to the position indicated by the green line. When scan is performed once, it is done at the
positions indicated by the green and yellow lines.

3D Line Circle Cross

7Line Raster 7Line Raster (V) Radial

Scan position adjustment range (blue)


Displays the "6.0mm×6.0mm" range at the focal point on fundus. Touch this range, and the
scan position is moved to the touched point. For the "Cross" and "Radial" scan patterns,
the intersection (center of the displayed scan pattern) of lines is the limit of the movable
range. For other scan patterns, the edge position of lines is the limit of the movable range.
In the case of the tomogram within the "6.0mm×6.0mm" range, you can get the output sen-
sitivity enough.
Scan possible range (red)
Displayed only for "Cross" and "Radial" scan patterns. This range shows the "12.0mm×
12.0mm" range on fundus. This is the limit range where you can get a tomogram by using
this instrument. If a tomogram exceeds the "6.0mm×6.0mm" range indicated by the blue
line, you cannot always get the sufficient output sensitivity because the pupil and others
obstruct the photography.
Fine adjustment buttons (up/down/right/left)
Each time you touch these buttons, the scan position is moved by about 0.03mm (on fun-
dus) in the arrow direction.
Reset button
Displayed only for others except "Circle" scan. Returns the scan position to the center of
the scan position adjustment range (blue).
Rotation buttons (clockwise/counterclockwise)
Displayed only for "Line" scan. Each time you touch these buttons, the scan line is rotated
by 5° in the arrow direction.
OK button
Displayed only in "Circle" scan of glaucoma mode. Press this button after adjusting the
scan position to exit from the scan position adjustment mode.
* The circle scan position after adjusting (the circle scan position before pressing the [OK]
button) is stored while you are taking pictures with the same patient ID. If you take a picture
with other patient ID or exit from the photography mode ([Capture Data] mode), the stored
circle scan position is automatically cleared and the scan position is reset to the default.

20
COMPONENTS
* When you want to return the scan position to the original position after adjusting it, do not
press the [OK] button but press one of the scan pattern icons, which are displayed in Area
3 of the monitor screen, to exit from the scan position adjustment mode. If you have
already exited from the scan position adjustment mode by pressing the [OK] button, you
need to perform any of the following procedures:
• You should shift to the photography with the other patient ID or exit from the photogra-
phy mode ([Capture Data] mode) and return the scan position to the default.
• You should access the scan position adjustment mode again and readjust the scan
position to the desired one.
Optic disc auto search effective range (red)
Displayed only when the optic disc auto search function is ON in "Circle" scan of glaucoma
mode. This indicates the "4.0mm×4.0mm" range at the focal point on fundus. Use this range
to adjust the "Circle" scan position manually to the optic disc center. To put the patient's optic
disc into this range, move the fixation position (move the optic disc) by the internal fixation tar-
get position move switch on the control panel. Then, adjust the circle scan position so that the
circle center may be aligned with the optic disc center. By adjusting the "Circle" scan position
to put the optic disc into this range, the optic disc is automatically detected by the optic disc
auto search function thereafter.
Optic disc auto search button
This button can be set to ON/OFF only in "Circle" scan of glaucoma mode. When this button
is set to ON, the optic disc position is automatically tracked and detected. Even if the optic
disc moves slightly due to the minute fixation move, you can always perform "Circle scan"
with the optic disc as the center. Sometimes the optic disc cannot be automatically detected
due to the optic disc shape of the patient or the image contrast. In this case, follow the coun-
termeasure (search OFF or manual set), which is displayed with the error message, and per-
form photography again. For details of the countermeasure (search OFF or manual set),
refer to "MEMO" on page 65.

Area 5
Area 5 displays the message corresponding to the current status.
This area displays mainly the messages for the current processing and for the operation guide.
• Message for the current processing
When a message for the current processing is displayed, wait until the message disappears.

• Message for the operation guide


When a message for the operation guide is displayed, operate the instrument according to
the message.

21
COMPONENTS
Tomogram live image area
This area displays the tomogram live image. Perform the operation on the live image.

Warning line (orange)


Z lock position
for the tomogram dis-
display bar
play position

Z lock position Live image

[Image Quality]
[Optimize] button level meter

Image Quality value


(IQF)

• Z lock position : Displays the center position of the displayed tomogram. After
the processing of "Auto Z", "Auto Z Lock" and "Auto Polariza-
tion", this is always displayed on the 2/3 position on the bar.
In the scan mode for the anterior segment photography, all the
auto functions are invalidated and the Z lock position is not dis-
played. Instead of the Z lock position, the frame (fixed) indicat-
ing the optimal display position for the photographed part
appears.

Optimal display
position frame

22
COMPONENTS
• Z lock position display bar : Indicates the Z lock position changeable range. By touching an
optional position on the bar, you can move the center position
of the displayed tomogram to the touched position.

Z lock position is moved.

• Image Quality value (IQF) : Displays the "Image Quality" level with a value.
* In the scan mode for the anterior segment photography, the
Image Quality value is not displayed.
Image Quality value (IQF) is the image quality evaluation standard peculiar to TOPCON.
IQF shows the image quality of the tomograms obtained by 3D OCT-2000 with a value
quantitatively. When you need a tomogram applicable to image analysis or other pro-
cessing, IQF must be 45 or higher. If IQF is 45 or higher, the tomogram has a proper
image quality. If IQF is 70 or higher, the tomogram has an excellent image quality. If
IQF is less than 45, image analysis can be performed for the tomogram but the reliability
on the analysis result is reduced. So the tomogram is not applicable for analysis.

• [Image Quality] : Displays the "Image Quality" level with meter.


level meter * In the scan mode for the anterior segment photography, the [Image
Quality] level meter is not displayed.
• Live image : Displays the live tomogram image.
In the scan mode for the macula photography and glaucoma, the live
image is displayed in color. In the scan mode for the anterior segment
photography, it can be displayed not in color but also monochrome.
"Monochrome display" is initially set.
• [Optimize] button : Starts "Auto Z", "Auto Z Lock" and "Auto Polarization" and detects the
retina position automatically. Then, this button optimizes the image out-
put sensitivity to display a clear tomogram.
* In the scan mode of the anterior segment photography, all the auto
functions are invalidated and so the [Optimize] button is not displayed.
• Warning line : This is displayed when part of the tomogram overlaps the top edge of the
(orange) for the tomogram live image area. If you take a picture in the condition that this
tomogram display line (orange) is displayed, analysis after photographing may not be suc-
position cessful. Therefore, lower the Z lock position until this line disappears.
Then, take a picture.
* In the scan mode of the anterior segment photography, if the tomo-
gram is displayed within the optimal display position frame and then
you take a picture, analysis is successful. So, the warning line
(orange) is not displayed.

23
COMPONENTS
Fundus/anterior segment live image area
This area displays the fundus or anterior segment live image, the right/left eye, flash level and
illumination level and besides, the graphic image of the selected scan pattern with an inter-
rupted line. You can adjust the set data of the flash level and illumination level by the touch
panel. Only when the optic disc auto search function is ON in "Circle" scan of glaucoma mode,
the range frame where the optic disc can be automatically tracked (optic disc tracking frame) is
displayed. In the scan position adjustment mode, the selected scan pattern is displayed with a
solid line, and the scan position adjustment range and fine adjustment buttons are displayed.
You can adjust the scan position by the touch panel.
Right/left eye display

Scan pattern display


(green and yellow)
* Interrupted line

Live image

Illumination
level display
Flash level display

• Live image:
Displays the fundus or anterior segment live image.

• Scan pattern display (green and yellow):


Displays the graphic image of the selected scan pattern. The green line shows the scan
position, and the arrow shows the scan advance direction. (The arrow direction for the right
eye is reversed for the left eye.)
The yellow line is displayed for the scan patterns except "Line" and "Circle". For "3D", the
yellow line shows the scan range and, for other scan patterns, the scan position in addition
to the position indicated by the green line. When scan is performed once, it is done at the
positions indicated by the green and yellow lines.
The length and size of the lines are changed according to the set value of scan size.

3D Line Circle Cross

7Line Raster 7Line Raster (V) Radial

24
COMPONENTS
• Right/left eye display:
In the case of left eye, "L" is displayed at the upper right position of the live image. In the
case of right eye, "R" is displayed at the upper left position.

• Flash level display:


Displays the flash level (compensation value) by -4 to +4. ±0 is not displayed. You can
adjust the flash level by touching the screen. (Refer to P.57.)
While the xenon lamp power supply is being charged, the icon blinks. After charging has
been finished, it is lit.

• Illumination level display:


Displays the illumination level (level) by five steps. You can adjust the illumination level by
touching the screen. (Refer to P.57.)

• Optic disc tracking frame (blue)


Displayed only when the optic disc auto search function is ON in "Circle" scan of glaucoma
mode.
This frame shows the optic disc auto search possible range. Put the patient's optic disc into
this frame by operating the internal fixation target position move switch on the control panel.
So, the optic disc auto search function works to detect the optic disc automatically.

Optic disc tracking


frame (blue)

25
COMPONENTS
Menu screen
On this screen, set a variety of data for this instrument.
Press the SETTING MENU BUTTON in Area 2, and this screen appears.

Function button Page number

Page name

Utility button

Page

Page forward/backward button Item value display area


Item button Item value selector button

Function button .............................. Decides and cancels the setting.


Page............................................... The whole setting display area under the function buttons
is called "Page".
Page name..................................... This is the name of the current page (object of setting).
Page number.................................. Displays the current page's number in the page order.
Page forward/backward button ...... Shifts to other pages.
Utility button ................................... Displays the objective items of setting in the page.
Select the desired item.
Item button ..................................... Displays the objective items of setting in the utility button.
Select the desired item.
Item value display area .................. Displays the current set status of the item buttons.
Item value selector button .............. Displays the items to be set for each item button.
Select the desired item.

26
COMPONENTS
Outline of operation on the menu screen

3 4
1 Press the PAGE FORWARD/BACKWARD BUTTON to select a page.

2 Press the UTILITY BUTTON to select the desired utility.

3 Press the ITEM BUTTON to select the desired item.

4 Press the ITEM VALUE SELECTOR BUTTON to select the item value.

5 Press the OK BUTTON among the function buttons to decide the item value.

When you press the CANCEL BUTTON , the value before selection is set again.

27
COMPONENTS
STANDARD ACCESSORIES
Upon unpacking, make sure that all the following standard accessories are included.
Figures in ( ) are the quantities.
Power cord (1) Fuses (6) Chin-rest paper sheet (1)

External fixation Monitor cleaner (1) Instruction manual (for main unit/soft-
target (1) ware), Unpacking and assembly
manual (1 each) and DVD for analy-
sis software (1)

INSTURUCTION MANUAL 3D
3D OPTICAL COHERENCE TOMOGRAPHY 3D OCT-2000 Se OC

S
tup
T-2

oft
Software Kit

w
Disk

are
00

K
it
0

Dust cover (1) Spare parts case (1) Chin-rest paper pins (2)

USB cable (1) Rail covers (2) Phillips screwdriver (1)

Camera link cable (1) Attachment for anterior segment (1)

28
COMPONENTS
PREPARATIONS
INSTALLING THE INSTRUMENT

To prevent the instrument from falling and to avoid injury during carry-
CAUTION ing, be sure to secure the instrument with the fixing knob at the bot-
tom.

To avoid injury or damage, two people should be employed for sup-


porting the instrument from the underside. Carrying by one person
CAUTION may result in personal injury and/or damage to the instrument should
the person slip or fall.

To avoid falling and injury while moving the table with the instrument
CAUTION on top of it, be sure to use an approved automatic instrument table.

To prevent the instrument from falling and to avoid injury, install the
CAUTION instrument on a level surface.

1 Fasten the fixing knob.

2 Firmly hold the instrument body at the specified positions, and put it on the automatic
instrument table.

Fixing knob
Holding positions Holding the instrument body

3 After installing the instrument, fully loosen the fixing knob.


The instrument body is free to move.

4 If the instrument body is slightly unlevel, fine-adjust the height by properly operating the
four adjusters.
Do not extend the adjuster past 1cm.

Adjuster

29
PREPARATIONS
INSTALLING THE DIGITAL CAMERA
1 Remove the cap from the digital camera to be installed.

2 Align the positioning mark of the instrument with the mark on the digital camera's mount.

3 Turn the digital camera clockwise until a "click" is heard.

When taking out the digital camera from the instrument, turn the digital camera counter-
clockwise while pressing its lens lock release button.

For some types of the digital cameras to be installed, a mount conversion adapter or tele
converter is necessary.

HOW TO CONNECT THE CABLES


Connect the cables for the digital camera, which come out of the instrument.

USB terminal Remote cord


connection terminal

Synchro terminal

DC input terminal

When connecting the cables, refer to the instruction manual of the digital camera.

If you have a question about the digital camera, contact your dealer or TOPCON (listed
on the back cover).

30
PREPARATIONS
CONNECTING THE POWER CORD

To avoid fire and electric shock in case of leakage, be sure to use a


WARNING power supply equipped with a 3-pin plug AC receptacle for proper
grounding.

CAUTION To avoid electric shock, do not handle the plugs with wet fingers.

1 Make sure that the POWER SWITCH of the instrument body is OFF ( ).

2 Attach the power cord to the instrument body.

3 Plug the power cord into the 3-pin plug AC receptacle.

31
PREPARATIONS
CONNECTING THE EXTERNAL DEVICE

Use the external device complying with IEC60950/IEC60950-1 or


UL60950/UL60950-1.
NOTE For details about connecting the external devices, contact your dealer
or TOPCON (see the back cover).

The connection terminals for external devices are arranged at the right and left of the base unit.
External connection terminals (Right side)

USB terminal 2
USB terminal 1
USB terminal 3

External connection terminals (Left side)

Digital video terminal


Trigger terminal USB terminal 4
LAN terminal Video terminal

Connecting to the monitor


1 Connect the VGA cable from the monitor to the Video terminal of the instrument.

Connecting to the external memory


1 Connect the external memory such as the USB storage to the USB terminals 1-3 of the
instrument.

Connecting to the printer


1 Connect the USB cable from the printer to the USB terminals 1-3 of the instrument.
2 Connect the Trigger communication cable from the printer to the Trigger terminal of the
instrument.

