Clarity RetCam3 User Manual

Clarity RetCam3 User Manual

Ophthalmic imaging systems
Table of Contents

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Originator: P. Thompson
Clarity Part Number:
18-000393
Purchased off the Shelf, Without Modifications
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Summary of Contents for Clarity RetCam3

  • Page 1 4281 THIS DOCUMENT AND THE DATA CONTAINED HEREWITH IS THE PROPRIETARY PROPERTY OF CLARITY MEDICAL SYSTEMS, INC AND IS NOT TO BE REPRODUCED, USED, OR DISCLOSED IN WHOLE OR PART TO ANYONE WITHOUT THE WRITTEN PERMISSION OF CLARITY MEDICAL SYSTEMS, INC.
  • Page 2 User Manual Ophthalmic Imaging Systems PN 18-000  Rev. A For use with software version 6. *H\[PVU! -LKLYHS SH^ <: YLZ[YPJ[Z [OPZ KL]PJL [V ZHSL I` VY VU [OL VYKLY VM H WO`ZPJPHU VY SPJLUZLK TLKPJHS WYHJ[P[PVULY...
  • Page 3 Copyright © 2013 Clarity Medical Systems, Inc. All rights reserved. MediMark® Europe 11 rue Emile Zola 38100 GRENOBLE France Tel: +33 (0)4 76 86 43 22 Fax: +33 (0)4 76 17 19 82 e-mail: info@medimark-europe.com Images on the cover of this manual are representative only.
  • Page 4: Table Of Contents

    Contents List of Tables ........................ 9 List of Figures ......................11 Introduction ........................ 15 Indications for Use ...................... 15 Contraindications ......................16 Warnings and Cautions ....................16 RetCam 3 System Hardware ..................18 Main Hardware Components..................21 The Computer Electro-Optical Box (CEO) ............. 21 Storage........................
  • Page 5 Preparing the System for Use ................63 Preparing the RetCam 3 System for Use ..............64 Turning the System ON..................64 Installing Lens Pieces .................... 65 Handpiece Connection................... 65 Printer Setup ......................66 System Software ....................66 Fluorescein Angiography ..................67 Illumination Lamp ....................
  • Page 6 Show Thumbnails ................... 102 Print Image ..................... 102 Edit Image....................... 102 Compare ......................103 Exam Notes ....................103 Exit Review ..................... 103 Compare Mode......................103 Configure ......................104 Print Image ..................... 104 Edit Image....................... 105 End Compare....................105 Exit Review ..................... 105 Image Adjustment .....................
  • Page 7 Configuring Printers ..................... 131 Enabling Synchronization ..................132 Configuring Windows® Preferences ..............132 10 Fluorescein Angiography (RetCam 3 System) ........... 135 Theory of Operation ....................135 Using Fluorescein Angiography (FA) Mode .............. 135 Using Video Controls in FA Mode ................ 140 11 Screening for Retinopathy of Prematurity (ROP) ........
  • Page 8 RetCam Shuttle Software Requirements ............. 171 RetCam Shuttle Environmental Conditions............172 14 License Agreements ..................... 173 Clarity Software Restricted Rights................173 RetCam Software End User License Agreement ............173 RetCam 3 and RetCam Shuttle User Manual PN 18-000393 Rev. A...
  • Page 9 This page intentionally blank. RetCam 3 and RetCam Shuttle User Manual PN 18-000393 Rev. A...
  • Page 10: List Of Tables

    List of Tables Table 1 RetCam 3 Electromagnetic Emissions..............26 Table 2 RetCam 3 Electromagnetic Immunity..............27 Table 3 RetCam Shuttle Electromagnetic Emissions............36 Table 4 RetCam Shuttle Electromagnetic Immunity ............37 Table 5 Patients and Exams Screen Command Buttons ..........74 Table 6 Selected Image Filters ..................
  • Page 11 This page intentionally blank. RetCam 3 and RetCam Shuttle User Manual PN 18-000393 Rev. A...
  • Page 12: List Of Figures

    List of Figures Figure 1 RetCam 3 Ophthalmic Imaging System Front View ..........19 Figure 2 RetCam 3 Ophthalmic Imaging System Rear View ..........20 Figure 3 Computer Electro-Optical (CEO) Box ..............22 Figure 4 Inside Connector Notch ..................23 Figure 5 CEO Box Notch ......................
  • Page 13 Figure 38 User Login Screen ....................66 Figure 39 Change Password Dialog Box ................67 Figure 40 Select Domain Screen .................... 67 Figure 41 Main Power Switch ....................68 Figure 42 Footswitch Controls ....................69 Figure 43 Computer Power and USB (Video) Cables............. 69 Figure 44 EO Box ........................
  • Page 14 Import Report......................122 Figure 120 Print Dialog Box ....................124 Figure 121 Accessing User Preferences ................125 Figure 122 About Clarity Software ..................126 Figure 123 User Preferences Screen ..................127 RetCam 3 and RetCam Shuttle User Manual PN 18-000393 Rev. A...
  • Page 15 Figure 138 FA Timer Controls ....................140 Figure 139 Chiang Method: Three Images ................144 Figure 140 Clarity Method: Five Images ................. 145 Figure 141 Inverted Lens Piece Showing Permissible Immersion Depth ....... 153 Figure 142 Power Entry Module ..................... 154 Figure 143 Opening the Fuse Holder Cover ................
  • Page 16: Introduction

    Introduction Introduction The RetCam 3 and RetCam Shuttle Ophthalmic Imaging Systems are designed to allow the quick and easy capture of wide field, high resolution, fully digital images and videos of the eye. NOTE Throughout this user manual, “RetCam System” refers to both the RetCam 3 and RetCam Shuttle systems.
  • Page 17: Contraindications

    Prior to using the system, read all user safety information. Before using this equipment to acquire images of patient eyes, users must be trained in proper clinical technique by personnel authorized by Clarity. The RetCam system is designed and tested as a system. Do not remove or substitute RetCam components because doing so might adversely affect system performance.
  • Page 18 Use care when imaging the eye; that is, use the least amount of pressure and movement necessary. Make sure that the lens tip is immersed in coupling gel and does not contact the eye directly. Clarity recommends GenTeal Gel, which is available in the United States. Outside the United States, Clarity recommends either Viscotears or Vidisic.
  • Page 19: Retcam 3 System Hardware

    Chapter 1 Introduction NOTE Binocular Indirect The use of a binocular indirect ophthalmoscope, by a trained ophthalmologist, as an adjunct to RetCam imaging can be considered if the RetCam System is unavailable or if the image detail in the area of interest is unsatisfactory for any reason.
  • Page 20: Figure 1 Retcam 3 Ophthalmic Imaging System Front View

    Introduction Figure 1 RetCam 3 Ophthalmic Imaging System Front View Display (contains 4 USB ports, 2 available) Transport Handle Handpiece with Interchangeable Input Shelf Lens Piece (extended) Holster Keyboard & Mouse Membrane Control DVD writer Panel (inside drawer) USB port Cord Wrap Post Handpiece Cable (both sides)
  • Page 21: Figure 2 Retcam 3 Ophthalmic Imaging System Rear View

