Page 2 • Connect the equipment to an outlet on a different circuit from that to which the receiver is connected. • Consult Accutome Ultrasound, Inc. or an experienced radio/TV technician for help. This device complies with Part 15 of the FCC Rules. Operation of this product is subject...
Page 3: Table Of Contents
Indications for use..................6 Side Effects....................6 Contraindications..................7 Symbol Definitions for the Accutome A-Scan Plus Connect ...... 7 Safety Precautions ..................7 Disposal Requirements.................. 7 Disposal of the product within the EU............8 Disinfection and Cleaning.
Page 4 Accutome Probe with Goldman Tonometer Adapter ........18 Accutome Probe with Handle Extension ............. 19 Connecting the A-Scan Plus Connect to the Computer ....... 21 Installation of the Software................21 Basic Operation....................22 Starting Accutome A-Scan Plus Connect Program ........22 How to Start a New Patient Exam.
Page 5 Immersion..................... 58 Selecting the Default Scan Method.............. 58 How to Set the Default Capture Mode............59 Automatic..................... 59 Manual......................59 Selecting the Default Capture Mode............59 Auto Restart....................59 How to Set the Auto Capture Mode ............61 Audio Feedback on Live Scan.
Page 6 Save and Confirm Configuration Changes........... 117 Chapter 6: Entering Patient Information ........ 118 Overview ......................118 Exam Tab ....................... 118 New A-scan Study..................119 Entering Information On New A-scan Plus Connect Study Screen..120...
Page 7 Entering Data....................120 Moving Between Fields................120 Selecting Items from a Drop Down List............120 Patient Info....................120 Required Fields....................120 First and Last Name..................121 Medical Record Number................121 Date of Birth....................122 Remark.
Page 8 Auto Mode...................... 139 To Switch Between the Auto and Manual Modes........140 Auto Restart....................140 Using the Footswitch..................140 Edit Exam....................... 141 Save Exam....................... 141 Snapshot......................141 Printing Records.................... 141 How to Print a Record.................. 142 Screen Printout Formats.
Page 9 Network Folder or USB Disk Mode............. 174 IOLMaster 500 version 7.7................174 Setting up the A-Scan Plus Connect Synergy Software for IOLMaster 500 version 7.7............. 175 IOL Master 500 version 7.5 or older (7.4, 7.3, etc)........177 Operation of the Accutome A-Scan Plus Connect Software with IOL Master 500 version 7.7.
Page 10 Operating Modes.................... 184 Formula References..................185 Storage/Range Specifications................ 186 Acoustic Output..................... 188 EMC Compliance Information..............189 Chapter 12: Warranty and Repairs ..........190 Warranty......................190 Product Returns..................... 191 Service and Repair..................191 All Other Returns.
Page 11 Figure 3-10 A-Scan Plus Connect Control Unit Connect to a Laptop via USB Cable................20 Figure 3-10 Accutome A-Scan Plus Connect Desktop Shortcut........22 Figure 3-11 Main Screen Starting New Exam..............23 Figure 3-12 New A-scan Study Screen................24 Figure 3-13 Entering New Patient Information.
Page 12 Figure 5-12 Windows Browser - Locate Exam Folder........... 52 Figure 5-13 Selecting Exam Name Combinations............53 Table 5-2 Eye Types......................55 Table 5-3 Lens Materials and Velocities................. 55 Table 5-4 Anterior/Vitreous Materials and Velocities............. 55 Figure 5-14 Selecting the Default Eye Group.
Page 13 Figure 5-54 New Eye Type Window Opened..............92 Figure 5-55 New Eye Type Name Entered..............93 Figure 5-56 Selecting Lens Material................94 Figure 5-57 Entering Assumed Thickness..............95 Figure 5-58 Selecting the AC Material................96 Figure 5-59 Selecting Vitreous Material.
Page 14 Figure 9-3 Import/Export Screen..................174 Figure 9-4 Import/Export Screen..................176 Figure 9-5 Export Icon....................177 Table 11-1 Accutome A-Scan Plus Control Unit Physical Specifications...... 181 Table 11-2 Accutome A-Scan Plus Connect Physical Specifications......182 Table 11-3 Environmental Specifications............... 182...