Connecting to a personal computer


1 Connect the USB terminal 4 of the instrument to the personal computer through the USB
cable, which is the accessory of the instrument.
2 Connect the digital video terminal of the instrument to the personal computer with the cam-
era link cable, which is the accessory of the instrument.
You must install the analysis software, which is the accessory of the instrument, to the
connected personal computer.

Connecting to LAN
This instrument can be connected to Local Area Network through the LAN terminal.
1 Connect the LAN cable from the Network to the LAN terminal of the instrument.

32
PREPARATIONS
SETTING MENU
On the setting menu screen, you can set a variety of data.

Preparation for setting


1 Check the power cord connection.
For details about the connection, see "CONNECTING THE POWER CORD" on page 31.

2 Turn the POWER SWITCH ON (I).

Displaying the setting menu screen


1 Check the monitor screen.

2 Press the SETTING MENU BUTTON in Area 2.


Setting menu button

Area 2

Check the setting menu screen.

Returning to the Monitor screen


1 Press the CANCEL BUTTON .

33
PREPARATIONS
PAGE 1/PAGE 2: Scan Setting
On the "PAGE 1" and "PAGE 2" screens, set scanning.
For the outline about the operation of the menu screen, refer to "Menu screen" on page 26.

• PAGE 1: Initial screen

34
PREPARATIONS
On PAGE 1, the items shown in the following table are assigned to the buttons on each layer.
Page name Utility button Item button Remarks At shipment
Scan Set1 Default Default Scan Mode (Note 1) Glaucoma
• This is the scan mode selected on the ini-
tial screen when the power is ON.
Scan Pattern Count: Macula (Note 2) 3
• The count of the selectable scan patterns Max. 3
when the "Macula" mode is selected
Scan Pattern Count: Glaucoma (Note 2) 3
• The count of the selectable scan patterns Max. 3
when the "Glaucoma" mode is selected
Scan Pattern Count: Anterior Seg. (Note 2) 3
• The count of the selectable scan patterns Max. 3
when the "Anterior Seg." mode is
selected.
Default Scan Pattern: Macula Macula1
• This scan pattern is set as default when
the "Macula" mode is selected.
Default Scan Pattern: Glaucoma Glaucoma1
• This scan pattern is set as default when
the "Glaucoma" mode is selected.
Default Scan Pattern: Anterior Seg. Anterior
• This scan pattern is set as default when Seg.1
the "Anterior Seg." mode is selected.
Macula1 This is one of the scan patterns which can Refer to P.49.
be selected in the "Macula" mode. (It is
displayed at the left end in Area 2 of the
monitor screen.) For details of the item
buttons, refer to "Scan setting" on page 42.
Macula2 This is one of the scan patterns which can Refer to P.49.
be selected in the "Macula" mode. (It is
displayed at the center in Area 2 of the
monitor screen.) For details of the item
buttons, refer to "Scan setting" on page 42.
Macula3 This is one of the scan patterns which can Refer to P.49.
be selected in the "Macula" mode. (It is
displayed at the right end in Area 2 of the
monitor screen.) For details of the item
buttons, refer to "Scan setting" on page 42.
Glaucoma1 This is one of the scan patterns which can Refer to P.49.
be selected in the "Glaucoma" mode. (It is
displayed at the left end in Area 2 of the
monitor screen.) For details of the item
buttons, refer to "Scan setting" on page 42.
Glaucoma2 This is one of the scan patterns which can Refer to P.49.
be selected in the "Glaucoma" mode. (It is
displayed at the center in Area 2 of the
monitor screen.) For details of the item
buttons, refer to "Scan setting" on page 42.

Note 1 : You can select "Macula", "Glaucoma", "Anterior Seg." and "Fundus Photo".
Note 2 : The displayed button quantity is changed depending on the registration count.
(For details, refer to the next page.)

35
PREPARATIONS
• Scan Pattern Count: Glaucoma 3

The "Glaucoma 3" button


is displayed.

• Scan Pattern Count: Glaucoma 2

The "Glaucoma 3" button


is not displayed.

36
PREPARATIONS
• PAGE 2: Initial screen

On PAGE 2, the items shown in the following table are assigned to the buttons on each layer.
Page name Utility button Item button Remarks At shipment
Scan Set2 Glaucoma3 This is one of the scan patterns which can Refer to P.49.
be selected in the "Glaucoma" mode. (It is
displayed at the right end in Area 2 of the
monitor screen.) For details of the item but-
tons, refer to "Scan setting" on page 42.
Anterior Seg.1 This is one of the scan patterns which can Refer to P.49.
be selected in the "Anterior Seg." mode. (It
is displayed at the left end in Area 2 of the
monitor screen.) For details of the item but-
tons, refer to "Scan setting" on page 42.
Anterior Seg.2 This is one of the scan patterns which can Refer to P.49.
be selected in the "Anterior Seg." mode. (It
is displayed at the center in Area 2 of the
monitor screen.) For details of the item but-
tons, refer to "Scan setting" on page 42.
Anterior Seg.3 This is one of the scan patterns which can Refer to P.49.
be selected in the "Anterior Seg." mode. (It
is displayed at the right end in Area 2 of the
monitor screen.) For details of the item but-
tons, refer to "Scan setting" on page 42.
Fundus Photo Eye Fixation Center
• Select the fixation position in the fundus Disc
photography mode. Macula
Image size L (4288×2848)
• Select the size for the photographed color M (3216×2136)
fundus image. S (2144×1424)

You can set the size of the photographed color fundus image only in the fundus photog-
raphy mode. In other scan modes, "S" (2144×1424) is fixed as the image size.

37
PREPARATIONS
PAGE 3: Photography Setting
On the "PAGE 3" screen, set the photography information.
For the outline about the operation of the menu screen, refer to "Menu screen" on page 26.

• PAGE 3: Initial screen

On PAGE 3, the items shown in the following table are assigned to the buttons on each layer.
Page name Utility button Item button Item selector At
button shipment
Picture Inf. Fixation Type: CONSTANT
Set Changes lighting/blinking of the internal fixa- (Lighting)
tion target. FLICKERING
(Blinking)
Speed Normal (Hz) 1-8 1
• This is valid when the internal fixation tar-
get is set to "FLICKERING" (Blinking).
• Set the blinking speed for other status
except when photographing.
Speed Measure (Hz) 1-8 2
• This is valid when the internal fixation tar-
get is set to "FLICKERING" (Blinking).
• Set the blinking speed for photographing.
Retina FLASH LEVEL: -8 - +8 0
Photography Sets the reference value of the compensa- (Note)
tion value for flash level.
BLINK DETECT LEVEL OFF
• If the patient blinks when taking a color pic- LOW
ture of fundus, the blink detection function NORMAL
stops photographing. For this function, set
the detection sensitivity level.

Note : When "0" is set at shipment, the maximum radiance is 35% and the light intensity
level is 9.4W·s. Refer to "RELATION BETWEEN THE SETTING OF THE ILLUMI-
NATION/FLASH LEVEL AND MAXIMUM RADIANCE" on page 102.

38
PREPARATIONS
Item value selector button
Page name Utility button Item button
D90 Initial value
Picture Inf. Set CAMERA Image JPEG Basic
quality JPEG Nomal
JPEG Fine
Chroma -3 - +3 0
Auto
Profile 0-9 3
emphasis Auto
Gradation -3 - +3 1
Auto
Color space sRGB
AdobeRGB
Hue -3
-2
-1
0
+1
+2
+3
Brightness -1
0
+1

39
PREPARATIONS
Page 4: Auto Operation
On the "PAGE 4" screen, set the Auto functions.
For the outline about the operation of the menu screen, refer to "Menu screen" on page 26.

In the anterior segment photography mode, all the auto functions are invalidated (OFF).

• PAGE 4: Initial screen

40
PREPARATIONS
On PAGE 4, the items shown in the following table are assigned to the buttons on each layer.
Item selector At
Page name Utility button Item button
button shipment
Auto Focus ON/OFF OFF
Operation • Sets the focus automatically. ON
Shoot ON/OFF OFF
• This function is usable only in the fundus photog- ON
raphy mode.
• Put the alignment bright spot, which has been
changed to one spot in the focusing status, into
( ). The instrument takes a color picture of fundus
automatically even if you do not press the photog-
raphy switch.
Small Pupil (Diaphragm) ON/OFF OFF
• This function is usable only in the fundus photog- ON
raphy mode.
• When the pupil diameter of the patient is small
(pupil diameter is approx. φ4.0mm or less), the
small pupil diaphragm is automatically set and the
instrument takes a color picture of fundus. After
taking a picture, the small pupil diaphragm is auto-
matically removed. When you set the small pupil
diaphragm selector button to "ON" on Area 4 of
the monitor screen, the above automatic setting is
not done.
Auto Z (Z Lock) ON/OFF OFF
• Detects the retina position automatically, and ON
always displays the fundus tomogram clearly dur-
Z Lock OFF
ing observation. (After displaying, the photo-
After Auto Z ON
graphed fundus image is automatically fixed.)
Auto Pola (Auto Polarization) ON/OFF OFF
• Adjusts the output sensitivity of the fundus tomo- ON
gram to the optimum automatically.
Auto Search ON/OFF OFF
• This function is usable only in "Circle scan" of ON
glaucoma mode.
• Detects and tracks the optic disc position auto-
matically. Even if the optic disc moves slightly due
to the minute fixation move, it is always possible
to perform "Circle scan" with the optic disc as the
center.

41
PREPARATIONS
Scan setting
Scan setting item buttons
(1) Scan Pattern
Scan pattern means the shape or kind to be scanned. It is classified into the following
seven kinds. However, in the scan mode for the anterior segment photography, only three
scan patterns, "Line", "3D" and "Radial" can be used.
Line: Scans linearly.
Circle: Scans circumferentially.
3D: You can scan the set range (Scan Size) with the set resolution (Scan
Resolution) and display the scanned object as a stereograph.
Radial: Scans radially with the set radial lines (Radial Scan Count).
Cross: Scans in a horizontal or vertical cross shape.
7Line Raster: Scans horizontally with seven lines at regular intervals (Raster Scan
Step).
7Line Raster (V): Scans vertically with seven lines at regular intervals (Raster Scan Step).

Selectable scan pattern

When you set the scan pattern, the following icons are displayed in Area 3 of the monitor
screen.

Line Circle 3D

Radial Cross 7Line 7Line (V)

42
PREPARATIONS
(2) Scan Size
"Scan Size" means the length or range to scan. The selectable scan size is changed
according to the scan pattern. For details, refer to "Setting the scan protocol" on page 48.
(3) Scan Resolution
"Scan Resolution" means the data quantity to be read by scanning. In the "Line", "Radial",
"Cross", "7Line Raster" and "7Line Raster (V)" scan, it is the data for one line. In the "Cir-
cle" scan, it is the data for one circumference. In the "3D" scan, it is the data for each side
of "Length×Breadth". As the scan resolution is higher, a more detailed tomogram can be
obtained and at the same time the data quantity is increased. So, it takes a longer time to
process the read data and the saved data are increased.
The selectable scan resolution is changed according to the scan pattern and scan size. For
details, refer to "Setting the scan protocol" on page 48.
(4) Over Scan Count
"Over Scan Count" means the following function: The data are read several times at one
position for one scanned line. Two or more tomograms at one position are obtained and are
displayed in the overlapped status. Consequently the tomogram with better contrast than
usual can be obtained. At "Over Scan Count" on the screen, set the count of the over-
lapped tomograms. The selectable overlap count is changed according to the scan pattern
and scan resolution. For the "3D" scan pattern, overlap cannot be done. For other scan
patterns, when the scan resolution is set to a higher value except "1024", overlap cannot be
done. For details, refer to "Setting the scan protocol" on page 48.
In the initial setting of this instrument, "Over Scan Count" is set to "4" for all the scan pat-
terns except "3D" for which overlap cannot be done, "7Line Raster" (scan resolution: 4096),
"Radial" and "Circle".
(5) Reference Position
You can select one of the following items according to the scan mode to be set.
Macula1 - 3 and Glaucoma1 - 3
There are two selectable items, "Vitreous" and "Choroidal". When you set "Vitreous",
you can obtain a tomogram with the reduced noise at the vitreous body side from the ret-
inal epithelium. When you set "Choroidal", you can obtain a tomogram with the reduced
noise at the choroid side which is inner from retina. To obtain a clear tomogram at the
epithelium such as retina, you should set to "Vitreous". To obtain a clear tomogram at
the inner place from retina (e.g. choroid or optic disc), you should set to "Choroidal". In
the initial setting of this instrument, "Vitreous" is set.

Selectable reference mirror position

43
PREPARATIONS
Anterior Seg.1 - 3:
Only for the "Line" scan patterns, you can select one of "Cornea" and "Lens" (crystalline
lens). For the "3D" and "Radial" scan patterns, "Lens" is not usable and "Cornea" is
fixed. In the initial setting of this instrument, "Lens" is set.
"Cornea" is applicable to take a tomogram of the tissues behind cornea. "Lens" is appli-
cable to take a tomogram of the tissues behind the crystalline lens.
To take a picture of cornea and crystalline lens, you should set to "Cornea". To take a
picture of anterior chamber angle, you should set to "Lens". By setting so, you can
obtain a clear tomogram.

(6) Radial Scan Count


This is valid only when "Radial" is selected as the scan pattern, and it means the count of
the radial lines for scan. In principle, one of "6" and "12" can be set. In the initial setting of
this instrument, "12" is set. In the scan mode for the anterior segment photography, "6" is
not usable and "12" is set.

Selectable radial scan count

(7) Raster Scan Step


This is valid only when one of "7Line Raster" and "7Line Raster (V)" is selected as the scan
pattern, and it means the interval of the vertical or horizontal seven scan lines. The settable
range is 0.15mm to 0.35mm, and you can set it by 0.05mm. In the initial setting of this
instrument, "0.35mm" is set.