    Chapter 1 Introduction Figure 2 RetCam 3 Ophthalmic Imaging System Rear View Ethernet Port Product Label Main Power Switch and Power Cord Connection 1. Image shown is representative only RetCam 3 and RetCam Shuttle User Manual PN 18-000393 Rev. A...
  • Page 22: Main Hardware Components

    Introduction Main Hardware Components • Display: A flat panel display is standard with the system. • Control Panel: A membrane control panel turns the system on with one button, and has controls for illumination intensity, camera focus, and snap (start/pause video recording or capture an image).
  • Page 23: Figure 3 Computer Electro-Optical (Ceo) Box

    Chapter 1 Introduction Figure 3 Computer Electro-Optical (CEO) Box Fiber Optic Illumination Port Handpiece focus Camera Handpiece connector NOTE It is not necessary to remove any of the connectors for storage or transportation. Do not remove any connections while the system is powered ON. The main power switch must be OFF prior to connecting or disconnecting any cables from the CEO box.
  • Page 24: Figure 4 Inside Connector Notch

    Introduction To insert the camera handpiece connector, align the notch on the inside connector (Figure 4 on page 23) with the notch on the CEO box (Figure 5 on page 23), insert, and tighten screw to secure. To detach, unscrew (counterclockwise) the connector sleeve and pull out.
  • Page 25: Storage

    The system is designed to be transportable within the hospital. NOTE The RetCam 3 system is not intended to be transported outdoors. Contact Clarity Technical Services for instructions on packaging and transporting the system to another location outside the hospital. To relocate the system within a building: 1.
  • Page 26: Electrical Safety Information

    IEC 60601-1 and 60601-1-2. If in doubt, contact Clarity Technical Services. Use the power cord supplied by Clarity, or agency listed power cord for the country of use, to connect this equipment.
  • Page 27: Table 1 Retcam 3 Electromagnetic Emissions

    Chapter 1 Introduction Table 1 RetCam 3 Electromagnetic Emissions Compliance Level: Group 1, Class A Test Type Compliance Level Notes Radiated Emissions Group 1 The RetCam system uses RF energy only for its internal CISPR 11/ function. Therefore, its RF emissions are very low and are EN 55011 not likely to cause any interference in nearby electronic equipment.
  • Page 28: Table 2 Retcam 3 Electromagnetic Immunity

    Introduction Table 2 RetCam 3 Electromagnetic Immunity IEC 60601-1-2 Electromagnetic Environment Test Type Test Level Compliance Level Guidance Electrostatic Discharge (ESD) ±6 kV contact ±6 kV contact Floors should be wood, concrete or ceramic EN 61000-4-2 tile. If floors are covered with synthetic ±8 kV air ±8 kV air material, the relative humidity should be at...
  • Page 29 Chapter 1 Introduction Interference may occur in the vicinity of equipment marked with this symbol. This equipment/system may cause radio interference or may disrupt the operation of nearby equipment. It may be necessary to take mitigation measures such as: · Reorient or relocate the receiving device.
  • Page 30: System Hardware (Retcam Shuttle)

    Introduction System Hardware (RetCam Shuttle) The RetCam Shuttle system consists of modules mounted in a stable, high quality integrated mobile cart for easy, safe transport from one location to another. The four casters allow for easy maneuverability and positioning. Figure 8 on page 29 Figure 9 on page 30 illustrate the system hardware.
  • Page 31: Hardware Components

    Chapter 1 Introduction Hardware Components • Notebook Computer: Pre-loaded with RetCam system software. The notebook computer includes a DVD/R/RW drive, integrated network adapter and USB ports. • Handpiece: Contains the camera. Lightweight and easy to position, it has a long cable for easy reach.
  • Page 32: The Electro-Optical Box (Eo Box)

    Introduction The Electro-Optical Box (EO Box) The EO box is like the central nervous system of the RetCam Shuttle, receiving input from the footswitch and camera, and directing its output to the camera, computer and notebook display. It contains the illumination port and light intensity controllers, focus, camera and footswitch controllers, and it passes live images from the camera to the screen.
  • Page 33: Figure 11 Inside Connector Notch

    Chapter 1 Introduction The Handpiece Focus connector is a direct insert receptacle for insertion of the (white) focus motor cable, which is part of the handpiece interconnect harness. To insert the cable, align the red dot on the connector with the red dot on the Focus port and insert.
  • Page 34: Storage

    Introduction Storage For storage of the system when not in use, disconnect the power cord and store it in one of the storage boxes. Stow the handpiece in its compartment behind the upper door and the footswitch in its compartment behind the lower door. Remove all loose objects from the work surfaces.
  • Page 35: To Transport The System To Another Location

    Chapter 1 Introduction To transport the system to another location: 1. Power down the system through the software by selecting and then Shutdown. 2. Switch OFF mains power on the back of the unit. Unplug the power cord from the wall outlet and drape it over the transport handle or store the power cord inside the cart.
  • Page 36: Electrical Safety Information

    IEC 60601-1 and 60601-1-2. If in doubt, contact Clarity Technical Services. Use the power cord supplied by Clarity, or agency listed power cord for the country of use, to connect this equipment.
  • Page 37: Table 3 Retcam Shuttle Electromagnetic Emissions

    Chapter 1 Introduction Table 3 RetCam Shuttle Electromagnetic Emissions Compliance Level: Group 1, Class A Test Type Compliance Level Notes Radiated Emissions Group 1 The RetCam system uses RF energy only for its internal function. Therefore, its RF emissions are very low and are CISPR 11/ not likely to cause any interference in nearby electronic EN 55011...
  • Page 38: Table 4 Retcam Shuttle Electromagnetic Immunity

    Introduction Table 4 RetCam Shuttle Electromagnetic Immunity Electromagnetic Environment Test Type Test Level Compliance Level Guidance Electrostatic Discharge (ESD) ±6 kV contact ±4 kV contact The RetCam Shuttle requires ESD exemption. EN 61000-4-2 See Important User Safety Notices. ±8 kV air ±8 kV air Electrical Fast Transients/ ±2 kV for power supply lines ±2 kV for power supply lines Mains power quality should be that of a typical...
  • Page 39 Chapter 1 Introduction Interference may occur in the vicinity of equipment marked with this symbol. This equipment/system may cause radio interference or may disrupt the operation of nearby equipment. It may be necessary to take mitigation measures such as: · Reorient or relocate the receiving device.
  • Page 40: Important User Safety Notices For All Retcam Systems

    9. The system comes protected from viruses, worms, and spyware with Microsoft’s anti-malware. Please refer to the warranty or contact Clarity Technical Services prior to installing any additional software. Installation of unauthorized software voids the system warranty.
  • Page 41: Labels And Symbols