Page 15 Non-Autoscanning Mode....................188 Table 11-11 Acoustic Output Reporting Table for Track 1 Non-Autoscanning Mode....................189 Table 12-1 Accutome Replacement Parts............... 192 Table A-1 A-Scan Plus Connect System Messages............193 Table A-1 A-Scan Plus Connect System Messages............194...
Page 16 All Accutome A-Scan Plus Connect units are manufactured by Accutome, Inc. at: 3222 Phoenixville Pike Malvern, PA 19355...
Page 17: Chapter 1: Introduction
Introduction Chapter 1: Introduction Accutome A-Scan Plus Connect Overview The Accutome A-Scan Plus Connect pictured below has all the features that make it easy to obtain scans with extreme accuracy and improved patient outcomes. Figure 1-1 Accutome A-Scan Plus Connect...
Page 18: Features
Accutome A-Scan Plus Connect User’s Guide Features The Accutome A-scan Plus Connect is designed for easy access to all screens and functions. The windows based software and proprietary universal interface provides unsurpassed ease of use and the straightforward Graphical User Interface guides you through every operation.
Page 19: Iol Calculations
Introduction IOL Calculations The Accutome A-Scan Plus Connect is also a leader in IOL Calculations and provides the following: • Modern formulas including Hoffer Q, Holladay, SRK/T, and Haigis • Compare results of all formulas simultaneously on a single screen for selected lenses •...
Page 20: About This Manual
Accutome A-Scan Plus Connect User’s Guide About this Manual Chapter 2 Summarizes safety precautions, Safety warnings, symbols, and terms. Chapter 3 Provides assembly instructions, Getting Started overview of Accutome A-Scan Plus Connect basic operation. Chapter 4 Describes the interface and how to How to navigate use all the buttons and screens.
Page 21 Synergy Software Chapter 10 Maintenance Provides general maintenance instructions. Chapter 11 Specifications Provides Accutome A-Scan Plus Connect physical and operational specifications. Chapter 12 Warranty and Repairs Describes Accutome A-Scan Plus Connect warranty information and repair procedures.
Page 22: Chapter 2: Safety
There are no known side effects associated with the use of A-scan ultra sound imaging. Any side effects associated with the use of the Accutome A-scan Plus Connect are related to the topical anesthetic chosen by the physician, used to anesthetize the eye of the patient.
Page 23: Contraindications
Connect. Symbol Definitions for the Accutome A-Scan Plus Connect Statements, graphics and symbols listed below are used on components of the Accutome A-Scan Plus Connect. Descriptions and meanings are listed to the right of the symbols. Attention! Consult Instruction Manual...
Page 24: Disposal Of The Product Within The Eu
If the A-Scan Plus Connect or its components are resold, the seller has the duty to notify the buyer that the product must be disposed of in accordance with currently valid national regulations.
Page 25: Electrical Hazard And Safety
Avoid use of damaged electrical equipment or frayed electrical cords. If repair or maintenance is being performed on the Accutome A-scan Plus Connect, the equipment must be turned off and the power cord disconnected.
Page 26: Avoiding Equipment Damage
Please refer to the manufacturer’s instructions regarding its use. The User is responsible for ensuring that the PC to which the A-Scan Plus Connect system is connected must be of the grounding type in compliance with applicable electrical codes. To avoid interruption of a procedure, the user is responsible for ensuring that all power and USB connections are secure and that the laptop is fully charged.
Page 27: Avoiding Electromagnetic And Other Interference
SHOULD NOT BE USED ADJACENT TO OR STACKED WITH OTHER EQUIPMENT AND THAT IF ADJACENT OR STACKED USE IS NECESSARY, THE A-SCAN PLUS CONNECT SHOULD BE OBSERVED TO VERIFY NORMAL OPERATION IN THE CONFIGURATION IN WHICH IT WILL BE USED.
Page 28: Chapter 3: Getting Started
You simply install the software and plug the USB Control Unit with probe into your computers USB port. The USB foot switch can either be plugged in the A-Scan Plus Connect Control Unit or any unused USB port in the computer.