Selectable raster scan count

44
PREPARATIONS
(8) Fixation Position
Set the fixation position of the patient in the scan mode for others except the anterior seg-
ment photography. In the anterior segment photography mode, only the external fixation
target is used and so this item is not displayed. There are three selectable items, "Disc",
"Center" and "Macula". When "Disc" is set, the optic disc is positioned at the center of the
photography screen for the fixation position. When "Center" is set, the middle position
between the optic disc and macula is positioned at the center, and when "macula" is set,
macula is positioned at the center.
In the initial setting, "Macula" is set for the "Macula" scan mode and "Disc" is set for the
"Glaucoma" scan mode. In "Circle scan" for the glaucoma mode, "Disc" is fixed. For the
"Fundus Photo" mode for which only color fundus photography is done without tomography,
"Center" is initially set.

Selectable fixation position

(9) Distortion Adjust


This item is valid only in the following conditions: In the "3D" scan mode for the macula pho-
tography and glaucoma, "Scan Size" is 6.0mm×6.0mm, "Scan Resolution" is 512×128, and
"Fixation Position" is "Disc". If the patient blinks and his/her fixation position moves during
scan, the obtained tomogram is partly deviated or missing. This function automatically
detects the deviated or missing data and, after normal scan, scans again at the position of
the deviated or missing data. In the initial setting of this instrument, "ON" is set.

45
PREPARATIONS
(10) Color Photograph
This item is valid only in the scan mode for the anterior segment photography. You can set
whether color photography of anterior segment should be done after taking its tomogram.
(In the scan mode for the macula photography and glaucoma, color photography is always
done.) In the initial setting of this instrument, "OFF" (color photography is not done) is set
only for "Line scan" and, "ON" (color photography is done) for "Radial scan" and "3D scan".

(11) Live Display Color


This item is valid only in the scan mode for the anterior segment photography. You can set
whether the live image should be displayed in color or monochrome. In the initial setting of
this instrument, "Mono" is set.

46
PREPARATIONS
"Valid/invalid" of the scan setting item buttons

When a scan setting item button is invalid because of the scan mode, scan pattern item,
etc., it is not displayed even if it is selected.
• List about "display/non-display" of item buttons
Scan pattern
Item button Line Circle 3D Radial Cross 7Line Raster 7Line Raster (V)
Scan Size
Scan Resolution (Note 1) (Note 1)
Over Scan Count (Note 2) (Note 5) (Note 2) (Note 2) (Note 2)
Reference Position (Note 1) (Note 1)
Radial Scan Count (Note 1)
Raster Scan Step
Fixation Position (Note 1) (Note 1) (Note 1)
Distortion Adjust (Note 4)
Color Photograph (Note 3) (Note 3) (Note 3)
Live Display Color (Note 3) (Note 3) (Note 3)

: The button is displayed.


: The button is not displayed.

Note 1: It is not displayed in the scan mode for the anterior segment photography.
Note 2: Displayed only when the scan resolution is 1024.
Note 3: Displayed only in the scan mode for the anterior segment photography.
Note 4: Displayed only when "Scan Size" is 6.0mm×6.0mm, "Scan Resolution" is 512×128
and "Fixation Position" is "Disc".
Note 5: Displayed only when the scan resolution is 1024.
The selection range is changed according to "Radial Scan Count". When the count
is 6, the selection range is "None", 4 and 8. When the count is 12, it is "None" and
4.

Example 1: When the scan pattern is "Radial" and the scan resolution is 1024, the [Over Scan
Count] button is displayed. (See the lower left figure.)
Except when the scan pattern is "Radial" and the scan resolution is 1024, the
[Over Scan Count] button is not displayed. (See the lower right figure.)

Displayed. Scan resolution = 1024 Not displayed. Scan resolution = 4096

47
PREPARATIONS
Setting the scan protocol
The following table shows the settable scan protocol.
The selectable items for "Scan Size", "Scan Resolution" and "Over Scan Count" are limited by
the set data of the scan mode, "Scan Pattern" and others.
Scan Radial Raster
Scan Size Scan Resolution Over Scan Count
Pattern Scan Count Scan Step
Line 6.0mm 1024H = Horizontal "None", "4", "8", "16", "32" and "50" can
(Note1) be selected.
4096H Overlap cannot be done.
1024V = Vertical "None", "4", "8", "16", "32" and "50" can
be selected.
4096V Overlap cannot be done.
3.0mm 1024H = Horizontal "None", "4", "8", "16", "32" and "50" can
be selected.
1024V = Vertical "None", "4", "8", "16", "32" and "50" can
be selected.
Circle 3.4mm 1024 (Fixed) "None", "4", "8", "16", "32" and "50" can
(Note2) be selected.
3D 8.2×3.0mm 1024×64 Overlap cannot be done.
(Note1) 6.0×6.0mm 512×128 Overlap cannot be done.
256×256 Overlap cannot be done.
512×32 Overlap cannot be done.
4.5×4.5mm 256×256 Overlap cannot be done.
3.0×3.0mm 256×256 Overlap cannot be done.
Radial 6.0mm 1024 6 "None", "4" and "8" can be selected.
(Note1) 12 "None" or "4"
4096 6 Overlap cannot be done.
12 Overlap cannot be done.
Cross 6.0mm 1024 "None", "4", "8" and "16" can be
selected.
4096 Overlap cannot be done.
7Line 8.2mm 1024 "None", "4" and "8" can be selected. "0.15", "0.20",
Raster 4096 Overlap cannot be done. "0.25", "0.30"
and "0.35" can
6.0mm 1024 "None", "4" and "8" can be selected.
be selected.
4096 Overlap cannot be done.
4.5mm 1024 "None", "4" and "8" can be selected.
4096 Overlap cannot be done.
7Line 6.0mm 1024 "None", "4" and "8" can be selected.
Raster (V) 4096 Overlap cannot be done.
4.5mm 1024 "None", "4" and "8" can be selected.
4096 Overlap cannot be done.

Note1: In the scan mode for the anterior segment photography, you can select only three
kinds, "Line", "3D" and "Radial".
Note2: This item can be selected for only the glaucoma scan mode.

48
PREPARATIONS
List of initial values for scan setting items
The following table shows the initial values for scan setting items in this instrument.
: Set value, : Cannot be set, Blank: Setting can be changed.
Item value Glaucoma Glaucoma Glaucoma Anterior Anterior Anterior Fundus
Item button Macula1 Macula2 Macula3
selector button 1 2 3 Seg.1 Seg.2 Seg.3 Photo
Line
Circle
3D
Scan Pattern Radial
Cross
7Line Raster
7Line Raster (V)
Raster: 8.2mm
6.0mm
4.5mm
3.0mm Circle
6.0mm 6.0mm 6.0mm
Scan Size Circle 3.40mm 3.4mm
(fixed) (fixed) (fixed)
3D 6.0×6.0 (fixed)

3D 4.5×4.5
3D 3.0×3.0
3D 8.2×3.0
1024
4096
Scan 3D 512×128 1024 1024 1024
resolution 3D 512×32 (fixed) (fixed) (fixed)
3D 256×256
3D 1024×64
None
4
Over Scan 8 None None
Count 16 (fixed) (fixed)
32
50
Choroidal
Reference Vitreous
Position Cornea Cornea Cornea
Lens (fixed) (fixed)

Radial Scan 6 12
Count 12 (fixed)
0.15
0.20
Raster Scan
0.25
Step
0.30
0.35
Center External External External
Fixation fixation fixation fixation
Disc
Position target target target
Macula (fixed) (fixed) (fixed)
Distortion ON
Adjust OFF
Color ON
Photograph OFF
Live Display Color
Color Monochrome

49
PREPARATIONS
RESET FROM POWER SAVE STATE
This machine adopts the power save method for power saving.
When the instrument body (excluding the chin-rest up/down switch) is not operated for a period
of time, the power save function stops power supply to the monitor, illumination light source
and photography light source.
When power save mode sets in, the power lamp on the control panel flickers and the monitor
screen goes off.

1 Press the PHOTOGRAPHY SWITCH .


In a few seconds, the monitor is displayed and ready for photographing.

When shipped, the power save set time is 10 minutes.

50
PREPARATIONS
BASIC OPERATIONS
FLOW OF OPERATION

Turning on the power (P.52)

Preparation for personal computer (P.52)


• Inputting the patient information
• Selecting the scan mode

Setting the patient (P.53)

Selecting and setting the scan mode/pattern (P.54)

Setting the illumination level (P.57)

Setting the flash level (P.57)

Changing the diopter compensation lens (P.58)

Alignment and photography (P.59)

Preview (P.76)
Transferring the data to the external
personal computer

Saving data
Printing data
* By the external personal computer

Finish procedure (P.80)

51
BASIC OPERATIONS
PREPARATION FOR PHOTOGRAPHY
Connecting the power supply

After turning on the power, do not press the shutter button of the digi-
tal camera. Each time you press the shutter button, the image is
CAUTION saved in the digital camera. Then, the image is displayed as the color
fundus image that should be obtained by photographing the patient's
eye on the 3D OCT-2000.

1 Check the power cord connection.


For details, see "CONNECTING THE POWER CORD" on page 31.

2 Turn ON ( ) the POWER SWITCH of the instrument.

3 Confirm that the Title screen is displayed and then in a few seconds the Monitor screen
should be displayed.

If the personal computer is not ready, the message "Capture software is not active.
Please set the software active." is displayed. When the preparation for the personal
computer has been completed by the following procedure, the message automatically
disappears.

Preparation for personal computer


1 Install the analysis software, which is the accessory of the instrument, to a personal com-
puter and connect the personal computer to the instrument. Then, turn on the power of
the personal computer. Click the [3D OCT-2000] icon on the desktop to start the software.

2 Click the photography icon Capture Data on the title screen.

3 Input the patient information.

4 Select the scan mode (Macula/Glaucoma).

The scan mode set on the instrument is changed to the scan mode selected on the per-
sonal computer. Then, you can change the scan mode on the instrument.

5 The preparation of the 3D OCT-2000 for photography is finished.

For details, refer to the instruction manual (for software).

52
BASIC OPERATIONS
Setting up the patient

When moving the chin-rest up and down, be careful not to pinch the
CAUTION patient's hand to avoid possible injury.

If the patient wears glasses or contact lenses, have him/her remove


NOTE them first.

1 Make sure the main Monitor screen is on.

2 Make sure that the IR filter selector is pushed in.

IR

IR filter selector pushed in

Do not observe the fundus in the condition that the IR filter selector is pulled out.

3 Seat the patient comfortably on an exam stool or chair in front of the instrument.

4 Adjust the table height or chair height


so the patient can relax with his/her
chin placed centrally on the chin-rest.
Let the patient rest his/her chin on the
chin-rest.

5 Adjust the chin-rest height by adjusting


the chin-rest up/down switch so the
outside corner of the patient’s eye is
level with the Canthus marker on the
chin-rest post. Canthus marker

Let the patient rest his/her forehead


on the forehead rest.

53
BASIC OPERATIONS
FUNDUS TOMOGRAPHY

To avoid injury of the patient, be careful not to bump the patient's eye
CAUTION or nose with the instrument when operating the touch panel.

To ensure correct imaging, adjust the table height so the patient can
NOTE relax with his/her chin placed centrally on the chin-rest.

Selecting the scan mode/pattern


The scan modes and patterns shown below are set as default. For the details of the setting,
refer to "List of initial values for scan setting items" on page 49.
Touch the desired scan mode button on Area 2 of the monitor screen. Touch the desired scan
pattern icon on Area 3.

Even if you select a scan mode which is not the same as the mode selected on the per-
sonal computer, the mode on the personal computer is automatically changed. It is not
necessary to change the set mode again on the personal computer.

• "Macula" mode

Scan pattern: Cross Scan pattern: 7Line Raster Scan pattern: Radial

• "Glaucoma" mode

Scan pattern: Line Scan pattern: Circle Scan pattern: 3D

54
BASIC OPERATIONS
Setting the picture position
If necessary, you can change the default picture position, which is set according to the
selected scan mode.
There are the following three changing methods. Please change the picture position by
your desired method.

• Changing by using the internal fixation target position selector button


Change the picture position by selecting one of "D" (Disc), "C" (Center), "M" (Macula)
and "External fixation target".

1 Touch the INTERNAL FIXATION TARGET POSITION SELECTOR BUTTON on Area 4 of the monitor
screen to change the picture position.
Each time you press the INTERNAL FIXATION TARGET POSITION SELECTOR BUTTON , the button
display is changed from "D" to "C" to "M" to "External fixation target (graphic image)".
Change to the desired picture position. For the details of display, refer to P.18.

Internal fixation target position selector button

When the external fixation target is used, operate the arm to guide the patient's eye to
the correct position.

• Changing by using the internal fixation target position move button (control panel)
Change the picture position by adjusting the internal fixation target position finely.

1 As watching the fundus/anterior segment live image area, press the


INTERNAL FIXATION TARGET POSITION MOVE SWITCH up, down, right and left on the control
panel to adjust the internal fixation target position.

• Changing by using the scan position adjustment mode button


Use this method when changing the scan position in a great degree or changing it by fine
adjustment.

1 Press the SCAN POSITION ADJUSTMENT MODE BUTTON on Area 4 of the monitor screen to
access the scan position adjustment mode. On the fundus/anterior segment live image
area, the graphic image of the selected scan shape and range is displayed with a solid
line. For the details of display, refer to P.18.

Scan position adjustment range (blue)

Scan pattern display

55
BASIC OPERATIONS
2 Touch the scan position adjustment range indicated by a blue frame to move the scan
position. For details, refer to P.18.

To adjust the picture position finely, use the fine adjustment buttons around the image.
To use "rotation", which can be adjusted only for "Radial" scan, perform the rotating
adjustment with the rotation buttons (clockwise/counterclockwise) indicated around the
image. For details, refer to P.18.

For the scan pattern of "3D 6.0×6.0", the scan position cannot be adjusted.

When 3 seconds have passed since the last operation, the scan pattern display status is
automatically changed from "solid line" to "interrupted line". In addition, the scan posi-
tion adjustment range and fine adjustment buttons disappear on the screen. The instru-
ment exits from the scan position adjustment mode.