    Chapter 1 Introduction Labels and Symbols System Power Switch (RetCam 3) Focus Focus Controls Lamp Illumination (RetCam 3) Warning: Optical Radiation, do not look directly into light source Intensity Controls (light or illumination) Snap (capture still images and start or pause video capture) switch Read instructions Warning: Electrical hazard...
  • Page 42 Introduction System contains 2 fuses of indicated type. Do not use any other type (RetCam 3) System contains fuse of indicated type Do not use any other type (RetCam Shuttle) Backup battery Computer network (RetCam 3) Non-ionizing radiation FA = Fluorescein Angiography (RetCam 3) FA Intensity, increase clockwise (RetCam 3) FA light OFF (RetCam 3) FA light ON (RetCam 3)
  • Page 43 To prevent damage to lens piece, carefully store handpiece in holster when not in use. Clean lens piece after use Separate collection of waste at end-of-life as required by European directives. Contact Clarity for equipment disposal instructions. European conformity North American compliance certification...
  • Page 44: Product Labels

    Introduction Product Labels RetCam 3 RetCam Shuttle RetCam 3 and RetCam Shuttle User Manual PN 18-000393 Rev. A...
  • Page 45 Chapter 1 Introduction This page intentionally blank. RetCam 3 and RetCam Shuttle User Manual PN 18-000393 Rev. A...
  • Page 46: Retcam System Software Configuration

    RetCam 3 or RetCam Shuttle Ophthalmic Imaging Systems, running software version 6.0 or above. If your institution has purchased RCRS, Clarity recommends that you install and configure RCRS before you configure the RetCam 3 or RetCam Shuttle system. When you configure the RetCam 3 or RetCam Shuttle for use with RCRS, certain administrative functions are managed exclusively on the RCRS application.
  • Page 47: Figure 15 Utilities Menu

    Chapter 2 RetCam System Software Configuration NOTE Prior to performing this step, establish a physical connection to the network used to support RCRS by plugging a shielded RJ-45-equipped Cat5 or Cat6 cable into the network connector on the RetCam system (on the rear of the RetCam 3 cart or on the notebook computer of the RetCam Shuttle).
  • Page 48: Functions Managed By Retcam Review Software

    RetCam System Software Configuration If the RetCam System was configured for use with RCRS, Clarity strongly recommends that this setting remain unchanged. Changing between the Enabled and Not Enabled states increases the likelihood of creating duplicate patients, users, or other data that can cause confusion. When it is...
  • Page 49: Creating Domains Without Retcam Review Software

    Chapter 2 RetCam System Software Configuration If the RetCam is intended to be connected to RCRS, perform domain creation on the RCRS application and synchronize it to the RetCam System. See the RCRS user manual, if appropriate. Creating Domains Without RetCam Review Software If the RetCam is not intended to be connected to RCRS, complete steps through pages...
  • Page 50: Figure 20 Assign Users Dialog Box

    NOTE Attributes of a domain, such as the name, are global for all users of that domain. Clarity recommends that the domain name, which appears in the Domain Selection list, be kept constant, so all users can use the same familiar name on a daily basis.
  • Page 51: Creating User Login Accounts

    Chapter 2 RetCam System Software Configuration Creating User Login Accounts Access to the RetCam System always requires a user ID and password. Only the RetCam Administrator account can be used to create user IDs and passwords. After the RetCam Administrator logs in to the system and selects a domain, the Patients and Exams screen appears.
  • Page 52: Assigning Patients To Domains

    RetCam System Software Configuration Figure 23 Assign Domains Dialog Box The Available Domains pane displays all domains created on the RetCam System that can be assigned to the user. The Assigned Domains pane displays all domains that have been assigned to the user. Click to return to the Create User dialog box.
  • Page 53: Figure 24 User Preferences Dialog Box

    Chapter 2 RetCam System Software Configuration Figure 24 User Preferences Dialog Box To assign multiple patients to a single domain, click to display the Patient Assignment dialog box. Figure 25 Patient Assignment Dialog Box This feature can lead to patients becoming inaccessible. The Domain List pane displays all domains that the current user can access.
  • Page 54: Figure 26 Domain Assignment Dialog Box

    RetCam System Software Configuration To assign multiple domains to a single patient, click to display the Domain Assignment dialog box. Figure 26 Domain Assignment Dialog Box The Patient List pane displays all patients in all domains that the current user can access. You can select only one patient at a time.
  • Page 55 Chapter 2 RetCam System Software Configuration This page intentionally blank. RetCam 3 and RetCam Shuttle User Manual PN 18-000393 Rev. A...
  • Page 56: Synchronization With Retcam Review Software (Rcrs)

    Synchronization with RetCam Review Software (RCRS) Synchronization with RetCam Review Software (RCRS) The features described in this section are available only if the RetCam System is configured for use with RCRS™. You can synchronize your RetCam with RCRS to provide storage, retrieval, annotating, and viewing of ophthalmic images.
  • Page 57: Synchronization With Rcrs

    • Enable removal of image or video files from the RetCam System, freeing hard drive storage space. Clarity recommends that image evaluation and patient diagnosis occur on the RetCam system before removal of image or video files from the RetCam system.
  • Page 58 Data created on the RetCam and RCRS for the same patient or user can cause creation of duplicate patients or users. Duplicate patients or users are not merged by the synchronization process. Clarity recommends that each institution develop consistent data entry processes to minimize the creation of duplicate patients or users.
  • Page 59: Reconciling Data Mismatches

    Chapter 3 Synchronization with RetCam Review Software (RCRS) Reconciling Data Mismatches Under certain conditions, the synchronization process detects data mismatches between the RetCam System and RCRS. When data mismatches are detected, the Reconciliation Form (Figure 29 on page 58) appears at the conclusion of the synchronization process. Figure 29 Reconciliation Form The Reconciliation Form displays the data elements for the same patient, exam, or image that cannot automatically be synchronized.
  • Page 60: Figure 30 Reconciliation Form: Partially Reconciled

    Synchronization with RetCam Review Software (RCRS) Figure 30 Reconciliation Form: Partially Reconciled To reconcile the synchronization issue for a patient, exam, or image, all data elements in the Reconciliation List for that patient, exam, or image must be addressed. After making selections for all un-reconciled data elements, the RetCam System signals potential reconciliation resolution by displaying all data cells in a different color (Figure 31 on page...
  • Page 61: Removing Videos And Images From The Retcam System

    When performing synchronization, you are responsible for verifying that the appropriate data is selected during the reconciliation process. If you are unable to verify the appropriate data, Clarity recommends that you defer selecting either data element during that reconciliation process.
  • Page 62 4. Click to confirm the removal, or click to cancel the removal. Clarity recommends that image evaluation and patient diagnosis be performed on the RetCam System prior to removing images or videos from the device. NOTE Only videos or images that have been transferred to the RCRS by using Sync can be removed from the RetCam.
  • Page 63 Chapter 3 Synchronization with RetCam Review Software (RCRS) This page intentionally blank. RetCam 3 and RetCam Shuttle User Manual PN 18-000393 Rev. A...
  • Page 64: Preparing The System For Use