Page 29: Personal Computer Specifications
256 MB NVIDIA® Quadro NVS 100M TurboCache™ A-Scan Plus Connect Control Unit The A-Scan Plus Connect Control Unit connects the A-probe to the computer. The Control Unit contains all the ports that connect the Control Unit to the computer, the analog to digital amplifier electronics, external gain control, A-probe connection and three (versions 1.1) USB ports, which may be used for...
Page 30: A-B Type Usb Cable (Control Unit To Computer)
Accutome A-Scan Plus Connect User’s Guide A-B Type USB Cable (Control Unit to Computer) A USB cable is provided to connect the A-Scan Plus Connect Control Unit to the computer. Printer In order to print out the measurements and the IOL calculations, you will need a local or network printer attached to the PC.
Page 31: Connecting The Probe
Getting Started Connecting the Probe The Accutome A-Scan Plus Connect probe connector is located on the right side of the instrument (facing the instrument). To connect the probe: 1. Locate the probe connector, which is located on the right side of the control unit (see Figure 3-1 below.)
Page 32: Probe Setup
User’s Guide Probe Figure 3-2 Probe Connected Probe Setup The Accutome A-Scan Plus Connect probe is an integral component. There are several options available for probe use. The Accutome A-Scan Plus Connect probe can be used: 1. With an immersion shell 2.
Page 33: Accutome Ultrasonic Probe Kit (Pn 24-4001)
Figure 3-3 Accutome Ultrasonic Probe Kit (PN 24-4001) Accutome Ultrasonic Probe Kit (PN 24-4001) The Accutome probe is designed to be used with an Immersion Shell. When using an immersion shell ensure that there is minimum a distance of 5mm between the bottom of the probe and the bottom of the immersion shell, as shown in Figure 3-5 on next page.
Page 34: Accutome Probe With Goldman Tonometer Adapter
Figure 3-5 Probe Setup with Immersion Shell Accutome Probe with Goldman Tonometer Adapter The Accutome probe is designed to be used with a Goldman Tonometer Adapter. When using the Tonometer Adapter: 1. Slide the adapter over the end of the probe as shown in Figure 3-6 below.
Page 35: Accutome Probe With Handle Extension
Getting Started Accutome Probe with Handle Extension The Accutome probe is designed to be used with a handle extension to increase the length of the probe. When using the probe handle extension: 1. Insert the probe into the handle extension as shown in Figure 3-7 below.
Page 36: Figure 3-8 Probe With Handle Extension And Insertion Tool
Accutome A-Scan Plus Connect User’s Guide Figure 3-8 Probe with Handle Extension and Insertion Tool Figure 3-9 Probe with Handle Extension Figure 3-10 A-Scan Plus Connect Control Unit Connect to a Laptop via USB Cable...
Page 37: Connecting The A-Scan Plus Connect To The Computer
Please see the A-Scan Plus Connect Installation Instructions for all Windows operating systems, which are included in the carrying case. Connect the A-Scan Plus Connect Control Unit to the computer via USB cable. A red indicator on the A-Scan Plus Connect Control Unit indicates that the Control Unit is powered up by the PC but Windows operation system (OS) is not seeing the Control Unit.
Page 38: Basic Operation
Windows program, either through a shortcut on the desktop or by accessing the “Start” programs menu. If launching the A-Scan Plus Connect software from the desktop, click on the icon displayed below. The A-Scan Plus Connect software will display at the Exams screen, see figure 3-11.
Page 39: How To Start A New Patient Exam
New A-Scan Study screen will launch as shown in Figure 3-12. The pre-filled information fields are from the setup defaults. 1. When you start a new exam the Accutome A-Scan Plus Connect will launch the New A-scan Study Screen shown in Figure 3-12 and will clear all patient info fields.
Page 40: Figure 3-12 New A-Scan Study Screen
Accutome A-Scan Plus Connect User’s Guide Figure 3-12 New A-scan Study Screen 2. Enter information in data fields by left clicking in each field and typing accordingly. In Figure 3-13 below the Last Name field has just been completed. To move from one field to another you may use the Tab Key on your computer keyboard or simply click on the field.