56
BASIC OPERATIONS
Setting the illumination level

To avoid discomfort to the patient, do not brighten the illumination


CAUTION lamp more than necessary.

Touch lightly the end of the [Illumination level] display on the fundus/anterior segment live
image area by your finger. You can increase and decrease the illumination level by sliding your
finger right and left.
Illumination level is increased. Illumination level is decreased.

Illumination
level display

The illumination level can be set in 5 steps.


When the instrument is first turned on, the illumination level is set to level 3.

If the illumination level is too high, it is difficult to see the split lines or alignment bright
spot. So, "Auto Focus", "Auto Z (Z Lock)" and "Auto Pola (Auto Polarization)" do not
work smoothly. If these auto functions do not work smoothly, set the illumination level as
low as possible.

Setting the flash level

To avoid discomfort to the patient, do not brighten the photography


CAUTION light more than necessary.

Touch lightly the end of the [Flash level] display on the fundus/anterior segment live image
area by your finger. You can increase and decrease the flash level by sliding your finger up
and down.
Flash level is increased. Flash level is decreased.

 

Flash level display

The flash level compensation value can be adjusted in 4 steps in both the (+) and (-)
directions from the reference value "0".
When the instrument is first turned on, the flash level compensation value is set to the
reference value "0".

You can adjust the reference value of the flash level compensation value by 4 steps in
both (+) and (-) directions. Refer to "PAGE 3: Photography Setting" on page 38.

57
BASIC OPERATIONS
The flash level display can also display the light intensity level (unit: W·s) in addition to
the compensation value.
For details, contact your dealer or TOPCON (see the back cover).

When the flash level compensation value is raised by 1 step, the flash level is increased
by about 20%.

Changing the diopter compensation lens


Pull out the diopter compensation lens selector and change the diopter compensation lens
for the patient's eye.

When the patient's eye has a strong myopia, pull out the diopter compensation lens
selector by one step and set it to (-).
When the patient's eye has a strong hyperopia, pull out the diopter compensation lens
selector by two steps and set it to (+).
Compensation range: 0 :-13 - +12D
- :-12 - -33D
+ :+9 - +40D

When the diopter compensation lens is set to a value other than "0", the split lines disap-
pear. At the same time, the functions of the auto focus, auto shoot and auto small pupil
(diaphragm) are invalidated.

58
BASIC OPERATIONS
Alignment and photography

To avoid injury, do not place your fingers in the gap between the
CAUTION instrument body and the power supply unit.

To avoid injury to the patient's eyes and nose while moving the instru-
CAUTION ment body, be attentive to the distance between the patient and the
objective lens.

The alignment operation is done with the control lever.

Moving the instrument body with the control lever


• Fine movements of the base, back and forth and right and left, are done by tilting the
control lever.
Before performing this operation, free the base by turning the base brake knob to the
left.
To lock the base, turn the base brake knob to the right.

Operating the control lever


Base brake knob
(in back and forth/right and left directions)

• To move the instrument body up/down, turn the control lever right for upward move-
ment, and left for downward movement.
The vertical position of the instrument body can be checked with the vertical position
mark.

Operating the control lever


(in a vertical direction)
Vertical position mark

59
BASIC OPERATIONS
1 Hold the control lever and pull the instrument to the utmost limit toward the operator. As the
internal fixation target turns on, instruct the patient to look at the fixation target in the center.
Observe the anterior segment image on the monitor.

2 Move the instrument body in right and left / up and down directions with the control lever until
you get the patient's eye in the center of the fundus/anterior eye segment live image area.

Now hold the control lever upright, which will facilitate the total alignment process.

3 On the monitor, bring the ( ) scale towards the patient’s pupil, and make sure that the pupil
is larger than the ( ) scale.

Comparison of the ( ) scale and the eye tells you whether the pupil is large enough for
retinal photography. Use this comparison to get the standard for photography. The
diameter of the ( ) scale is approx. 4.0mm.

Well dilated. Narrowly dilated for Pupil diameter is too small:


photography. darken the room and further
dilate the pupil.
Pupil diameter > φ4.0mm Pupil diameter = φ4.0mm Pupil diameter < φ4.0mm

When the pupil diameter is small, press the SMALL PUPIL DIAPHRAGM SELECTOR BUTTON
on Area 4 of the monitor screen to set the small pupil diaphragm to "ON".

Small pupil diaphragm selector button

60
BASIC OPERATIONS
4 Bring the base slowly toward the patient side, and the fundus image appears on the fun-
dus/anterior segment live image area.

5 Instruct the patient to look at the green light (internal fixation target).

6 While watching the image on the monitor, adjust the brightness of the image by touching
the [Illumination level] display on the monitor.

For details about the illumination level setting, see page 57.
If the illumination level is too high, it is difficult to see the split lines or alignment bright
spot. So, "Auto Focus", "Auto Z (Z Lock)" and "Auto Pola (Auto Polarization)" do not
work smoothly.

7 Bring the base straight toward the patient side. Two alignment bright spots for the working
distance alignment and the split lines for the focal distance alignment become visible on
the fundus/anterior segment live image area.
Alignment bright spot

Split lines

8 When the auto focus function is ON, the instrument automatically changes the split lines
into one line. At this time, the fundus is almost in focus.
The auto focus mechanism does not work for ocular pathology (e.g. strong cataract), myo-
pia and hyperopia (beyond -13 to +12D), etc. from time to time.

Alignment bright spot

Split lines

61
BASIC OPERATIONS
When the auto focus function does not work smoothly, set the illumination level as low
as possible. When the auto focus does not work though the illumination level is
decreased or it is OFF, operate the focusing knob to change the split lines into one line.
If you cannot align the split lines into one line by turning the focusing knob, change the
diopter compensation lens. Refer to "Changing the diopter compensation lens" on page
58. Since the split lines are off when the diopter compensation lens is anything other
than (0), turn the focusing knob so that the fundus image can be seen clearly on the
monitor. The auto focus function is invalidated because the split lines are off.

If the split lines are not easily visible, lower the illumination level, or lower the brightness
of the monitor. For details about adjusting the brightness of the monitor, see "ADJUST-
ING THE MONITOR" on page 98. If one of the split lines cannot be seen, check if dila-
tion is sufficient or if the eye is obstructed by eyelashes or the eyelid, interrupting the
light.

9 Move the control lever until the two bright spots are changed to one spot on the monitor.

10 Operate the control lever up and down, right and left to bring the alignment bright spot into
the ( ) scale.

62
BASIC OPERATIONS
11 The "Auto Z (Z Lock)" and "Auto Polarization"
functions work and the tomogram is automatically
displayed on the tomogram live image area. The
preparation for photography is finished.

If the patient blinks frequently, the auto functions do not work smoothly from time to time.
Ask the patient not to blink as far as circumstances allow.

When the auto functions do not work or are OFF and the diopter compensation lens is
anything other than (0), press the Optimize button on the tomogram live image area to
start the "Auto Z (Z Lock)" and "Auto Polarization" functions.

You can change the Z lock position (tomogram display position) by touching the tomo-
gram live image area if necessary. For details, refer to P.22.

When the optic disc auto search function is ON in "Circle" scan of glaucoma mode,
make sure that the optic disc is within the blue optic disc tracking frame. If the optic disc
is not within the frame, operate as follows because the optic disc auto search function
does not work: Operate the internal fixation target position move switch on the control
panel to move the fixation position and put the optic disc of the patient into the optic disc
tracking frame.

If the orange line (warning line) is displayed at the top edge of the tomogram live image
area, lower the Z lock position until this line disappears. For details, refer to P.22.

12 Right before taking a picture, tell to the patient that you are about to take a picture of his/
her eye and ask him/her not to blink and to keep watching the green light (internal fixation
target) without being misled by the scan line (red) during photography.

13 Make sure that the alignment bright spot and split line are correctly positioned on the moni-
tor. Then, press the PHOTOGRAPHY SWITCH . By pressing the PHOTOGRAPHY SWITCH ,
tomography is done and then the color fundus photography is automatically done.
Photography switch

63
BASIC OPERATIONS
When the xenon charging display flickers on the monitor, photography is not possible
even if you press the PHOTOGRAPHY SWITCH . After charging is finished and the xenon
charging display lights, take a picture.

R L

 Xenon charging display

If the patient blinks right before the color fundus photography, the automatic blink detec-
tion function stops the photography. In this case, make sure again that the alignment
bright spot and split line are correctly positioned. Then, press the
PHOTOGRAPHY SWITCH to repeat the procedure from the tomography.

While you are taking a tomogram in the 3D scan photography of the glaucoma mode
("Scan Size" is 6.0mm×6.0mm, "Scan Resolution" is 512×128 and "Fixation Position" is
"Disc"), if the patient blinks or the fixation is moved, the tomogram may be deviated or
missing. In this case, the "Distortion Adjust" function works. Consequently, after normal
scan, the instrument scans again at the position of the deviated or missing data. How-
ever, when the optic disc is not clearly visible, this function does not work.

14 When photography is finished, the preview screen appears.

If the light intensity of the photographed image is not correct, touch the Flash level display
to adjust the light intensity. Then, repeat alignment and photography. Refer to "Setting
the flash level" on page 57.

64
BASIC OPERATIONS
15 Press the Return button on the preview screen or the PHOTOGRAPHY SWITCH to access
the Monitor screen again. Take a picture by repeating Procedure 1 - 14 if necessary.

Refer to the instruction manual for software regarding the details about the operation on
personal computer.

In the "Circle scan" photography of the glaucoma mode (when the optic disc auto search
function is ON), the optic disc auto search function works. Sometimes the optic disc
cannot be automatically detected due to the optic disc shape of the patient's eye or the
image contrast and, after photography, the message "Failed detection of the disc center"
is displayed. In this case, press the Manual Set button or Search OFF button, which are
displayed with the message, and take a picture again by the desired method.
When the optic disc of the patient's eye moves sharply, when the optic disc is not within
the optic disc tracking frame or when the optic disc position is not decided well, the mes-
sage "Failed finding of the disc center" is sometimes displayed.
In this case, press the Retry button or Auto Search OFF button, which are displayed with
the message, and take a picture again by the desired method.
After taking a picture again, the message "Failed finding of the disc center" may be dis-
played once more. If so, carry out one of the following two procedures.
• Press the Retry button to erase the message. Adjust the scan position by aligning the
circle scan position with the optic disc center manually and take a picture.
• Press the Auto Search OFF button and take a picture manually.
For the scan position adjustment, refer to the description about the scan position adjust-
ment mode button on page 19.

• Search OFF
Perform manual photography by the following procedure.

1 Press the Search OFF button on the displayed dialog box.

2 The optic disc auto search function is OFF. As watching the monitor, operate the internal
fixation target position move switch on the control panel to move the optic disc center to
the circle center. Then, take a picture.

• Manual Set
Set the optic disc center manually by the following procedure. Then, take a picture again by
using the optic disc auto search function. The following procedure is used to specify the
optic disc position when the optic disc center is not found by the optic disc auto search func-
tion. This is different from the scan position adjustment procedure in which the operator
adjusts the circle scan position to the optic disc center manually on condition that the optic
disc center can be normally detected. For the scan position adjustment procedure, refer to
the explanation about the scan position adjustment mode button on P.19.

1 Press the Manual Set button on the displayed dialog box. The optic disc specification
mode is accessed and its screen is displayed. On the monitor, the reference image of fun-
dus is displayed. Moreover, the circle and cross lines are displayed at the image center,
and the fine adjustment buttons (up/down/right/left) and OK button are displayed around
the reference image.

65
BASIC OPERATIONS
2 Touch directly the reference image on the monitor to align the circle center with the optic
disc center approximately. Adjust the circle center finely with the fine adjustment buttons
to decide the position. Finally, press the OK button to exit from the optic disc position
specification mode.

3 In the condition that the optic disc auto search function is ON, operate the internal fixation
target position move switch to move the optic disc into the optic disc tracking frame. Then,
perform the normal circle scan photography.

66
BASIC OPERATIONS
ANTERIOR SEGMENT TOMOGRAPHY

To avoid injury of the patient, be careful not to bump the patient's eye
CAUTION or nose with the instrument when operating the touch panel.

To ensure correct imaging, adjust the table height so the patient can
NOTE relax with his/her chin placed centrally on the chin-rest.

Mount the attachment for anterior segment on the forehead rest


NOTE securely. If not, the anterior segment photography is not possible.

Before taking a picture or tomogram of fundus, remove the attach-


NOTE ment for anterior segment. If the attachment for anterior segment is
mounted, you cannot take a picture or tomogram of fundus.

Do not bend the attachment for anterior segment forcedly. It may be


NOTE broken or deformed.

Do not operate the focusing knob. You cannot take an optimal picture
NOTE of anterior segment.

Do not set the diopter compensation lens to others except "0". You
NOTE cannot take an optimal picture of anterior segment.

Mounting the attachment for anterior segment


Mount the attachment for anterior segment onto the forehead rest base, as if the attachment
covers the base as shown below. After mounting, make sure that the attachment for ante-
rior segment is fixed on the forehead rest base. Then, take a picture of anterior segment.

Attachment for anterior segment

Forehead rest base

67
BASIC OPERATIONS
Setting the scan mode
Press the Anterior Seg. button, which is one of the scan mode setting buttons, on Area 2 of
monitor screen to access the scan mode for anterior segment.

When the anterior segment photography mode is accessed, the buttons on Area 4 of the
monitor screen are not displayed.

After the anterior segment photography mode is accessed, the message to mount the
attachment for anterior segment is displayed. If you change the anterior segment pho-
tography mode to the fundus photography mode ("Macula", "Glaucoma" and "Fundus
Photo"), the message to remove the attachment for anterior segment is displayed.
Check if the attachment for anterior segment is mounted or removed.

Even if you select a scan mode which is not the same as the mode selected on the per-
sonal computer, the mode on the personal computer is automatically changed. It is not
necessary to change the set mode again on the personal computer.

Selecting the scan pattern


In the anterior segment photography mode, the scan patterns shown below are set as
default. For the details of the setting, refer to "List of initial values for scan setting items" on
page 49. Touch the desired scan pattern icon on Area 3 of the monitor screen.