    The software is preinstalled on the system and a recovery disk is included with the system. If the software is reloaded, the database is cleared and all data is deleted. Clarity recommends backing up the data in MLX format after each day’s use. Reloading the software requires an Authorization Key from Clarity to reinitiate the system and reconfigure the software.
  • Page 65: Preparing The Retcam 3 System For Use

    Chapter 4 Preparing the System for Use Preparing the RetCam 3 System for Use Turning the System ON 1. Turn the main power switch, located on the rear of the system, to ON. 2. Carefully pull out the keyboard tray until it is fully extended. The membrane control panel is located at the front of the keyboard tray.
  • Page 66: Installing Lens Pieces

    Preparing the System for Use Installing Lens Pieces Figure 36 Installing a Lens Piece on the Handpiece Align lens piece to fit over pins Alignment pins on handpiece Carefully tighten clockwise until it clicks in place. Carefully inspect and clean the lens piece before each use. DO NOT use if the lens piece has nicks, breaks, scratches, or rough surfaces that can damage the eye.
  • Page 67: Printer Setup

    Chapter 4 Preparing the System for Use Figure 37 Handpiece Connections Always return the handpiece to the holster when it is not in use. Drape the handpiece cable over the cord wrap post, but do not wrap it tightly because damage to the fiber optic cable might result.
  • Page 68: Fluorescein Angiography

    Preparing the System for Use Figure 39 Change Password Dialog Box The first time that you log in to the RetCam system, you must change the password that was assigned by the RetCam Administrator. Figure 40 Select Domain Screen The Select Domain screen displays the domains available to you. Click the desired domain to complete the login process.
  • Page 69: Preparing The Retcam Shuttle System For Use

    Chapter 4 Preparing the System for Use Preparing the RetCam Shuttle System for Use Turning the System ON Power Cord and Power Connector The main power switch is located above the power cord inlet. It must be in the ON position to operate the system.
  • Page 70: Figure 42 Footswitch Controls

    Preparing the System for Use Figure 42 Footswitch Controls Focus Controls Illumination intensity controls Snap toggle switch (single image Snap or start or pause video capture) 1. Connect the notebook computer to the notebook power supply cable and the USB video input cable (unless already connected).
  • Page 71: Figure 44 Eo Box

    The system is ready when you see the User Login screen (Figure 46 on page 72). Connect this equipment using the power cord supplied by Clarity or agency listed power cord for the country of use. To avoid the risk of electric shock, this equipment must be connected to a supply main with protective earth.
  • Page 72: Installing Lens Pieces

    Preparing the System for Use Installing Lens Pieces Figure 45 Installing a Lens Piece on the Handpiece Align lens piece to fit over pins Alignment pins on handpiece Carefully tighten clockwise until it clicks in place. Carefully inspect and clean the lens piece before each use. DO NOT use if the lens piece has nicks, breaks, scratches, or rough surfaces that can damage the eye.
  • Page 73: System Software

    Chapter 4 Preparing the System for Use System Software When the software is ready, the User Login screen appears (Figure 46 on page 72). Figure 46 User Login Screen Enter the username and password assigned by your RetCam Administrator. Figure 47 Change Password Dialog Box The first time that you log in to the RetCam system, you must change the password that was assigned by the RetCam Administrator.
  • Page 74: Using The Retcam System

    Using the RetCam System Using the RetCam System • Managing Patient Records on page 73 • Performing Exams on page 81 • Using Helpful Features on page 90 • Changing Image Capture Options During an Exam on page 91 • Adding Exam Notes on page 92 •...
  • Page 75: Table 5 Patients And Exams Screen Command Buttons

    Chapter 5 Using the RetCam System Figure 49 Patients and Exams Screen Table 5 Patients and Exams Screen Command Buttons Command Button Action Start a new exam or imaging session. Look at images for a selected patient and date. Add a new patient record to the database. Edit an existing patient record.
  • Page 76: Command Button Colors

    Using the RetCam System Command Button Action Import patient data from CD, USB drive, network, etc. (Only .mlx or .dcm formatted images can be imported.) Export patient data. Synchronize patient and exam data with the RetCam Review Software product. Command Button Colors •...
  • Page 77: Editing A Patient Record

    Chapter 5 Using the RetCam System Enter information manually or select menu items, where available. Fields marked with an asterisk are required. Click to commit changes to the permanent patient record. Figure 51 Patient Information Required patient information: • First Name (Given Name) •...
  • Page 78: Finding Existing Patient Records

    Using the RetCam System Figure 53 Edit Patient Record Screen Finding Existing Patient Records To find existing patient records from the Patients and Exams screen (Figure 49 on page 74), you can either manually search, or let the RetCam System filter the records for you.
  • Page 79: Table 6 Selected Image Filters

    Chapter 5 Using the RetCam System The table describes the Selected Image Filters (Table 6 on page 78). You can select patients, exams, and images within the current search results by using the predefined options from the Select Images toolbar (Figure 54 on page 78).
  • Page 80: Search Results

    Using the RetCam System Search Results Clicking displays the entire patient directory for the current domain, as shown Figure 56 on page Figure 56 Patient Directory Click next to a patient name to show exam information: Exam Date and Time, Age During Exam, and Sync status Click next to a patient name to show detailed patient information: Birth Type, Birth Weight, Birth Order, Gestation age, Ethnicity, and Salutation...
  • Page 81: Working With Domains

    Chapter 5 Using the RetCam System NOTE The Sync button is enabled (light blue) when the RetCam system is configured for use with RCRS. Figure 58 Taskbar Showing Sync Enabled The taskbar shows the server name, the number of patients and exams, and the date of the last Sync.
  • Page 82: Performing Exams

    Using the RetCam System Figure 61 Create Domain Dialog Box You can use the Domain feature to organize patient and exam data based on one or more of these factors that is appropriate for your institution: • Location • Institution •...
  • Page 83: Figure 62 New Exam Configuration Screen

    Chapter 5 Using the RetCam System To start a new exam: 1. Highlight the desired patient record on the Patients and Exams screen. 2. Click . Alternatively, click to the left of a patient ID. 3. Select either one of the Preset Configurations, or the Manual Configuration. Note that any of the preset configurations are easily editable.
  • Page 84: Figure 63 Edit Imaging Configuration

    Using the RetCam System • Image Type · Retina · Fluorescein Angiography (RetCam 3) · Anterior · Unspecified • Lens · 1300 · 1200 · · · Unspecified • Eye · Right (OD) · Left (OS) · Unspecified • Footswitch ·...
  • Page 85: Figure 64 Manual Configuration

    Chapter 5 Using the RetCam System Figure 64 Manual Configuration 8. After configuring the new exam, select the appropriate (that is, the green arrow on the configuration bar that you want for this exam) to enter the New Exam screen. Figure 65 New Exam Screen The New Exam screen includes image capture controls, patient information, thumbnails of the captured images, and buttons to control the screen display and other functions.
  • Page 86: Figure 66 Confirm Exit Dialog Box