Page 41: Figure 3-14 Selection Facility
Getting Started 3. The Patient Info must be entered to proceed to the next screen. Select the First Name field and enter the Patient First Name. 4. Use the Tab key, or select the Last Name field and enter the Patient Last Name.
Page 42: Figure 3-15 Selection Physician
Accutome A-Scan Plus Connect User’s Guide Figure 3-15 Selection Physician. Figure 3-16 Selecting Operator...
Page 43: Figure 3-17 Click Done Creating A New Exam
8. Click on the “Done” button, located at the bottom right of the New A-scan Study Screen. Figure 3-17 Click Done Creating a New Exam 9. The A-Scan Plus Connect will launch the Exam Screen shown below. Figure 3-18 Measurement Screen...
Page 44: Using The Test Block
User’s Guide Using the Test Block The Accutome A-Scan Plus Connect comes with a test block included as an accessory. Refer to the figure below. The test block is provided as a convenient way to test the functionality of the instrument and probe.
Page 45: Preparing A Patient For Examination
The selections you can change are: • Automatic/Manual - which method are you using to take the measurement, automatic or manual? Automatic allows the Accutome software to determine when the probe has acquired a measurement, and manual allows the operator to determine when to capture the waveform.
Page 46: How To Take A Patient Measurement
4. Select the display range by selecting normal, extended or max. Normal should measure all but the longest of eyes. 5. If you are using the automatic mode, the Accutome A-Scan Plus Connect will automatically freeze when the minimum lock on criteria is met.
Page 47: How To Perform A Calculation
Getting Started How to Perform a Calculation After you have completed an axial length measurement you can calculate the power of the IOL for the patient. You can perform the calculation from the IOL Calculation Screen. To calculate a lens: 1.
Page 48: Figure 3-23 Iol Calculation Screen
Accutome A-Scan Plus Connect User’s Guide 2. The program will display the IOL Calculation Screen as shown in Figure 3-23 below. Note: For more information on Calculating IOLs refer to the “Performing Calculations” section of this manual. 3. Select the IOL “Group” by opening the drop down window. Position the curser over the Group and open the lens group selection by left clicking.
Page 49: Figure 3-24 K1, K2 Values
6. Pressing tab or using the mouse click on K2. 7. Enter K2 value in the same manner as K1. Note: When you first receive the Accutome A-Scan Plus Connect, the IOL Groups are empty. If there are no IOL Groups present on the Calculate IOL Screen, you will not be able to perform a calculation.
Page 50: Figure 3-25 Calculation Complete
These values are the optimal lens, and do not necessarily exist in the real world. The Accutome A-Scan Plus Connect also provides you with the power of the IOL that would achieve emmetropia. The emmetropic power is calculated and displayed under the ametropoic power in a smaller font.
Page 51: How To Print Or Save Report
To print a report: 1. Click on the “Printer” button as shown in figure 3-26 below. 2. The report will print to the printer connected to the Accutome A-Scan Plus Connect computer. To save the report: 1. To save the report, click on the “Save” button as shown in figure 3-26 below.
Page 52: Figure 3-27 Click Yes To Save
Accutome A-Scan Plus Connect User’s Guide 2. This message will be shown: WARNING!!! Saved exam will over write existing exam file. Proceed? Yes/No 3. Left click yes and save Figure 3-27 Click Yes to Save WARNING: IF YES IS NOT CLICKED DATA WILL...
Page 53: Chapter 4: How To Navigate The Screens And Buttons
Chapter 4: How to Navigate the Screens and Buttons Screens and Buttons Overview The Accutome A-Scan Plus Connect is a menu driven, Windows based A-Scan biometer. The A-Scan Plus Connect software allows you to control every feature for capturing waveforms and calculating the IOL powers including waveform display, adding lens material and eye types, adding unlimited IOLs, setting up IOL groups and setting preferences.
Page 54: Exams
The Exam tab is used to start a new patient and recall an existing patient for re-measure. In addition, this screen also allows you to import saved patient information from the previous model A-Scan Plus version 4.0. Figure 4-1 A-Scan Plus Connect Exams Screen...