Scan pattern: Line Scan pattern: Radial Scan pattern: 3D

Setting the picture position


Operate the arm of the external fixation target to guide the patient's eye to the correct posi-
tion.

When the anterior segment photography mode is accessed, the fixation target is auto-
matically changed from "Internal" to "External" and you cannot change it.

Setting the illumination level


Set the illumination level by touching the [Illumination level] display on the fundus/anterior
segment live image area. See "Setting the illumination level" on page 57.

Setting the flash level


In the anterior segment photography mode, the flash level is automatically set to "1.0W.s"
(fixed), and the [Flash level] is not displayed on the fundus/anterior segment live image
area.

68
BASIC OPERATIONS
Changing the diopter compensation lens
Push in the diopter compensation lens selector and change the diopter compensation lens
to (0). See "Changing the diopter compensation lens" on page 58.

If the diopter compensation lens is set to others except "0", the following message is dis-
played. Change the diopter compensation lens to (0).

Alignment and photography


The alignment operation is done with the control lever.
For details about movement/adjustment of the instrument body with the control lever, see
"MEMO" on page 59.

1 Hold the control lever and pull the instrument fully toward the operator.

2 Using the control lever, move the instrument body right and left, up and down to display
the patient's eye at the center of the fundus/anterior segment live image area.

3 Push in the instrument body slowly toward the patient side until the tomogram of the ante-
rior segment is displayed on the OCT live image area of the monitor.

In the scan mode for the anterior segment photography, the alignment bright spot and
split lines are not displayed.

In the scan mode for the anterior segment photography, all the auto functions are invali-
dated (OFF). So, the Optimize button is not displayed on the OCT live image area.

Even if the tomogram is not displayed clearly, adjust the image quality not by operating
the focusing knob but by moving the instrument body.

69
BASIC OPERATIONS
4 Move the instrument body back and forth and adjust its position finely so that the tomo-
gram may be displayed within the optimal display position frame, which is displayed on the
Z lock position display bar at the left end on the OCT live image area.

Optimal display
position frame

5 Make sure that the tomogram is clearly displayed. Then, ask the patient not to blink and
press the PHOTOGRAPHY SWITCH .

When taking a picture of cornea


Select "Radial scan" and move the instrument body until the cornea tomogram is displayed
near the optimal display position frame on the top of the screen.

Take a picture of cornea where the signal of one vertical line displayed on the cornea
tomogram is strong. This is the status where the scan center is fit to the cornea vertex.

70
BASIC OPERATIONS
When taking a picture of anterior chamber angle
Select "Line scan". Push in the instrument body, which is in the pulled status. You will see
the anterior chamber angle which is upside-down. Push in the instrument body until the
tomogram of the anterior chamber angle is displayed near the optimal display position frame
on the bottom of the screen.

When moving the tomogram of the anterior chamber angle to the lower end of the
screen, the tomogram has many folded parts. Move the instrument body to move the
anterior chamber angle display position upward a little. Then, take a picture.

When taking a picture of crystalline lens


Change the setting to [Cornea] for "Reference Position" of the "Line scan" (Anterior Seg.1) by
using the SETTING MENU BUTTON . Then, select "Line scan". Move the instrument body until
the tomogram of crystalline lens is displayed near the optimal display position frame on the
top of the screen.

71
BASIC OPERATIONS
6 When photography is finished, the preview screen appears.

If the light intensity of the photographed image is not correct, touch the Flash level display
to adjust the light intensity. Then, repeat alignment and photography. Refer to "Setting
the flash level" on page 57.

7 Press the Return button on the preview screen or the PHOTOGRAPHY SWITCH to access
the Monitor screen again. Take a picture by repeating Procedure 1 - 6 if necessary.

Refer to the instruction manual for software regarding the details about the operation on
personal computer.

72
BASIC OPERATIONS
COLOR FUNDUS PHOTOGRAPHY

To avoid injury of the patient, be careful not to bump the patient's eye
CAUTION or nose with the instrument when operating the touch panel.

Setting the fundus photography mode


Press the Fundus Photo button on Area 2 of the monitor screen to access the fundus pho-
tography mode. The tomogram live image disappears on the monitor and the fundus/ante-
rior segment live image moves to the center of the screen.

Setting the picture position


Using the INTERNAL FIXATION TARGET POSITION SELECTOR BUTTON on Area 4 of the monitor
screen, set the picture position. Each time you press the
INTERNAL FIXATION TARGET POSITION SELECTOR BUTTON , the picture position is changed to "D"
(optic disc center), "C" (the aged insurance law position), "M" (macula center), and "External
fixation target" in this order. Set the picture position to "C" for the aged insurance law posi-
tion, "M" for macula, "D" for optic disc, and "External fixation target" for anterior segment.

Internal fixation target position selector button

Setting the illumination level


Set the illumination level by touching the [Illumination level] display on the fundus/anterior
segment live image area. Refer to "Setting the illumination level" on page 57.

Setting the flash level


Set the flash level by touching the [Flash level] display on the fundus/anterior segment live
image area. Refer to "Setting the flash level" on page 57.

73
BASIC OPERATIONS
Changing the diopter compensation lens
Push in the diopter compensation lens selector to change the diopter compensation lens to
"0". Refer to "Changing the diopter compensation lens" on page 58.

Alignment and photography


The alignment operation is done with the control lever.
For details about movement/adjustment of the instrument body with the control lever, see
the "MEMO" on page 59.

1 Hold the control lever and pull the instrument body to the utmost limit toward the patient.

2 Using the control lever, move the instrument body right and left, up and down to display
the patient's eye at the center of the fundus/anterior segment live image area.

3 Align the ( ) scale with the patient's pupil on the monitor. Make sure that the patient's pupil
is larger than the ( ) scale. Even if the pupil is smaller than the ( ) scale (pupil diameter is
approx. 4.0mm or less), the automatic small pupil (diaphragm) function, which is usable
only for the fundus photography mode, works. So, it is not necessary to set the
SMALL PUPIL DIAPHRAGM SELECTOR BUTTON to "ON" on the monitor.

For dilation, refer to the "MEMO" on page 60.

If the pupil diameter is almost the same size of the ( ) scale, the automatic small pupil
(diaphragm) function does not work and, under this condition, the instrument takes a pic-
ture. If you are not satisfied with the image in this case, set the
SMALL PUPIL DIAPHRAGM SELECTOR BUTTON to "ON" on the monitor and take a picture
again. Then, compare the image with the first one.

4 Push in the instrument body slowly toward the patient side, and the fundus image appears
on the fundus/anterior segment live image area.

5 The ( ) scale on the monitor moves to the alignment position corresponding to the picture
position.

6 Ask the patient to see the green light (internal fixation target).

7 As watching the image on the monitor, adjust its brightness by touching the [Illumination
level] display on the monitor.

For setting the illumination level, refer to "Setting the illumination level" on page 57.

8 Push in the instrument body straight. After the alignment bright spot and split lines appear,
the auto focus function changes the split lines into one line automatically.

9 Using the control lever, change the alignment bright spots into one spot and put it into the
( ) scale.

74
BASIC OPERATIONS
10 When the positional relation between the instrument body and the patient's eye is proper
for photography after putting the alignment bright spot into the ( ) scale, the color fundus
photography is automatically done by the auto shoot function. Ask the patient not to blink
and not to move his/her eyes during photography.
If the patient blinks right before the color fundus photography, the automatic blink detec-
tion function stops the photography. Start the procedure again from alignment and take
a picture.
When the auto shoot function is OFF or when the diopter compensation lens is set to
others except "0", the instrument does not take a picture automatically. Press the
PHOTOGRAPHY SWITCH to take a color picture of fundus.

11 After taking a picture, the preview screen appears.

If the light intensity of the photographed image is not correct, touch the
FLASH LEVEL DISPLAY to adjust the light intensity. Then, repeat alignment and photogra-
phy. Refer to "Setting the flash level" on page 57.

12 Press the RETURN button on the preview screen or the PHOTOGRAPHY SWITCH to access
the Monitor screen again. Take a picture by repeating Procedure 1 - 11 if necessary.

Refer to the instruction manual for software regarding the details about the operation on
personal computer.

75
BASIC OPERATIONS
PREVIEW SCREEN
After taking a picture, the preview screen appears.

For the display on the personal computer, refer to the instruction manual (for software).

Preview screen

Function button

Image display unit

Scan position (Numerical value)


Scan position (Icon)

• Function button
• Return: Cancels the preview mode and returns to the Monitor screen.

76
BASIC OPERATIONS
DISPLAY FORM OF PREVIEW SCREEN
• 3D/7Line Raster/7Line Raster (V)
* Only the typical images (center, both ends) are displayed for tomogram.

• Radial/Cross
* In radial scan, only the typical images (horizontal, vertical) are displayed for tomogram.

77
BASIC OPERATIONS
• Line/Circle

78
BASIC OPERATIONS
Fundus photography mode

79
BASIC OPERATIONS
SAVING DATA
Data are saved on the personal computer. For details, refer to the instruction manual (for soft-
ware).

PRINTING DATA
Data are printed on the personal computer. For details, refer to the instruction manual (for soft-
ware).

HOW TO FINISH
Finishing the personal computer
1 Finish this software.
2 Turn off the personal computer according to its regular finish method.

Finishing the instrument


1 Turn OFF ( ) the POWER SWITCH of the instrument.
2 Using the control lever, move the instrument body to the position just above the base.
3 Turn the base brake knob clockwise and apply the brake to prevent the base from moving
suddenly.
To prepare for next photography, turn the control lever and move the instrument body to
the center position. The vertical position mark indicates the standard for the instrument's
vertical center position.
When the instrument is not in use for a long time, unplug the power cords of the instru-
ment, external recording device and others from the outlet and remove the cords from
each device.
This instrument adopts "Power save method" (P.50). If you use the instrument continu-
ally all day, it is recommended to use it without turning off the POWER SWITCH .

80
BASIC OPERATIONS
BEFORE REQUESTING SERVICE
TROUBLESHOOTING
Messages during operation
Error message Contents
Memory error. The EEPROM data error has occurred.
Please turn the power switch OFF.
Lamp house cover is off. The interlock error (front cover) has
Please turn the power switch OFF and close the cover. occurred.
Hardware initial error 01 The FPGA error has occurred.
Please turn the power switch OFF.
Reference motor error. In the light path length compensation
Please turn the power switch OFF. motor, the original point sensor detection
error has occurred.
Polarizer motor error. In the polarized beam shaft control motor,
You may not get high-sensitive OCT image. the original point sensor detection error
Do you want to continue? has occurred.
Galvano error. Galvano error has occurred.
Please turn the power switch OFF.
Internal communication error 01. An error has occurred in the communica-
Please turn the power switch OFF. tion with the SLD control PCB.
Y-Axis motor error. In the Y-axis control motor, the original
You may not get high-sensitive OCT image. point sensor detection error has occurred.
Do you want to continue?
Hardware initial error 02 The FPGA data error (configuration data)
Please turn the power switch OFF. has occurred.
Auto focus motor error. In the auto focus motor, the original point
Please set focus manually. sensor detection error has occurred.
Internal communication error 02. The I2C communication error (temperature
You may not get high-sensitive OCT image. sensor) has occurred.
Do you want to continue?
Internal communication error 03. An error has occurred in the communica-
The system sets Auto-functions disabled. tion with DSP.
Do you want to continue?
Internal communication error 04. An error has occurred in the communica-
Please turn the power switch OFF. tion with the xenon control PCB.
SLD light source error 01. The SLD temperature is not normal.
Please turn the power switch OFF.
SLD light source error 02. The SLD pulse lighting is not normal.
Please turn the power switch OFF.
SLD light source error 03. The SLD light intensity is not normal.
Please turn the power switch OFF.
SLD light source error 04. The watchdog timer is not normal for the
Please turn the power switch OFF. SLD control PCB.
SLD light source error 05. The SLD control PCB notifies that the Gal-
Please turn the power switch OFF. vano error has occurred.
Xenon light source error 01. The charge time is out.
Please turn the power switch OFF.
Xenon light source error 02. Overcharge has occurred.
Please turn the power switch OFF.
Xenon light source error 03. The discharge voltage is not normal.
Please turn the power switch OFF.
Xenon light source error 04. The discharge time is out.
Please turn the power switch OFF.

81
BEFORE REQUESTING SERVICE
Error message Contents
Xenon light source error 05. Charge and discharge is ON at the same
Please turn the power switch OFF. time.
Temperature error (Halogen lamp) The halogen lamp temperature is not nor-
Please turn the power switch OFF and cool down for a while. mal.
Temperature error (Line CCD) The line CCD temperature is not normal.
Please turn the power switch OFF and cool down for a while.
Could not detect image. Retrieval of the interference image has
Please push [Optimize] button to try again. failed.
Detected blink while capturing fundus image. Blink is detected.
Please try again.
Failed finding of the disc center. Search for optic disc has failed (when cap-
Retry Auto Search OFF turing).
Failed detection of the disc center. Search for optic disc has failed (when cap-
Manual Set Search OFF turing).
Camera is not connected. The digital camera is not connected.
Please connect communication cable and turn the power
switch ON on the camera.
Out of disk space in the USB storage. The USB storage cannot save the data.
Please change the one that has enough free space.
PC is not connected. The external personal computer is not con-
Please connect communication cable and turn the power nected.
switch ON on the PC.
Capture software is not active. The capture software in the external per-
Please set the software active. sonal computer does not start.
Patient information is not inputted. The patient information is not sent yet.
Please input patient information and select capture mode.
Printer is not ready. The printer is not connected.
Please connect communication cable and turn the power
switch ON on the printer.
CCD power exceeds lower limit. Y-axis auto error (Lower Limit) has
Please turn the power switch OFF. occurred.
CCD power exceeds upper limit. Y-axis auto error (Upper Limit) has
Please turn the power switch OFF. occurred.
Could not detect the peak of CCD power. Y-axis auto error (No Peak) has occurred.
Please turn the power switch OFF.
SLD light volume exceeds lower limit. An error about the light intensity at the
You may not get high-sensitive OCT image. objective lens (Lower Limit) has occurred.
Do you want to continue?
SLD light volume exceeds upper limit. An error about the light intensity at the
Please turn the power switch OFF. objective lens (Upper Limit) has occurred.
Failed in auto shoot. The auto shoot function cannot be used.
Please shoot manually.
Failed in auto focus. The auto focus time is out.
Please set focus manually.
Temperature error (CPU) The SBC temperature is not normal. (CPU)
Please turn the power switch OFF and cool down for a while.
Temperature error (Board) The SBC temperature is not normal.
Please turn the power switch OFF and cool down for a while. (Board)
Image board error (Error No.) The image board error has occurred.
Please turn the power switch OFF.
The diopter compensation lens selector is pulled out. Push The diopter compensation lens is set to
in the diopter compensation lens selector and change the others except "0".
diopter compensation lens to "0".