    Using the RetCam System Click to hide thumbnails and to show thumbnails. Click to exit the New Exam screen and add a note. After you add an exam note and save it, you can return to the Exam Capture field, if desired. The dialog box shown in Figure 66 on page 85 appears if you exit an exam without saving any images.
  • Page 87: Capturing Images

    Chapter 5 Using the RetCam System Select or deselect the check boxes to include or exclude detailed information (elapsed time, frame number or frame rate) from the timer display. These selections apply only to the RetCam 3 system with FA mode imaging. In FA mode, select the appropriate button to capture images in full color or greyscale.
  • Page 88: Figure 71 Timer Menu Options

    Using the RetCam System Click to return to live video (still images only). Click or press the [S] key to save a still image to the hard drive. Click to record the time elapsed during the exam. After you start the timer, appears.
  • Page 89: Range

    Chapter 5 Using the RetCam System Range The Range function (see Figure 73 on page 88) adjusts the gamma correction and the black level of an image. Gamma correction, an industry standard effect, helps normalize the brightness across the entire image. The Range function is useful in imaging an object where highly reflective (bright) areas are close to less reflective (dark) areas and the illumination cannot be optimized for both.
  • Page 90: Footswitch

    Using the RetCam System Use the [S] key on the computer keyboard to snap (start or pause video capture) images (see Labels and Symbols on page 40 Preparing the RetCam 3 System for Use on page 64). NOTE Saving video consumes a great deal of disc space. To maintain optimal system performance, select the images of interest from the video by clicking or pressing the [S] key during review, then delete the video prior to exiting Image Capture.
  • Page 91: Saving A Video

    Chapter 5 Using the RetCam System Figure 74 Video Playback Controls Click to play video at normal speed. Click to pause video playback. Click to advance video one frame per click. Click to reverse video one frame per click. Click to go to the beginning of the recorded video.
  • Page 92: Locating Still Images From Video

    Using the RetCam System Locating Still Images From Video During video replay, you can identify and save still images from the exam. There are two ways to locate and save a still image. 1. Use the scrollbar at the top of the video controls to scroll through the video to find a frame.
  • Page 93: Changing Right Eye (Od) / Left Eye (Os)

    Chapter 5 Using the RetCam System Figure 76 Select Options for Image Capture Changing Right Eye (OD) / Left Eye (OS) To image the other eye in the same session, expand the Eye menu and select the other eye (Right Eye (OD) or Left Eye (OS)). The Eye selection is saved with the image. A still image captured from video inherits the image option selected at the start of video recording.
  • Page 94: Adding Exam Notes During An Exam

    Using the RetCam System Adding Exam Notes During an Exam During the exam, click to display the Exam Notes window. Figure 77 Exam Notes During Exam Screen There is a notes field for each eye. To add notes: 1. Click to activate the notes fields.
  • Page 95: Adding Exam Notes After An Exam

    Chapter 5 Using the RetCam System Figure 80 New Clinician Dialog Box NOTE You must enter information in the Creator field when you add notes. 5. Type new notes in the fields titled Left Eye Note and Right Eye Note. 6.
  • Page 96: Figure 81 Exam Notes Window

    Using the RetCam System Figure 81 Exam Notes Window There is a notes field for each eye. To add notes: 1. Click to activate the notes fields. 2. Expand the Creator menu to select the note author. This list is populated with the information stored in the RetCam.
  • Page 97: Turning Off The Retcam 3 System

    Chapter 5 Using the RetCam System Figure 84 New Clinician Dialog Box NOTE You must enter information in the Creator field when you add notes. 5. Type new notes in the fields titled Left Eye Note and Right Eye Note. 6.
  • Page 98: Figure 86 Shutdown Icon Options

    Using the RetCam System Figure 86 Shutdown Icon Options The shutdown options appear. Select Shutdown. The Log out (user name) option logs out the current user without shutting down the system. 2. If the system stops responding, wait at least one minute because it might be busy. 3.
  • Page 99: Using Hard Shutdown

    Chapter 5 Using the RetCam System Using Hard Shutdown Do not use the hard shutdown method unless necessary because data corruption can occur. In the event that hard shutdown is required, press the System Power button on the control panel for at least 6 seconds to force the system to shut down, then press the button again to power the system back on.
  • Page 100: Review And Compare Images

    Review and Compare Images Review and Compare Images After you acquire images, they are available for review and comparison. This section covers the following topics: • Exam Review Screen on page 99 • Compare Mode on page 103 • Image Adjustment on page 105 Exam Review Screen The Exam Review screen appears optionally when you exit live imaging.
  • Page 101: Figure 91 Exam Selector

    Chapter 6 Review and Compare Images When you exit live imaging, the Exam Review screen displays the images acquired in the session just completed. When you access the Exam Review screen by other means, it displays the images for the last patient and session you selected. To review exams for a different patient, click on that patient’s name in the Exam Selector above the thumbnails, or use the keyboard arrows to move through the names, or enter a name in the Find field.
  • Page 102: Configure Options

    Review and Compare Images Figure 93 Exam Review with Playback Controls When you select a still image thumbnail, the video playback controls disappear from the screen. Use the video playback controls to control the video. Figure 94 Video Playback Controls These buttons have the same functions for playback as for live imaging.
  • Page 103: Flag Image

    Chapter 6 Review and Compare Images Figure 96 Configure: Annotations From the Annotations tab, you can select the option to show image annotations. Image annotations are created in the Edit Image function. An image with annotations displays the annotation icon on the thumbnail.
  • Page 104: Compare

    Review and Compare Images Compare Click to view two images side-by-side on the screen. See Compare Mode on page 103 for details. Exam Notes Click to review or append text to the session notes in the Exam Review screen. You cannot alter saved notes. Notes are identified by the date and the name of the person creating them.
  • Page 105: Configure

    Chapter 6 Review and Compare Images The Exam Selector displays the dates for all the current patient’s exams above the thumbnails. The highlighted date is the exam date for the current thumbnails. To view images from a different patient or exam, select another patient or exam date from the Patient or Exam Selector (Figure 91 on page 100).
  • Page 106: Edit Image

    Review and Compare Images Edit Image Click to display the Image Adjustment window. End Compare Click to return to the display of a single image. Exit Review Click to return to the Patients and Exams screen. Image Adjustment To adjust an image, select the image from the Exam Review screen and click The Image Adjustment window appears.
  • Page 107: Image Display Color Adjustments

    Chapter 6 Review and Compare Images Image Display Color Adjustments The top pane of the Image Adjustment window provides controls to adjust the image display parameters. Figure 100 Color Adjustments Pane Slider bar Current value All parameters have a default setting of zero (0), and values range from -100 to +100. •...
  • Page 108: Figure 102 Insert Ellipse Button

    Review and Compare Images • Draw an ellipse on the image (Figure 102 on page 107). • Draw a line on the image (Figure 103 on page 107). • Add text to the image. • Display measurements for selected annotations. •...
  • Page 109: Adding Text Notes To An Image