Page 55: Measurement
Buttons and Screens Measurement The measurement screen is used when measuring the axial length of the patient. After entering the new patient information or recalling an existing patient, this screen is used to obtain, review and edit the axial length measurements, including gate adjustment.
Page 56: Iol Calculation
Accutome A-Scan Plus Connect User’s Guide IOL Calculation When the IOL calculation tab is selected, the completed axial length measurements and previously entered patient information are loaded. This will allow you to enter the keratometry reading, select the IOL calculation formula, select the lens constants and enter the targeted post-operative refraction.
Page 57: Setup
Buttons and Screens Setup The final tab is the setup tab. When this tab is selected, it allows you to set the personal preferences such as options, eye types, facilities, physicians, users, exports and personalization of the lens constant. This screen allows repetitive information such as the facility used, the Doctor’s name, and user information to be saved in the table.
Page 58: Chapter 5: Setting Up Personal Preferences
Chapter 5: Setting Up Personal Preferences Preferences Overview The Accutome A-Scan Plus Connect is equipped with personal preference options, and provides the flexibility to customize one’s instrument. Not only can one add new eye types and personalize lens constants, one may also set many operational defaults.
Page 59: Figure 5-2 Select Setup Tab
Personal Preferences After launching the Accutome A-Scan Plus Connect by double clicking the start icon on the desktop, you will see the Exams screen. Next, choose the setup tab. Figure 5-2 Select Setup Tab...
Page 60: Setup Tab Selections
Accutome A-Scan Plus Connect User’s Guide Setup Tab Selections When you select “Setup,” the Accutome A-Scan Plus Connect displays the setup window shown below. The window has tabs that correspond to the various setup features. Each tab will display the corresponding screen upon selection.
Page 61: Options
The Options tab (and related screen) is the first tab from the left in Setup. The Options screen (see Figure 5-4 below) allows you to set up optional operational parameters for the Accutome A-Scan Plus Connect application. The options you can set are: •...
Page 62: Default Folder
The Default Exam Folder selection allows you to designate the location of the folder in which you would like to store new patient exams. The default location is: C:\Accutome\Ascan\AscanplusConnectExams. You can store patient exams in any computer location you choose. To change from the default location: 1.
Page 63: Figure 5-6 Browse For Folder
Personal Preferences 2. The Accutome A-Scan Plus Connect will launch a Windows browser as shown in Figure 5-6 below. Using the browser locate the folder for storing exam data. 3. If you would like to restore the default folder for exam data, click on “Defaults”...
Page 64: Save And Confirm Configuration Changes
Accutome A-Scan Plus Connect User’s Guide Save and Confirm Configuration Changes Anytime an option is changed, such as the Default folder of exams, the changes must be saved to the configuration file. Once the changes have been made left click on the save button located on the lower right portion of the screen.
Page 65: Default Folder Of Version 4.0
This stored patient information may need to be recalled for review. The A-scan Plus Connect allows the version 4.0 information to be recalled and viewed. Once this information has been recalled it can be stored to the A-scan Plus Connect “Default Folder of Exams”.
Page 66: Figure 5-10 Windows Browser - Locate Exam Folder
Accutome A-Scan Plus Connect User’s Guide 2. The Accutome A-Scan Plus Connect will launch a Windows browser as shown in Figure 5-8 below. Using the browser, locate the folder where you would like to restore exam data. 3. If you would like to restore the default folder for exam data, click on “Reset.”...
Page 67: Net Share Folder
Personal Preferences Net Share Folder The previous model of the A-scan, the A-scan Plus Connect Version 4.0, has an active Ethernet port and may be connected to an office network. The net share allows you to specify the drive and file location within the network for the retrieval of version 4.0 patient information.
Page 68: Figure 5-12 Windows Browser - Locate Exam Folder
Accutome A-Scan Plus Connect User’s Guide 2. The Accutome A-Scan Plus Connect will launch a Windows browser as shown in Figure 5-12 below. Using the browser, locate the folder where you would like to restore exam data. 3. If you would like to restore the default folder for exam data, click on “Defaults”...