82
BEFORE REQUESTING SERVICE
Troubleshooting

To avoid electric shock, do not attempt disassembling, rebuilding and/


WARNING or repairs on your own. Ask your dealer for repairs.

Do not remove the covers from the main unit, chin-rest unit or power
WARNING supply unit except for the lamp house cover. You may receive an
electric shock.

Do not remove the covers from the main unit except for the lamp
WARNING house cover. Your eye or skin may be exposed to the laser radiation.

When an error is encountered, review the Check List below.


After following the instructions below, if you still have difficulty or if the problem does not fall
into any of the categories listed below, contact your dealer or TOPCON (see the back cover).
Check List
Problem Condition Check Page
Monitor does not • Power cord is not connected to the outlet Connect power cord. 31
work. or instrument.
• Fuse has blown. Change fuse. 97
Monitor is not clear. • Image is dark. Adjust brightness (brightness control). 98
Touch the [Illumination level] display on the 57
monitor to adjust the illumination level.
Darken room and thoroughly dilate 60
patient's pupil.
Periphery of captured • Alignment is incorrect. Adjust alignment. 59
image is dark. • Patient’s pupil is not large enough. Darken room and thoroughly dilate 60
patient's pupil.
Captured image is • Alignment is incorrect. Adjust alignment. 59
flared all over. (The • Opacity in patient's eye. Flare cannot be removed. ----
whole image is cov-
ered by light.)
Captured image is • Patient blinked at the moment the photo- Take another picture. ----
whitened. graph was taken.
Captured image has a • Objective lens is stained. Clean lens. 100
dim white spot. • Eyelashes were in the patient's eye the Let patient open eye wider and take the 62
moment the photograph was taken. (Dim picture again. If not wide enough, open the
light was seen at screen bottom the eyelid (i.e., Take picture holding eyelid
moment the alignment was done.) open).
Photographic image is • Flash level is insufficient. Touch the [Flash level] display on the mon- 57
dark all over. itor to adjust the flash level.
• Xenon set screws are loose. Consult your dealer. 96
• Xenon lamp has served its life. Consult your dealer. 96
Illumination lamp does • Lamp terminal is loose. Consult your dealer. 96
not turn on. • Fuse has blown. Change fuse. 97
• The lamp has burned out. Consult your dealer. 96

83
BEFORE REQUESTING SERVICE
Problem Condition Check Page
Internal fixation target • Alignment is incorrect. Adjust alignment. 59
cannot be seen. • Fuse has blown. Change fuse. 97
• Internal fixation target is set to the "D" or Press the internal fixation target position 55
"M" side. selector switch to move it to the "C".
• External fixation target is set. Press the internal fixation target position 18
selector switch to move it to the "D" or "C",
"M".
( ) scale is off monitor • Internal fixation target is set to periphery. Change fixation position to center (Periph- 55
center. ery fixation switch (Reset)).
Split lines cannot be • Diopter compensation lens selector is not Return diopter compensation lens selector 58
seen. set to (0). to (0).
• Patient's pupil is not large enough. Darken room and thoroughly dilate 60
patient's eye.
Xenon lamp does not • Xenon lamp has served its life. Consult your dealer. 96
turn on.
Cannot get patient's • Patient's face position is incorrect. (The Have patient adjust his/her position 53
pupil center. chin and forehead are not correctly on accordingly.
the rests, or the patient faces sideways.)
• Patient's face height is incorrect. Adjust face height (Chin-rest handle). 53
Nothing is recorded • Anomaly in external recording device. Check power supply, settings, etc. ----
on the external • Cable connections are incorrect. Check and correct cable connections. 32
recording device.
The color fundus • The shutter button of the digital camera is Turn off the digital camera, and then turn it 52
image, which is not pressed. on again.
the same as the pho-
tographed one, is dis-
played on the preview
screen.

84
BEFORE REQUESTING SERVICE
SPECIFICATIONS AND PERFORMANCE
SYSTEM DIAGRAM
This instrument is composed of the following three units.
• Main body unit
• Power supply unit
• Chin-rest unit

85
SPECIFICATIONS AND PERFORMANCE
SPECIFICATIONS
Observation & photographing of fundus
• Picture angle 45°
• Operating distance 40.7mm (in fundus photography)
63.7mm (in anterior segment photography)
• Photographable 45°: φ4.0mm or more
diameter of pupil Small pupil diameter: φ3.3mm or more
• Fundus image resolution 40 lines/mm or more
(on fundus)
Observation & photographing of fundus/anterior segment tomogram
• Scan range (on fundus) 8.2 × 3.0mm
6.0 × 6.0mm
4.5 × 4.5mm
3.0 × 3.0mm
(on cornea) 6.0 × 6.0mm
3.0 × 3.0mm
• Frame rate B-scan mode: 25Hz or more (1024 pixels)
6Hz or more (4096 pixels)
3D-scan mode: 0.4Hz or more (512 × 128 pixels)
• Lateral resolution 20µm or less
• In-depth resolution 6µm or less
Observation & photographing of fundus image/fundus tomogram
• Internal fixation target Matrix LCD (The display position can be changed and adjusted.
The presenting method can be changed.)

• The design and the specifications are subject to change without prior notice for the product
improvement.

Essential performance
1) Fundus image can be observed.
2) OCT imaging can be observed and captured.
3) Observed image can be sent to PC.

86
SPECIFICATIONS AND PERFORMANCE
OTHER SPECIFICATIONS

Measurable range of dioptric power for the patient's eye


Without the diopter compensation -13D to +12D (in fundus photography)
lens Note 1)
When the concave compensation -12D to -33D (in fundus photography)
lens is used
When the convex compensation +9D to +40D (in fundus photography)
lens is used
Laser product
Class of laser product Class 1
Aperture of laser Objective lens
Output on the cornea Pulse average light intensity 0.65mW or less
Laser light source
Medium Super luminescence diode (SLD)
Class of laser Class 3B
Output 8.5mW
Wavelength 840nm
Half width 50nm
Base movement
Coarse movement Back-and-forth 50mm, Right-and-left 100mm
Fine movement 16mm in each of back-and-forth & right-and-left direc-
tions
Base up-and-down movement
30mm
Chin-rest movement
67mm

Note 1) The area where the split lines are used


* The design and the specifications are subject to change without prior notice for the product
improvement.

87
SPECIFICATIONS AND PERFORMANCE
ELECTROMAGNETIC COMPATIBILITY

This product conforms to the EMC standard (IEC 60601-1-2 Ed.3: 2007).

a) MEDICAL ELECTRICAL EQUIPMENT needs special precautions regarding EMC and needs
to be installed and put into service according to the EMC information provided in the ACCOM-
PANYING DOCUMENTS.
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 equip-
ment. 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 EQUIP-
MENT or SYSTEM.
Item Article code Cable Shielded Ferrite Core Length (m)
AC Power cable 40547 56000 No No 1.5
CameraLink cable 47003 35100 Yes No 2.1
LAN cable - No No 2.0
RGB cable - Yes Yes 1.9
Keyboard 1 cable - Yes Yes 2.1
Mouse 1 cable - Yes No 1.8
USB 1 cable 40422 74100 Yes No 2.0
USB 2 cable 40422 74100 Yes No 2.0
Stereo jack cable - Yes No 1.5

Guidance and manufacturer's declaration - electromagnetic emissions


The 3D OCT-2000 is intended for use in the electromagnetic environment specified below. The
customer or the user of the 3D OCT-2000 should assure that it is used in such an environment.
Emissions test Compliance Electromagnetic environment - guidance
The 3D OCT-2000 uses RF energy only for its internal
RF emissions function. Therefore, its RF emissions are very low and
Group 1
CISPR 11 are not likely to cause any interference in nearby elec-
tronic equipment.
RF emissions
Class B
CISPR 11
The 3D OCT-2000 is suitable for use in all establish-
Harmonic emissions
Class A ments including domestic and those directly connected
IEC61000-3-2
to the public low-voltage power supply network that
Voltage fluctuations/ supplies buildings used for domestic purposes.
flicker emissions Complies
IEC61000-3-3

88
SPECIFICATIONS AND PERFORMANCE
Guidance and manufacturer's declaration - electromagnetic immunity
The 3D OCT-2000 is intended for use in the electromagnetic environment specified below. The
customer or the user of the 3D OCT-2000 should assure that it is used in such an environment.
IEC 60601 Compliance Electromagnetic environment -
Immunity test
test level level guidance
Floors should be wood, concrete or
Electrostatic ± 6 kV contact ± 6 kV contact
ceramic tile. If floors are covered
discharge (ESD)
with synthetic material, the relative
IEC 61000-4-2 ± 8 kV air ± 8 kV air
humidity should be at least 30%.
± 2 kV for power ± 2 kV for power
supply lines supply lines
Electrical fast Main power quality should be that
transient/burst of a typical commercial or hospital
± 1 kV for ± 1 kV for
IEC 61000-4-4 environment.
input/output input/output
lines lines
± 1 kV ± 1 kV
line(s) to line(s) line(s) to line(s) Main power quality should be that
Surge
of a typical commercial or hospital
IEC 61000-4-5
± 2 kV ± 2 kV environment.
line(s) to earth line(s) to earth
<5% Ut <5% Ut
(>95% dip in Ut) (>95% dip in Ut)
Main power quality should be that
for 0.5 cycle for 0.5 cycle
of a typical commercial or hospital
Voltage dips, short 40% Ut 40% Ut
environment. If the user or the 3D
interruptions and (60% dip in Ut) (60% dip in Ut)
OCT-2000 requires continued
Voltage variations for 5 cycles for 5 cycles
operation during main power inter-
on power supply 70% Ut 70% Ut
ruptions, it is recommended that
input lines (30% dip in Ut) (30% dip in Ut)
the 3D OCT-2000 be powered from
IEC 61000-4-11 for 25 cycles for 25 cycles
an uninterruptible power supply or
<5% Ut <5% Ut
battery.
(>95% dip in Ut) (>95% dip in Ut)
for 5 sec for 5 sec
Power frequency Power frequency magnetic fields
(50/60 Hz) should be at levels characteristic of
3 A/m 3 A/m
magnetic field a typical location in a typical com-
IEC 61000-4-8 mercial or hospital environment.
NOTE Ut is the a.c. main voltage prior to application of the test level.

89
SPECIFICATIONS AND PERFORMANCE
Guidance and manufacturer's declaration - electromagnetic immunity
The 3D OCT-2000 is intended for use in the electromagnetic environment specified below. The
customer or the user of the 3D OCT-2000 should assure that it is used in such an environment.
IEC 60601 Compliance Electromagnetic environment -
Immunity test
test level level guidance
Portable and mobile RF communications
equipment should be used no closer to
any part of the 3D OCT-2000, including
cables, than the recommended separa-
tion distance calculated from the equa-
tion applicable to the frequency of the
transmitter.

Recommended separation distance


Conducted RF 3 Vrms d = 1.2 P
IEC 61000-4-6 150kHz to 80MHz 3V

d = 1.2 P 80MHz to 800MHz


Radiated RF 3 V/m d = 2.3 P 800MHz to 2.5GHz
IEC 61000-4-3 80MHz to 2.5GHz 3 V/m
where P is the maximum output power
rating of the transmitter in watts (W)
according to the transmitter manufac-
turer and d is the recommended separa-
tion distance in meters (m).

Field strengths from fixed RF transmit-


ters, as determined by an electromag-
netic site survey, a should be less than
the compliance level in each frequency
range. b

Interference may occur in the vicinity of


equipment marked with the following
symbol:

NOTE 1 At 80 MHz and 800 MHz, the higher frequency range applies.
NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is
affected by absorption and reflection from structures, objects and people.
a Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) tele-
phones and land mobile radios, amateur radio, AM and FM radio broadcast and TV broad-
cast cannot be predicted theoretically with accuracy. To assess the electromagnetic
environment due to fixed RF transmitters, an electromagnetic site survey should be consid-
ered. If the measured field strength in the location in which the 3D OCT-2000 is used
exceeds the applicable RF compliance level above, the 3D OCT-2000 should be observed to
verify normal operation. If abnormal performance is observed, additional measures may be
necessary, such as reorienting or relocating the 3D OCT-2000.

b Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.

90
SPECIFICATIONS AND PERFORMANCE
Recommended separation distance between
portable and mobile RF communications equipment and the 3D OCT-2000
The 3D OCT-2000 is intended for use in an electromagnetic environment in which radiated RF
disturbances are controlled. The customer or the user of the 3D OCT-2000 can help prevent
electromagnetic interference by maintaining a minimum distance between portable and mobile
RF communications equipment (transmitters) and the 3D OCT-2000 as recommended below,
according to the maximum output power of the communications equipment.
Separation distance according to frequency of transmitter
Rated maximum output m
power of transmitter
W 150kHz to 80MHz 80MHz to 800MHz 800MHz to 2.5GHz
d = 1.2 P d = 1.2 P d = 2.3 P
0.01 0.12 0.12 0.23
0.1 0.38 0.38 0.73
1 1.2 1.2 2.3
10 3.8 3.8 7.3
100 12 12 23
For transmitters rated at a maximum output power not listed above, the recommended separa-
tion distance d in meters (m) can be estimated using the equation applicable to the frequency of
the transmitter, where P is the maximum output power rating of the transmitter in watts (W)
according to the transmitter manufacturer.
NOTE 1 At 80 MHz and 800 MHz, the separation distance for the higher frequency range
applies.
NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is
affected by absorption and reflection from structures, objects and people.