    Chapter 6 Review and Compare Images Adding Text Notes to an Image The Text Overlays pane of the Image Adjustment window has tools for adding text to an image. Figure 104 Text Overlays Pane Database information Location options Each image has associated information stored in the database. To display that information as a text overlay on the image, select one or more of the available fields: •...
  • Page 110: Reset Button

    Review and Compare Images Reset Button Click to reset all display parameters to factory default. Save As... Button Click to save a copy of the current image with all the changes you have made. NOTE You can save processed images only outside the RetCam database and in a non-proprietary format such as PNG or JPG.
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  • Page 112: Import And Export Images

    Import and Export Images Import and Export Images You can import or export images: • To make RetCam data available on other RetCam stations, which include RetCam 3, RetCam II and RetCam Shuttle systems, and PCs running RetCam Review Software (RCRS).
  • Page 113: Compatible Removable Media

    USB 3.0 is not supported for RetCam 3 or RetCam Shuttle. NOTE Clarity Medical Systems, Inc. has successfully tested many SanDisk® brand USB storage devices. Some USB storage devices require special formatting before use with RetCam systems and we recommend purchasing pre-formatted USB devices directly from Clarity.
  • Page 114: Figure 106 Select Patients And Exams For Export

    Import and Export Images Figure 106 Select Patients and Exams for Export 2. Check the white boxes on the right side of the display to select files for Export. To select all patients’ records and exams, click All in the Select Images toolbar. Figure 107 Select Images Toolbar You can select patients, exams, and images within the current domain by using the predefined options from the Select Images toolbar...
  • Page 115: Table 7 Selected Image Filters

    Chapter 7 Import and Export Images Table 7 Selected Image Filters Filter Name Filter Hover Text Filter Description Selects all records. None Clears all selected records. Flagged Selects all of the flagged images. Today’s Selects all of the images captured today (on the current date).
  • Page 116: Select Export Options

    Import and Export Images Figure 109 Export Dialog Box By default, the dialog box shows the destination location path and options used for the last export. NOTE Advanced Encryption is disabled by default. To encrypt exported files, cancel the export, and enable the encryption feature by using User Preferences (Figure 124 on page 128.) NOTE...
  • Page 117: Select The File Format

    Figure 110 File Format Options Select MLX, DICOM, or Split File format. Format Options Table 8 Format Options for Exam Images Clarity’s proprietary encrypted data format DICOM DCM is the filename extension for patient data files that are (DCM) compatible with the DICOM (Digital Imaging and Communications in Medicine) standards for ophthalmology.
  • Page 118: Export Image Formats

    Import and Export Images Export Image Formats Table 9 Export Image Formats for Exam Images Portable Network Graphic uses compression to reduce file size (about half the size of a bitmap file), but without loss in quality or resolution. It can be viewed in a standard web browser and used in image processing or viewing applications.
  • Page 119: Importing Images

    Chapter 7 Import and Export Images Importing Images Except for data backup, the export destination on the network is an intermediate location. To complete the data transfer and make the images available for viewing on another RetCam system, you must use the RetCam software to import the transferred images into the target system database.
  • Page 120: Figure 113 Start Screen

    Import and Export Images Follow these steps to import RetCam images: 1. On the screen shown in Figure 113 on page 119, click Figure 113 Start Screen 2. The Removable Drives dialog box appears. Figure 114 Importing from Removable Drives •...
  • Page 121: Figure 116 Import Review Dialog Box

    Chapter 7 Import and Export Images • Click to close. 3. The Import Review dialog box appears. Figure 116 Import Review Dialog Box By default, it shows the Source location path and all the options last used. 4. To change the source location, select to expand the path list or click access the Windows system desktop.The Windows system desktop can also be accessed using the source location window.
  • Page 122: Include Subfolders Check Box

    Import and Export Images Include Subfolders Check Box Select this check box to import images in all subfolders of the source location. If not selected, you import only the files found in the source location folder itself, and no images in its subfolders.
  • Page 123: Confirm Images And Media Importation

    Chapter 7 Import and Export Images Figure 119 Import Report Confirm Images and Media Importation 1. Click to close the Import Report window (Figure 119 on page 122). 2. From the Patients and Exams screen, click 3. Confirm the patient and exams are present by selecting and expanding the desired patient record.
  • Page 124: Printing Images

    • Patients and Exams screen: Print images, reports, or both NOTE The default image size is 5 inches x 7 inches. For optimal resolution, Clarity recommends printing images at 5 inches x 7 inches or smaller. This size also conserves printer ink.
  • Page 125: Recommended Supplies

    Locations Within the United States The RetCam 3 system includes photo paper and ink cartridges. Purchase replacement photo paper and ink cartridges from Clarity or from a local supplier. Locations Outside the United States The RetCam 3 system ships with photo paper only. The RetCam 3 device does not ship with an ink cartridge.
  • Page 126: User Preferences

    User Preferences User Preferences The chapter describes the About RetCam Software and User Preferences functions of the Utilities menu. The activities covered include: • About RetCam Software on page 125 • Device Identification on page 127 • Domain Configuration on page 128 •...
  • Page 127: User Preferences

    Chapter 9 User Preferences Figure 122 About Clarity Software NOTE Some of the information shown on the About RetCam screen on your system can differ from what is shown in Figure 122 on page 126. Click to exit the window.
  • Page 128: Device Identification

    User Preferences Figure 123 User Preferences Screen The options for that selection are listed in Configuration Options on page 127. Table 11 Configuration Options Configuration Configuration Description Device Contains the Device name and Serial Number Domain Configuration Manage Domain details and Patient/ Domain assignments Image Audit Not available Imaging Adjustment...
  • Page 129: Domain Configuration

    Chapter 9 User Preferences Figure 124 User Preferences: Device RetCam Administrators can enable or disable the use of Advanced Encryption. Domain Configuration Manage domain details along with patient and domain assignments. Figure 125 User Preferences: Domain Configuration After making any changes, click to save the changes, or to close the window.
  • Page 130: Imaging Adjustment

    User Preferences Figure 126 User Preferences: Image Audit Click to exit the window. Imaging Adjustment The Imaging Adjustment options are not available in this release. Figure 127 User Preferences: Image Adjustment Click to exit the window. Configuring Live Imaging This window allows you to configure the video file size used for live imaging. RetCam 3 and RetCam Shuttle User Manual PN 18-000393 Rev.
  • Page 131: Configuring New Exam Defaults

    Chapter 9 User Preferences Figure 128 User Preferences: Live Imaging Select the desired file size, and then click to save the change or close the window without saving changes. Click to save changes and exit the window. Configuring New Exam Defaults Use this window to set the defaults for up to three (3) preset exam configurations.
  • Page 132: Configuring Notification Options

    User Preferences Configuring Notification Options This window allows you to configure the available options for the various types of messages and log files. Figure 130 User Preferences: Notification After configuring the message and log file options, click to save the changes or to close the window without saving changes.
  • Page 133: Enabling Synchronization

    Chapter 9 User Preferences Select the default printers, and then click to save the changes or close the window without saving changes. Click to save changes and exit the window. Enabling Synchronization This window allows you to enable or disable the synchronization functionality. If you enable synchronization, you must also configure the synchronization server.
  • Page 134: Figure 133 User Preferences: Windows Configuration