Page 69: Exam Name Combination
Personal Preferences Exam Name Combination The Exam Name Format allows you to select how patient information will appear on a patient exam and exam record. There are many combinations of several fields that are available for the Exam Name. The fields are as follows: •...
Page 70: How To Set The Default Eye Type
User’s Guide How to Set the Default Eye Type When the Accutome A-Scan Plus Connect is set up at the factory, it is equipped with predefined eye types and specific velocities for the predefined eye types. The Accutome A-Scan Plus Connect has a default eye type setting so that every time you start a new patient, you do not have to select an eye type.
Page 71: Eye Type Materials And Velocities
Personal Preferences Eye Type Materials and Velocities The table below list the preset eye types and define the materials and velocities for each eye type. Table 5-2 Eye Types Eye Type Name Lens Thickness Extra Lens Extra Material Lens Thickness Phakic Phakic Measured...
Page 72: Selecting The Default Eye Type
Figure 5-14 Selecting the Default Eye Group How to Set the Default Formula The Accutome A-Scan Plus Connect has the latest third and fourth generation IOL calculation program. Many surgeons have a particular favorite formula. The Accutome A-Scan Plus Connect has a default formula setting so that every time you start a new patient, you do not have to select the most frequently used formula.
Page 73: Formulas
Figure 5-15 Selecting the Default Formula How to Set the Default Scan Method The Accutome A-Scan Plus Connect supports two different methods of applying the probe to the cornea, contact mode and the non contact immersion method. Contact The contact method is where the probe is allowed to come in direct contact with the anesthetized cornea.
Page 74: Immersion
Selecting the Default Scan Method The A-Scan Plus Connect has a scan method setting so that every time you start a new patient, you do not have to select the scanning mode. When you start a new patient, the scan mode displayed on the measure screen will be the default scan mode selected in the options screen.
Page 75: How To Set The Default Capture Mode
Personal Preferences How to Set the Default Capture Mode The Accutome A-Scan Plus Connect has two methods of capturing the axial length measurement, the automatic mode and the manual mode. Automatic Automatic is where the software determines when the minimum criteria is found and automatically locks on the signal.
Page 76: Figure 5-17 Selecting Default Capture Mode
Accutome A-Scan Plus Connect User’s Guide the instrument from capturing automatically until the operator has determined the best measurement is found. Once the best waveform is found, release of the foot pedal will allow automatic capture to engage. The instrument will capture automatically, providing the auto capture conditions set in the options page have been met.
Page 77: How To Set The Auto Capture Mode
Personal Preferences How to Set the Auto Capture Mode The Accutome A-Scan Plus Connect allows you to define the automatic measurement mode by specifying how a measurement is automatically captured. There are a total of three criteria available and each can be turned off or on by the user on the Setup screen.
Page 78: Audio Feedback On Live Scan
A check in the box is an indication the Audio Feedback is activated. Selecting the Default K Index The Accutome A-scan Plus Connect allows the user to select the default refractive index of the keratometers being used in the office.
Page 79: Setting The Iol Step
The Accutome A-Scan Plus Connect allows you to specify the default target refraction that is most commonly used for patients. The target refraction may also be changed on a case by case basis when in the IOL calculation screen.
Page 80: Reset All To Defaults
Accutome A-Scan Plus Connect User’s Guide Reset All to Defaults If you would like to restore all option setting adjustments to the system defaults: 1. Click on “reset all to defaults.” 2. A “Restore All to System Setting” dialog will launch. If you would like to restore all option settings and not save changes, click “Yes.”...
Page 81: Gain
Personal Preferences Gain The gain feature of the Accutome A-Scan Plus Connect allows you to adjust the strength of the signal as it travels through the eye, thereby making the wave patterns higher, compensating for absorption. Adjusting the Gain The Accutome A-Scan Plus Connect provides a user-adjustable gain feature. To the right of the screen there is a knob with a red drag point.
Page 82: Import /Export
Select the second tab from the left labeled “Import/Export”. This screen allows you to turn on or off the Synergy function of the Accutome A-Scan Plus software. At the top of the screen in large yellow writing is a label “Synergy Mode”, with a small box at its left.