Requirements for the EXTERNAL DEVICE


The external device connected to the analog and digital interfaces must comply with the
respective IEC or ISO standards (e.g. IEC 60950 for data processing equipment).
Furthermore all configurations shall comply with the requirements for medical electrical sys-
tems (see IEC 60601-1-1).
Anybody connecting additional equipment to medical electrical equipment configures a medical
system and is therefore responsible that the system complies with the requirements for medi-
cal electrical systems. Attention is drawn to the fact that local laws take priority over the above
mentioned requirements. If in doubt, contact your dealer or TOPCON(see the back cover).

91
SPECIFICATIONS AND PERFORMANCE
PATIENT’S ENVIRONMENT
When the patient or inspector may touch the devices (including the connecting devices) or
when the patient or inspector may touch the person that comes into contact with the devices
(including the connecting devices), the patient's environment is shown below.
In the patient's environment, use the device conforming to IEC60601-1. If you are compelled
to use any device not conforming to IEC60601-1, use an insulation transformer or the common
protective earth system.

Radius 1.5m

Do not use the power strip in the


patient's environment. Connect the
power supply of the device to the
commercial power supply.

2.5m

1.5m 1.5m

SPECIFICATIONS OF THE PERSONAL COMPUTER (COMMERCIAL


PRODUCT) TO BE CONNECTED
Platform IBM PC/AT compatible machine
CPU Pentium 4 3.0GHz or higher is recommended.
Memory 4GB or higher
Hard disk 500GB or higher
Display SXGA 1280 × 1024 32-bit color
Graphics board VRAM of 256MB or higher is recommended.
Applied to OpenGL.
PCIe slot PCIe×4 Slot×1 (for Matrox Solios eCL) or more
USB port USB 2.0 free port (2 or more)
OS Windows XP Professional (English)
Frame grabber board Solios eCL made by Matrox Corporation
Others Applied to RAID (to protect data)
DVD-R drive (for installation and data backup)
Certified according to IEC60950 (UL60950) or IEC60950-1
(UL609501-1 ) (CE marking)

92
SPECIFICATIONS AND PERFORMANCE
ELECTRIC RATING
Source voltage : AC 100/110/120/220/230/240V 50-60Hz
Power input : 200VA (normal), 400VA (max)

SYSTEM CLASSIFICATION
• Class of laser product: Class 1
Class 1 equipment is a laser product which is safe under the rationally predictable operation
conditions, and keeps safety for human eyes even if any optical system (lens or telescope) is
used as a condensing unit.
• Types of protection against electric shocks:
This instrument is classified as Class I equipment.
Class I equipment does not depend only on basic insulation for protection against electric
shocks, but also provides a means of connection to a protective earth system of facilities so
that metal parts that come into contact do not become conductive while the basic insulation is
in failure.
• Grade of protection against electric shocks:
This instrument is classified as Type B applied part.
Type B applied part provides a specified grade of protection to prevent electric shocks, partic-
ularly for reliability against current leaks, measuring current and protective earth current (in
case of Class I equipment).
• Degree of protection against harmful ingress of water: IPx0
The 3D OCT-2000 has no protection against ingress of water. (The degree of protection
against harmful ingress of water defined in IEC 60529 is IPx0.)
• Classification according to the method(s) of sterilization or disinfection recommended by the
manufacturer: not applicable.
The 3D OCT-2000 has no part to be sterilized or disinfected.
• Classification according to the degree of safety of application in the presence of a flammable
anesthetic mixture with air or with oxygen or nitrous oxide:
• Equipment not suitable for use in the presence of a flammable anesthetic mixture with air
or with oxygen or nitrous oxide.
• The 3D OCT-2000 should be used in environments where no flammable anesthetics and/or
flammable gases are present.
• Classification according to the mode of operation: Continuous operation.
Continuous operation is the operation under normal load for an unlimited period, without the
specified limits of temperature being exceeded.

DIMENSIONS AND WEIGHT


Instrument Dimensions : 545mm (W) × 535mm (D) × 600 - 630mm (H)
Weight : 35.0kg

93
SPECIFICATIONS AND PERFORMANCE
INTENDED USE
The 3D OPTICAL COHERENCE TOMOGRAPHY 3D OCT-2000 is a non-contact, high resolu-
tion tomographic and biomicroscopic imaging device. It is indicated for in vivo viewing, axial,
cross-sectional and three-dimensional imaging and measurement of posterior ocular structures
including retina, retinal nerve fiber layer, macula, and optic disc. It is intended for use as a diag-
nostic device to aid in the detection and management of ocular diseases affecting the posterior
segment of the eye.

OPERATION PRINCIPLE
The subject eye is illuminated by the near infrared light, which is emitted by the fundus illumina-
tion optical system. The fundus observation/photography optical system forms an image on
the CCD camera, and the image is observed on the monitor. By operating the photography
switch of the instrument, the photography light, which is emitted by the illumination optical sys-
tem, illuminates the subject eye. The image formed on the connected digital camera is
recorded as an electronic fundus image by the fundus observation/photography optical system.

The anterior segment/fundus tomogram is obtained by using the optical interference. Near
infrared light, which is emitted by the super luminescence diode (SLD), is separated by the
fiber coupler. One separated light is guided to the reference mirror and is reflected by it. Then,
the light returns to the fiber coupler. Another light is guided into the eye and is reflected by the
cornea/fundus tissues. Then, the light returns to the fiber coupler. When the two reflected
lights join and overlap, a low interference wave with different amplitude is generated. This
wave is separated by diffraction grating and then it is converted into the electric signal by the
line CCD. Calculation is performed for this signal to photograph and record the anterior seg-
ment/fundus tomogram.
By photographing, recording and calculating for the fundus/anterior segment tomogram contin-
uously, analysis such as three dimensional display or quantitative measurement is performed.

* When the analysis software is installed to the personal computer

Reference mirror
SLD Fiber coupler

Subject eye
Diffraction grating

Line CCD

94
SPECIFICATIONS AND PERFORMANCE
MAINTENANCE

To prevent the instrument from falling and to avoid injury, install the
CAUTION instrument on a level surface.

Do not contact the attachment for anterior segment with rubber prod-
NOTE ucts during storage. The material may be deteriorated.

DAILY CHECKUPS
• Dust is a formidable foe to the instrument.
To ensure the production of fine images, care should be taken not to allow fingerprints and/or
dirt to get on the objective lens.
When not in use, be sure to cap the objective lens and cover the instrument with the dust
cover.
Before using the instrument, check if the objective lens is clean. If the objective lens is
stained, clean it following the instructions for "CLEANING THE OBJECTIVE LENS" on page
100.

• When not in use, always turn the POWER SWITCH OFF ( ).

ORDERING CONSUMABLES
• When ordering consumables and spare parts, contact your dealer or TOPCON (see the back
cover) and tell them the article name, article code and quantity.
Article name Article code Article name Article code
Chin-rest paper sheet 40310 4082 Fuse T 8A 125V (100/110/120V) T2400 0046A
Dust cover 47003 9009 Fuse T 2.5A 250V (220/230/240V) T2400 0103A
Fuse T 0.5A 250V T2400 0104A

Dust cover
Fuse

Chin-rest paper sheet

95
MAINTENANCE
REPLACING THE ILLUMINATION LAMP

To avoid electric shock and burns, do not replace the lamp by your-
CAUTION self. Ask your dealer for repairs.

REPLACING THE XENON LAMP

To avoid electric shock and burns, do not replace the lamp by your-
CAUTION self. Ask your dealer for repairs.

96
MAINTENANCE
CHANGING THE FUSE

To avoid electric shock, be sure to remove the power cord from the
WARNING instrument body before removing the fuse cover. Also, do not connect
the power cord to the instrument body with the fuse cover left open.

To avoid fire, use a properly rated fuse (Europe: 110/120V T 5A 125V,


230/240 T 2.5A 250V Outside Europe: 100/110/120V T 5A 125V, 220/
WARNING 230/240V T 2.5A 250V) which matches the display provided on the
fuse holder.

1 Turn the POWER SWITCH OFF ( ) and unplug the power cord.

2 With a slotted screwdriver, press and turn the fuse holder counterclockwise and remove it.

3 Replace the fuse with a new fuse of the same capacity.

Changing the fuse

4 With a slotted screwdriver, lightly press and turn the fuse holder clockwise and fasten it.

The proper usage of each fuse and the state after it is burnt are shown below:

Fuse No. Usage State after fuse burn


F1, F2 Input power supply Entire system is off.
( T 8A 125V : 100/110/120V,
T 2.5A 250V : 220/230/240V)
F3 Xenon lamp lighting Xenon lamp charging for lighting
(T 0.5A 250V) is not done.
F4 Control circuit Entire system is off.
( T 8A 125V : 100/110/120V,
T 2.5A 250V : 220/230/240V)

97
MAINTENANCE
REFILLING THE CHIN-REST PAPER SHEET
• When the chin-rest paper sheet is used up, pull out the chin-rest paper pin and refill the paper
sheet.

Chin-rest paper pin

ADJUSTING THE MONITOR


• The brightness volume is located on the left-hand side of the monitor.
Attain the desired brightness by turning the brightness volume.

Brightness volume

MAINTENANCE BY THE DEALER


Item Inspection interval Details
Cleaning each Within 12 months from • Cleaning the external section
unit the last maintenance • Cleaning the optical system
• Cleaning the base unit
Checking the Within 12 months from • Anterior segment observation function
operation the last maintenance • Internal fixation target
• Changing the picture angle
• Picture angle display
• Adjusting the observation illumination
• Fundus observation (by test eye)
• Fundus tomography (by test eye)
Checking the Within 12 months from • Checking the xenon light intensity (by the special tool)
light intensity the last maintenance • Checking the SLD light intensity (by the special tool)

98
MAINTENANCE
CLEANING
CLEANING THE EXTERNAL COVER, CONTROL PANEL AND OTHERS

To avoid damage to the instrument or injury due to an electric shock,


CAUTION turn off the power switch and remove the power cord before cleaning
the instrument.

Do not spray liquid on the instrument. The instrument may be dam-


NOTE aged or those that come into contact with the instrument may be
injured by electric shock.

Do not spray the cleaner solution directly toward the instrument. If the
NOTE solution comes into the instrument through a vent or others, the instru-
ment may malfunction.

NOTE When the instrument is not in use, turn off the power switch.

To prevent the plastic parts of the instrument body from discoloring


NOTE and deteriorating, do not use volatile solvents for cleaning, such as
benzine, thinner, ether, gasoline, etc.

Do not apply the lubricating oil such as the machine oil to the sliding
NOTE board. It may be deteriorated to affect the operability adversely.

1 When the external cover and control panel screen become stained, clean them with a dry
cloth.

2 If the external cover or the control panel is badly stained, prepare a tepid solution of neu-
tral detergent. Moisten a cloth and wring it thoroughly. Then, wipe the cover or panel with
the cloth.

CLEANING OF THE PARTS WHICH COME INTO CONTACT WITH THE PATIENT
• Before using the instrument, clean the forehead rest unit and chin-rest unit.
Mix the neutral detergent in tepid water. Moisten a cloth and wring it thoroughly. Then, wipe
the forehead rest and chin-rest with the cloth.

CLEANING THE MONITOR SCREEN


The monitor screen is a touch panel. Before wiping it, turn off the
NOTE power switch. If not, the touch panel responds to the wiping action to
cause a trouble in operation.

When the monitor cleaner is dirty, wash and use it. Rinse the monitor
cleaner until the cleanser does not remain on it any more. If the
NOTE cleanser remains on the monitor cleaner, the monitor screen is not
wiped uniformly from time to time.

99
CLEANING
When the monitor screen is stained by dust or the like
First, remove dust lightly with a soft brush, etc. Then, wipe the screen lightly with the dry
monitor cleaner, which is the accessory.

When the monitor screen is stained by fingerprint or the like


Wipe the screen lightly with the dry monitor cleaner, which is the accessory.
If the fingerprint is not removed well, moisten the monitor cleaner with water a little and then
wipe the screen with it.

CLEANING THE OBJECTIVE LENS


• To check the objective lens, set the POWER SWITCH to "ON" ( I ) and turn the illumination
lamp ON.
Darken the room, pull out the IR filter selector and set it to visible fluoro-observation.
Touch the [Illumination level] display on the monitor to maximize the illumination level.
Examine the objective lens diagonally from the front. The lens condition can be seen clearly.

How to wipe the dustproof coated objective lens


The wiping method is different from the conventional coated lens.
The resistance against wiping is very low and the lens is smooth.

• Dust and dirt adhered to the surface


Blow them off using a blower.
Be careful to prevent the blower end from touching the objective lens.

• When the stain is simple such as dust, tears or saliva:


1 Breathe toward the objective lens and wipe it carefully with a piece of lens cleaning paper.
2 If your lens cleaning paper is dirty, replace it with a clean one and repeat 1 .
3 Repeat 1 and 2 until no stain is seen on the lens.

• When the stain is persistent:


1 Moisten a lens cleaning paper with reagent ethanol properly. Wipe the objective lens
with the lens cleaning paper by rubbing lightly.
2 If your lens cleaning paper is dirty, replace it with a clean one and repeat 1 .
3 Repeat 1 and 2 until no stain is seen on the lens.
4 Finally, wipe the objective lens with a dry piece of lens cleaning paper (which is not
moistened with solvent) until it is clean. It is O.K. to wipe the lens after breathing
toward it.
Don't use the following methods because the lens may be damaged.
• Wiping the lens by grasping with fingernails
• Using a lens cleaning paper wound around a hard tool (for example, a metallic tool).
Use a soft lens cleaning paper without fiber.
• For example, BEMCOT (Asahikasei)
Don't let any strong-alkaline liquid adhere to the objective lens.
If such a liquid adheres to the lens, immediately wipe it off.
If it is difficult to remove a stain from the objective lens, contact your dealer or
TOPCON (see the back cover).
After cleaning, push in the IR filter selector.