    User Preferences Figure 133 User Preferences: Windows Configuration After making any changes, click to save the changes, or to close the window. Click to exit the window. NOTE Use Printer window (Figure 131 on page 131) to configure printer options. RetCam 3 and RetCam Shuttle User Manual PN 18-000393 Rev.
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  • Page 136: Fluorescein Angiography (Retcam 3 System)

    Fluorescein Angiography (RetCam 3 System) Fluorescein Angiography (RetCam 3 System) This chapter covers acquisition of still or video images using the fluorescein angiography (FA) option. These functions are provided through the Image Capture screen. • Theory of Operation on page 135 •...
  • Page 137: Figure 134 New Exam Configuration Screen

    Chapter 10 Fluorescein Angiography (RetCam 3 System) Figure 134 New Exam Configuration Screen 2. To capture a color image (recommended), click and confirm that the button label has changed to 3. Switch ON FA power. The FA lamp requires a few minutes to stabilize (Figure 136 on page 138).
  • Page 138: Figure 135 Barrier Filter Installation

    Fluorescein Angiography (RetCam 3 System) Figure 135 Barrier Filter Installation Lens piece Rubber O-ring toward lens piece Barrier filter Beveled edge toward handpiece Handpiece NOTE If lenses are exchanged during an FA session, hold the camera upright to prevent the barrier filter from falling out during the exchange. RetCam 3 and RetCam Shuttle User Manual PN 18-000393 Rev.
  • Page 139: Figure 136 Fa Front Panel

    Chapter 10 Fluorescein Angiography (RetCam 3 System) 6. Move the fiber optic cable connector from the white fiber optic (port) connector to the FA fiber optic (port) connector. (See Figure 136 on page 138.) Figure 136 FA Front Panel White fiber optic (port) connector FA Fiber optic (port) connector...
  • Page 140: Figure 137 Configure Button: Fa Mode

    OFF, and then turn ON the FA module to attempt to resolve this condition. If the condition persists, do not attempt to use the FA module and contact Clarity Technical Services. RetCam 3 and RetCam Shuttle User Manual PN 18-000393 Rev. A...
  • Page 141: Using Video Controls In Fa Mode

    Chapter 10 Fluorescein Angiography (RetCam 3 System) Figure 138 FA Timer Controls The Resume Timer menu offers the following timer options: • Start—Start the timer. • Pause—Pause the timer, but keep the video capture running. • Restart—Restart the timer, following a stop or reset. •...
  • Page 142: Screening For Retinopathy Of Prematurity (Rop)

    Prematurity (ROP) RetCam Physician Information The information in this section is provided by Clarity Medical Systems, Inc. (CMSI) solely as an information service to physicians for the screening of Retinopathy of Prematurity (ROP). It is not intended to offer medical advice and does not preclude the necessary assessments, judgments and medical determinations that are the exclusive responsibility of the physician.
  • Page 143: Contraindications

    Use care when imaging the eye; that is, the lens tip is immersed in coupling gel, and does not contact the eye directly. Ensure the camera is supported (held) in a manner that does not put direct pressure on the cornea. Clarity recommends practice with the simulator eye model before imaging a patient.
  • Page 144: Preparation

    • Instill ophthalmic coupling gel into the first eye to be imaged or apply a bolus of gel to the camera lens tip. Clarity recommends GenTeal Gel, which is available in the United States. Outside the United States, Clarity recommends either Viscotears or Vidisic.
  • Page 145: Screening For Retinopathy Of Prematurity

    Chapter 11 Screening for Retinopathy of Prematurity (ROP) To maximize photo-documentation of the retina, it is suggested that the following five (5) views be captured: 1. Posterior pole 2. Temporal retinal field 3. Nasal retinal field 4. Superior retinal field 5.
  • Page 146: Figure 140 Clarity Method: Five Images

    Screening for Retinopathy of Prematurity (ROP) The set of images below represent the method taught by Clarity of taking five (5) images; Chiang's approach plus two (2) more images, superior and inferior. As can be seen, there is also overlap in all images.
  • Page 147: Performance Data

    Chapter 11 Screening for Retinopathy of Prematurity (ROP) • Threshold ROP (at least 5 contiguous or 8 non-contiguous clock hours of stage 3 in Zone 1 or 2, with Plus disease) at 35-37 weeks PMA. The reported study results are presented below. Performance Data The tables below depict the study outcomes.
  • Page 148: Image Quality

    Screening for Retinopathy of Prematurity (ROP) Table 12c: Cross-classification from Grader C versus BIO (35-37 Weeks PMA) Grader C Reference Standard: BIO Type 2 pre-threshold ROP or No ROP or Mild ROP treatment-requiring ROP Type 2 pre-threshold ROP or treatment-requiring ROP Unknown No ROP or Mild ROP Total...
  • Page 149: Reference

    Neonatal Intensive Care Unit (NICU). Training is accomplished in several ways. • At the time of installation of a new RetCam System, a Clarity Medical Systems, Inc. representative is present to provide a didactic tutorial, a demonstration of the product and supervised, hands-on experience in the use of the System.
  • Page 150: Adverse Events

    RetCam users should wear gloves. The RetCam lens must always be cleaned according to Clarity's instructions before and after each patient. Physiological Stress NICU infants are particularly subject to the risk of physiological stress from any procedure.
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  • Page 152: Maintenance And Support

    Maintenance and Support Maintenance and Support This section covers the regular maintenance and support of the RetCam 3 and RetCam Shuttle systems. The activities covered include: • Recommended General Maintenance Schedule on page 151 · Cleaning Procedures on page 152 ·...
  • Page 153: Cleaning Procedures

    Chapter 12 Maintenance and Support Carefully inspect and clean the lens piece before each use. DO NOT use if the lens piece has nicks, breaks, scratches, or rough surfaces that can damage the eye. Cleaning Procedures For cleaning purposes, the RetCam System is divided into two categories: •...
  • Page 154: Alternate Cleaning And Disinfection

    Do not spray cleaning solutions on any part of the system. Disposal of Materials Dispose of waste materials according to local and national requirements. Contact Clarity Technical Services if additional assistance is required. RetCam 3 and RetCam Shuttle User Manual...
  • Page 155: Cable And Connections Inspection

    Chapter 12 Maintenance and Support Cable and Connections Inspection To avoid the risk of electric shock, connect the equipment to a supply mains with protective earth. To avoid the risk of electric shock, inspect cables and electrical cords for damage prior to use. On a monthly basis, check that each cable and connection is properly attached to the RetCam system.
  • Page 156: Figure 143 Opening The Fuse Holder Cover

    Maintenance and Support To replace the RetCam 3 fuse: 1. Using a flat blade screwdriver, gently pry open the cover of the fuse holder at the top of the power entry module. (See Figure 143 on page 155.) Figure 143 Opening the Fuse Holder Cover 2.
  • Page 157: Retcam 3 Illumination Lamp Replacement