Page 83: Snapshots/ Reports
Personal Preferences Snapshots/ Reports The Accutome A-scan Plus Connect has the advanced feature of being able to export the print outs from any patient examination to any drive or network location that is specified in the “Folder to Export Reports”. This feature allows the patient reports and any screen snapshot to be shared by the electronic medical record.
Page 84: How To Activate Save Patient Demographics To An Xml File With Snapshot Function
How to Activate Save Patient Demographics to an XML File With Snapshot Function The Accutome software also allows the export of an XML file that has all of the patient demographics whenever a snapshot is requested. 1. Position the mouse cursor over the selection box and left click. When a check mark is in this box an XML file will be exported along with the screen snapshot.
Page 85: Select Folder To Export The Snapshot
6. Clicking on OK will confirm selection and enter it in to the Folder to export location. Default Folder The Default button allows the folder to export the snapshots to reset to the factory default setting of C:\Accutome\Ascan\ExportedSnapshots\. The default value is not saved or implemented until the save button is clicked.
Page 86: How To Activate The Export Reports
Figure 5-26 Activating Export Report Print New Report to Default Printer The Accutome software also allows the automatic printout of the report every time the print button is pressed. This feature gives the user a hard copy for review automatically. It may also be used as an indication of the report being exported to a network or drive location.
Page 87: Convert Pdf To Jpeg
Personal Preferences Convert PDF to JPEG This function allows automatic converting reports to JPEG format. Some EMR systems only take reports in JPEG format. Selection of “Convert to JEPG” feature will automatically convert newly created reports to JPEG format. 1. To activate the Convert PDF to JPEG feature position the mouse cursor over the selection box and left click.
Page 88: R/W Test
Facilities The Facilities tab (and related screen) is the fourth tab displayed upon starting Setup. The Accutome A-Scan Plus Connect provides the ability to add facilities where exams will take place. The list of available facilities is displayed at the right of the screen and command buttons related to facility functions are located below the list.
Page 89: Figure 5-30 Facility Information Being Entered
Personal Preferences 2. Activate the Name area under the Facility Information area as shown below. The available information fields are: • Name • Full Address • Telephone number Figure 5-30 Facility Information Being Entered...
Page 90: Deleting Facilities
Accutome A-Scan Plus Connect User’s Guide 3. After entering all facility data click “Save” to save the information. 4. An “Update Restore Point” dialog will launch. If you would like to save all changes, and have the current facilities setup become the data restore point click “Yes.”...
Page 91: Duplicate Facilities From Selected
4. You may change any facility information as needed. Set Selected Facility as Default To set a facility as the default A-Scan Plus Connect operation: 1. Select the facility you would like to become the default from the “Available Facilities” list.
Page 92: Physicians
Physicians The Physicians tab (and related screen) is the fifth tab from the left in Setup. The Accutome A-Scan Plus Connect provides the ability to add physicians to an A-Scan Plus Connect physician list. How to Add a New Physician To add a new physician: 1.
Page 93: Figure 5-34 Physician Name Entered
Personal Preferences 2. Activate the Name area under the Physicians Information area as shown below. The available information fields are: • First Name • Last Name • Facility - select entered facility from drop down menu • Department • Telephone Figure 5-34 Physician Name Entered 3.
Page 94: Deleting Physicians
1. Select the physician you would like to become the default from the “Available Physicians” list. 2. Click on “Set Selected as Default.” 3. The physician will become the default entry to appear when you power up the Accutome A-scan Plus Connect. Save To save default selection: 1. Click on “Save.”...
Page 95: Users
Users The Users tab (and related screen) is the sixth tab from the left in Setup. The Accutome A-Scan Plus Connect provides the ability to add users to the A-Scan Plus Connect user list. How to Add a New User To add a new user: 1.
Page 96: Figure 5-38 New User Information
Accutome A-Scan Plus Connect User’s Guide 2. Activate the Name area under the Users Information area as shown below. The available information fields are: • First Name • Last Name • Facility - select entered facility from drop down menu •...
Page 97: Deleting Users
Personal Preferences Figure 5-39 Are You Sure Deleting Users To delete a user: 1. Select the user you would like to delete from the “Available Users” list. 2. Click on “Delete.” 3. The user will be deleted from the list of Available Users. 4.