100
CLEANING
REFERENCE MATERIAL
TYPE OF PLUG
Country Voltage/frequency Type of plug
Mexico 110V/50Hz Type C&E
Argentina 220V/60Hz Type A
Peru 220V/60Hz Type A
Venezuela 110V/50Hz Type C&E
Bolivia & Paraguay 220V/60Hz Type A (Most common)
Type H (Infrequently)
Chile 220V/60Hz Type A
Colombia 110V/50Hz Type C
Brazil 220V/60Hz Type A
127V/60Hz Type C
Ecuador 110V/50Hz Type C&E
USA 120V/60Hz Type A (Hospital Grade)
Canada 120V/60Hz Type A (Hospital Grade)

SYMBOL
Symbol IEC Publication Description Description (French)

60417-5032 Alternating Current Courant alternatif

Attention, consult accompa- Attention, consulter les docu-


60348
nying documents ments d'accompagnement
Off (power: disconnection Éteint (courant: coupure avec le
60417-5008
from the mains) secteur)
On (power: connection of the Allumé (courant: raccordement
60417-5007
mains) sur le secteur)

60878-02-02 Type B applied part Partie appliquée du Type B

101
REFERENCE MATERIAL
RELATION BETWEEN THE SETTING OF THE ILLUMINA-
TION/FLASH LEVEL AND MAXIMUM RADIANCE
When the maximum radiance is "1", the ratio of radiance is shown below in the setting of the illu-
mination/flash level.

Illumination level Flash level


Ratio of Compensation value Setting of the Ratio of
Display level
radiance (at shipment) flash level (W·s) radiance
1 0.189 27 1.00
2 0.284 22 0.84
3 0.432 +4 18.8 0.71
4 0.621 +3 15.8 0.59
5 1.000 +2 13.3 0.50
+1 11.1 0.42
0 9.4 0.35
-1 7.9 0.30
-2 6.6 0.25
-3 5.6 0.21
-4 4.7 0.18
3.9 0.15
3.3 0.13
2.8 0.11
2.3 0.09
2.0 0.07
1.7 0.06
1.4 0.05
1.2 0.04
(Note) 1.0 0.04
0.8 0.03

Note: In the anterior segment photography mode, the flash level is 1.0W·s (fixed).
For setting the flash level (W·s) display, contact your dealer or TOPCON (see the back cover).

102
RELATION BETWEEN THE SETTING OF THE ILLUMINATION/FLASH LEVEL AND MAXIMUM RADIANCE
INFORMATION ABOUT THE OPTICAL RADIATION
HAZARD FOR THE USER
"CAUTION-The light emitted from this instrument is potentially hazardous.
The longer the duration of exposure, the greater the risk of ocular damage.
Exposure to light from this instrument when operated at maximum intensity will exceed the safety
guideline after 611 min for observation light and 31057 pulses for photography light."

103
INFORMATION ABOUT THE OPTICAL RADIATION HAZARD FOR THE USER
END USER LICENSE AGREEMENT

z You have acquired a device (DEVICE) that includes software licensed by TOPCON CORPORATION (TOPCON)
from Microsoft Licensing Inc. or its affiliates (MS). Those installed software products of MS origin, as well as associ-
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104
END USER LICENSE AGREEMENT
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105
END USER LICENSE AGREEMENT
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106
END USER LICENSE AGREEMENT
owners of Secure Content ("Secure Content Owners") may request that Microsoft revoke the WM-DRM
Software's right to copy, display and/or play Secure Content. Revocation does not alter the WM-DRM Soft-
ware's ability to play unprotected content. A list of revoked WM-DRM Software is sent to your DEVICE
whenever you download a license for Secure Content from the Internet. Microsoft may, in conjunction with
such license, also download revocation lists onto your DEVICE on behalf of Secure Content Owners.
Secure Content Owners may also require you to upgrade some of the WM-DRM components in this SOFT-
WARE ("WM-DRM Upgrades") before accessing their content. When you attempt to play such content,
WM-DRM Software built by Microsoft will notify you that a WM-DRM Upgrade is required and then ask for
your consent before the WM-DRM Upgrade is downloaded. WM-DRM Software built by third parties may do
the same. If you decline the upgrade, you will not be able to access content that requires the WM-DRM
Upgrade; however, you will still be able to access unprotected content and Secure Content that does not
require the upgrade. WM-DRM features that access the Internet, such as acquiring new licenses and/or per-
forming a required WM-DRM Upgrade, can be switched off. When these features are switched off, you will
still be able to play Secure Content if you have a valid license for such content already stored on your
DEVICE.

• WINDOWS UPDATE AGENT (ALSO KNOWN AS SOFTWARE UPDATE SERVICES). If the SOFTWARE
includes Windows Update Agent ("WUA") (also known as Software Update Services) functionality that may enable
your DEVICE to connect to and access updates ("Windows Updates") from a server installed with the required
server component then the following conditions apply:

• Without limiting any other disclaimer in this EULA, or any EULA accompanying a Windows Update, you
acknowledge and agree that no warranty is provided by MS, Microsoft Corporation or their affiliates with
respect to any Windows Update that you install or attempt to install on your DEVICE;

• In addition, you acknowledge and accept that (i) Windows Updates may not be necessary or suitable for
installation on or use with your DEVICE or the SOFTWARE, and (ii) if installed or attempted to be installed
on your DEVICE, Windows Updates may not function on the DEVICE or may malfunction and/or cause
harm to the DEVICE, to operators of the DEVICE or to other persons or property. If you connect to a server
that installs a Windows Update, you agree that you assume all risk and liability with regard to any Windows
Update that you install or attempt to install on your DEVICE using functionality provided by SOFTWARE.
You further agree that neither MS, Microsoft Corporation nor their affiliates have any liability to you with
respect to any Windows Update that you install or attempt to install on your DEVICE; and

• TOPCON is solely responsible for providing technical support, if any, to you in connection with your installa-
tion of Windows Updates installed on your DEVICE using WUA functionality provided by the SOFTWARE.
Please contact TOPCON if you have any questions regarding any Windows Update that you are consider-
ing installing on your DEVICE or otherwise regarding the WUA functionality.

• NOTICES REGARDING THE MPEG-4 VISUAL STANDARD. The SOFTWARE may include MPEG-4 visual
decoding technology. This technology is a format for data compression of video information. For this technology,
MPEG LA, L.L.C. requires this notice:

"USE OF THIS PRODUCT IN ANY MANNER THAT COMPLIES WITH THE MPEG 4 VISUAL STANDARD
IS PROHIBITED, EXCEPT FOR USE DIRECTLY RELATED TO (A) DATA OR INFORMATION (i) GENER-
ATED BY AND OBTAINED WITHOUT CHARGE FROM A CONSUMER NOT THEREBY ENGAGED IN A
BUSINESS ENTERPRISE, AND (ii) FOR PERSONAL USE ONLY; AND (B) OTHER USES SPECIFICALLY
AND SEPARATELY LICENSED BY MPEG LA, L.L.C.

107
END USER LICENSE AGREEMENT
If you have questions regarding this notice, please contact MPEG LA, L.L.C., 250 Steele Street, Suite 300,
Denver, Colorado 80206; Telephone 303 331.1880; FAX 303 331.1879; www.mpegla.com."

GENERAL TERMS:

• PRODUCT SUPPORT. Product support for the SOFTWARE is not provided by MS, Microsoft Corporation or their
affiliates. For product support, please refer to TOPCON support number provided in the documentation for the
DEVICE. Should you have any questions concerning this EULA, or if you desire to contact TOPCON for any other
reason, please refer to the address provided in the documentation for the DEVICE.

• END USER PROOF OF LICENSE. If you acquired the SOFTWARE installed on the DEVICE, or on a compact disc
or other media, a genuine Microsoft "Proof of License"/Certificate of Authenticity label with a genuine copy of the
SOFTWARE identifies a licensed copy of the SOFTWARE. To be valid, the label must be affixed to the DEVICE, or
appear on TOPCON's software packaging. If you receive the label separately other than from the TOPCON it is
invalid. You should keep the label on the DEVICE or packaging to prove that you are licensed to use the SOFT-
WARE. This End User License Agreement ("EULA") is valid and grants the end-user rights ONLY if the SOFT-
WARE is genuine and a genuine Certificate of Authenticity for the SOFTWARE is included. For more information
on identifying whether your SOFTWARE is genuine, please see http://www.microsoft.com/piracy/howtotell.

• BACKUP COPY. You may make one (1) backup copy of the SOFTWARE. You may use this backup copy solely for
your archival purposes and to reinstall the SOFTWARE on the DEVICE. Except as expressly provided in this EULA
or by local law, you may not otherwise make copies of the SOFTWARE, including the printed materials accompa-
nying the SOFTWARE. You may not loan, rent, lend or otherwise transfer the backup copy to another user.

• RESTRICTED USE. The SOFTWARE is not designed or intended for use or resale in hazardous environments
requiring fail-safe performance, such as in the operation of nuclear facilities, aircraft navigation or communication
systems, air traffic control, or other devices or systems in which a malfunction of the SOFTWARE would result in
foreseeable risk of injury or death to the operator of the device or system, or to others.

• NO RENTAL/COMMERCIAL HOSTING. You may not rent, lease, lend or provide commercial hosting services
with the SOFTWARE to others.

• SEPARATION OF COMPONENTS. The SOFTWARE is licensed as a single product. Its component parts may not
be separated for use on more than one device computer.

• CONSENT TO USE OF DATA. You agree that MS, Microsoft Corporation and their affiliates may collect and use
technical information gathered in any manner as part of product support services related to the SOFTWARE. MS,
Microsoft Corporation and their affiliates may use this information solely to improve their products or to provide
customized services or technologies to you. MS, Microsoft Corporation and their affiliates may disclose this infor-
mation to others, but not in a form that personally identifies you.

• INTERNET GAMING/UPDATE FEATURES. If the SOFTWARE provides, and you choose to utilize, the Internet
gaming or update features within the SOFTWARE, it is necessary to use certain computer system, hardware, and
software information to implement the features. By using these features, you explicitly authorize MS, Microsoft
Corporation, their affiliates and/or their designated agent to use this information solely to improve their products or
to provide customized services or technologies to you. MS, Microsoft Corporation or their affiliates may disclose
this information to others, but not in a form that personally identifies you.

108
END USER LICENSE AGREEMENT
• TRADEMARKS. This EULA does not grant you any rights in connection with any trademarks or service marks of
COMPANY, MS Microsoft Corporation or their affiliates and suppliers.

• LINKS TO THIRD PARTY SITES. You may link to third party sites through the use of the SOFTWARE. The third
party sites are not under the control of MS, Microsoft Corporation or their affiliates. Neither MS, Microsoft Corpora-
tion nor their affiliates is responsible for contents of any third party sites, any links contained in third party sites, or
any changes or updates to third party sites, or any changes or updates to third party sites. Neither MS, Microsoft
Corporation nor their affiliates is responsible for webcasting or any other form of transmission received from any
third party sites. MS, Microsoft Corporation or their affiliates are providing these links to third party sites to you only
as a convenience, and the inclusion of any link does not imply an endorsement by MS, Microsoft Corporation or
their affiliates of the third party site.

• ADDITIONAL SOFTWARE/SERVICES. This EULA applies to updates, supplements, add on components, product
support services, or Internet-based services components ("Supplemental Components"), of the SOFTWARE that
you may obtain from TOPCON, MS, Microsoft Corporation or their affiliates after the date you obtain your initial
copy of the SOFTWARE, unless you accept updated terms or another agreement governs. If other terms are not
provided along with such Supplemental Components and the Supplemental Components are provided to you by
MS, Microsoft Corporation or their affiliates then you will be licensed by such entity under the same terms and con-
ditions of this EULA, except that (i) MS, Microsoft Corporation or their affiliates providing the Supplemental Compo-
nents will be the licensor with respect to such Supplemental Components in lieu of the "COMPANY" for the
purposes of the EULA, and (ii) TO THE MAXIMUM EXTENT PERMITTED BY APPLICABLE LAW, THE SUPPLE-
MENTAL COMPONENTS AND ANY (IF ANY) SUPPORT SERVICES RELATED TO THE SUPPLEMENTAL COM-
PONENTS ARE PROVIDED AS IS AND WITH ALL FAULTS. ALL OTHER DISCLAIMERS, LIMITATION OF
DAMAGES, AND SPECIAL PROVISIONS PROVIDED HEREIN AND/OR OTHERWISE WITH THE SOFTWARE
SHALL APPLY TO SUCH SUPPLEMENTAL COMPONENTS. MS, Microsoft Corporation or their affiliates reserve
the right to discontinue any Internet-based services provided to you or made available to you through the use of
the SOFTWARE.

• RECOVERY MEDIA. If SOFTWARE is provided by TOPCON on separate media and labeled "Recovery Media"
you may use the Recovery Media solely to restore or reinstall the SOFTWARE originally installed on the DEVICE.

• TERMINATION. Without prejudice to any other rights, TOPCON or MS may terminate this EULA if you fail to com-
ply with the terms and conditions of this EULA. In such event, you must destroy all copies of the SOFTWARE and
all of its component parts.

• NOTICE REGARDING SECURITY. To help protect against breaches of security and malicious software, periodi-
cally back up your data and system information, use security features such as firewalls, and install and use security
updates.

109
END USER LICENSE AGREEMENT
Please provide the following information when contacting us regarding questions
about this instrument:
• Model name: 3D OCT-2000
• Serial No.: This is printed on the rating nameplate on the right side of
the power supply unit.
• Period of use: Please inform us of the date of purchase.
• Defective condition: Please provide us with as much detail as possible on the
problem.

3D OPTICAL COHERENCE TOMOGRAPHY 3D OCT-2000

INSTRUCTION MANUAL
2009 version (2009.11-100TH 1 )
Date of issue: November 30, 2009

Published by TOPCON CORPORATION

75-1 Hasunuma-cho, Itabashi-ku, Tokyo, 174-8580 Japan.

©2009 TOPCON CORPORATION


ALL RIGHTS RESERVED
3D OPTICAL COHERENCE TOMOGRAPHY

3D OCT-2000

47003 92961
Printed in Japan 0911-100TH 1

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