    Figure 145 Fuses Removed For continued protection against risk of fire, replace only with same type and rating fuse. Replacement fuses are available from Clarity Technical Services. Figure 146 Fuse Holder Re-Inserted RetCam 3 Illumination Lamp Replacement Appropriately power down and unplug the unit and allow the illumination lamp to cool before replacing it.
  • Page 158: Figure 147 Opening The Front Cover

    Maintenance and Support Figure 147 Opening the Front Cover Pull the front cover out 4. Note the red alignment dots on the handpiece focus connector. Pull back on the metal connector sleeve (being careful not to pull on the cable) to remove the focus cable (Figure 148 on page 157).
  • Page 159: Figure 149 Front Panel Showing Lamp Assembly Drawer

    Chapter 12 Maintenance and Support Figure 149 Front Panel Showing Lamp Assembly Drawer Remove 2 screws Lamp assembly drawer Lamp assembly drawer handle 7. Grip the handle on the lamp assembly drawer (Figure 149 on page 158). Pull the drawer out slowly. Stop when the light bulb is fully exposed. 8.
  • Page 160: Figure 151 Handling The Illumination Lamp

    Maintenance and Support Figure 151 Handling the Illumination Lamp Only touch the exterior surface of the illumination lamp. Do not touch the bulb, which is located in the center of the reflector, nor the inner (concave) surface of the reflector. Skin oils adhere to the bulb and reflector, which reduces the cooling efficiency of the bulb and thereby creates a hot-spot leading to premature burnout.
  • Page 161: Retcam Shuttle Maintenance

    Chapter 12 Maintenance and Support RetCam Shuttle Maintenance This section describes the specific recommended process for fuse replacement and illumination lamp replacement for the RetCam Shuttle system. These activities are appropriate under the following conditions: • Blown fuse: Replace system fuses. •...
  • Page 162: Retcam Shuttle Illumination Lamp Replacement

    For continued protection against risk of fire, replace only with same type and rating fuse. Replacement fuses are available from Clarity Technical Services. RetCam Shuttle Illumination Lamp Replacement Appropriately shutdown and unplug the unit to allow the bulb to cool before replacing it.
  • Page 163: Figure 156 Front Panel Showing Lamp Assembly Drawer

    Chapter 12 Maintenance and Support To replace the RetCam Shuttle illumination lamp: 1. If not already OFF, turn OFF the Main Power (see Turning OFF the RetCam Shuttle System on page 98). 2. Disconnect the power cord from the wall. 3.
  • Page 164: Figure 158 Eject The Bulb

    Maintenance and Support or catch the illumination lamp unit as you gently rotate this lever toward you (rotate it up, or counterclockwise to eject the lamp). Remove the old illumination lamp. Figure 158 Eject the Bulb Lamp ejector Touch only the exterior surface of the illumination lamp. Do not touch the bulb, which is located in the center of the reflector, nor the inner (concave) surface of the reflector.
  • Page 165: Figure 159 Catch The Bulb

    Chapter 12 Maintenance and Support Figure 159 Catch the Bulb 9. Holding the new lamp only on the outside, align the two pins in the rear with the corresponding tracks in the socket ensuring the alignment bumps on the lamp is aligned with the notch in the lamp bracket and push it gently and evenly into place.
  • Page 166: General Support Issues

    Key validation requires that you get a license key from Clarity to use the revamped system, and you cannot request this key until after installation is complete. Since it can take up to two (2) business...
  • Page 167: Figure 162 Authorization Key Dialog Box

    Maintenance and Support Figure 162 Authorization Key Dialog Box Follow the instructions on screen: Call Clarity Technical Services and provide the license key in the dialog box (for example, 75717632 in the example above) to the technical services representative. (The license number is unique for your system.) Be prepared to provide the model and serial number of your RetCam device.
  • Page 168: Technical Support

    Telephone support is available Monday through Friday from 8 a.m. to 5 p.m. Pacific Time. If necessary, please leave a message. Clarity Technical Services returns calls promptly. E-mail service@retcam.com Clarity’s U.S. Technical Services responds to e-mails promptly. Our goal is to respond within 24 hours of receipt. Mailing Address Send correspondence to: Clarity Medical Systems, Inc.
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  • Page 170: Technical Specifications

    Technical Specifications Technical Specifications • RetCam 3 Technical Specifications on page 169 · RetCam 3 Hardware Requirements on page 169 · RetCam 3 Software Requirements on page 170 · RetCam 3 Environmental Conditions on page 170 • RetCam Shuttle Technical Specifications on page 171 ·...
  • Page 171: Table 15 Retcam 3 Environmental Conditions

    Chapter 13 Technical Specifications RetCam 3 Software Requirements MS Windows® 7 operating system RetCam 3 Environmental Conditions The system as delivered is intended for use indoors, at normal room temperatures and humidity, upright, on a level surface, with the brakes applied to the front casters. Table 15 RetCam 3 Environmental Conditions Transport (in original shipping Condition...
  • Page 172: Retcam Shuttle Technical Specifications

    Technical Specifications RetCam Shuttle Technical Specifications RetCam Shuttle Hardware Requirements Physical • 19”(483 mm) wide x 19”(483 mm) deep x 34”(864 mm) high • Approximately 65 lbs. (30 Kg) Electrical • Ratings: 100 – 240V_, 50/60 Hz, 250VA • Input Power: 100-240 V~, 50/60 Hz •...
  • Page 173: Retcam Shuttle Environmental Conditions

    Chapter 13 Technical Specifications RetCam Shuttle Environmental Conditions The system as delivered is intended for use indoors, at normal room temperatures and humidity, upright, on a level surface, with the brakes applied to the front casters. Table 16 RetCam Shuttle Environmental Conditions Transport (in original Condition Operating...
  • Page 174: License Agreements

    This Agreement is governed in and by the laws of the State of California, U.S.A. This statement gives you specific legal rights; you may have others which vary from state to state and from country to country. Clarity Medical Systems, Inc. reserves all rights not specifically granted in this statement.
  • Page 175 GRANT OF SOFTWARE LICENSE. This EULA grants you the following license: • YOU MAY USE THE SOFTWARE ONLY ON THE DEVICE. • NOT FAULT TOLERANT. THE SOFTWARE IS NOT FAULT TOLERANT. CLARITY MEDICAL SYSTEMS, INC. HAS INDEPENDENTLY DETERMINED HOW TO USE THE SOFTWARE IN THE DEVICE, AND MS HAS RELIED UPON CLARITY MEDICAL SYSTEMS, INC.
  • Page 176 RetCam 3 and RetCam Shuttle User Manual PN 18-000393 Rev. A...
  • Page 177 Clarity Medical Systems, Inc. 5775 W. Las Positas Blvd. Pleasanton, CA 94588 Phone: +1 925-463-7984 Fax: +1 925-251-0078 Toll free: 1-800-215-6005 RetCam 3 and RetCam Shuttle User Manual www.claritymsi.com PN 18-000393 Rev. A...

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