Page 98: Set Selected User As Default
Figure 5-41 Are You Sure Eye Types Overview The Accutome A-Scan Plus Connect provides the customer with the ability to create unique eye types that adapt the A-scan measurement for use with new material being created for ocular surgery. When you select the Eye Type tab, the screen will display the factory installed eye types and will show the velocities of sound used in them.
Page 99: To Add A New Eye Type
Personal Preferences Additional eye types will show up if you turn on Synergy Mode in the Import/ Export tab. Figure 5-42 Additional Eye Types To add a new Eye Type: 1. Open the Set Up tab by selecting the Eye Types Tab 2.
Page 100: Adding A New Lens Material
Accutome A-Scan Plus Connect User’s Guide Adding a New Lens Material Before using a selection from the “Lens Material” or “Anterior/Vitreous Materials” in the definition of an Eye Type, the Lens and Anterior/Vitreous material must exist in their respective material tables.
Page 101: Figure 5-45 New Lens Material Entered
Personal Preferences 3. You will see a new table open with no information in it. 4. Position the mouse cursor over the new “Material” description box and left click to activate. 5. Type in the description of the new lens material. 6.
Page 102: Figure 5-46 Are You Sure
Accutome A-Scan Plus Connect User’s Guide 8. Left click on “Update Eye Types.” Note: Clicking on the “Update Eye Types” button only confirms the entries as correct. “Save Configure” must be selected to save the new entries permanently to memory.
Page 103: How To Remove Lens Material
Personal Preferences How to Remove Lens Material 1. Position the mouse cursor over the lens material and velocity to be removed. 2. Left click. You will see the entry become highlighted. Only one entry per line needs to be highlighted. 3.
Page 104: Adding A New Anterior/Vitreous Material
Accutome A-Scan Plus Connect User’s Guide Adding a New Anterior/Vitreous Material Before using a selection from the “Lens Material” or “Anterior/Vitreous Materials” in the definition of an Eye Type, the Lens and Anterior/Vitreous material must exist in their respective material tables.
Page 105: Figure 5-49 New Anterior/Vitreous Material Entered
Personal Preferences 3. You will see a new table open with no information in it. 4. Position the mouse cursor over the new anterior/vitreous “material” description box and left click to activate. 5. Type in the new material description. 6. Pressing tab or left clicking the empty “Velocity” box will allow a velocity to be entered.
Page 106: How To Remove An Anterior/Vitreous Material
Accutome A-Scan Plus Connect User’s Guide Figure 5-50 Are You Sure How to Remove an Anterior/Vitreous Material 1. Position the mouse cursor over the Anterior/Vitreous material and velocity to be removed. 2. Left click. You will see the entry become highlighted. Only one entry per line needs to be highlighted.
Page 107: How To Create New Eye Type
Personal Preferences How to Create New Eye Type 1. Position the cursor over the “New Eye Type” button located within the “Manage Eye Types” box. Figure 5-53 Creating a New Eye Type...
Page 108: Figure 5-54 New Eye Type Window Opened
Accutome A-Scan Plus Connect User’s Guide 2. Left click on “New Eye Type.” 3. You will see a new table open with no information in it. Figure 5-54 New Eye Type Window Opened...
Page 109: Figure 5-55 New Eye Type Name Entered
Personal Preferences 4. Position the mouse cursor over the new eye type description box and left click to activate. 5. Type in the new eye type description. Figure 5-55 New Eye Type Name Entered...
Page 110: Figure 5-56 Selecting Lens Material
Accutome A-Scan Plus Connect User’s Guide 6. Using the mouse, position the cursor over the drop down window and left click. This will open the lens material window and allow the selection of the lens material to be included in the new eye type.
Page 111: Figure 5-57 Entering Assumed Thickness
Personal Preferences 8. Left click on the thickness window. 9. Type “Measured” when the thickness of the lens material is actually measured by the system, or when an assumed thickness is being used type in the thickness of the lens being measured. Figure 5-57 Entering Assumed Thickness...
Page 112: Figure 5-58 Selecting The Ac Material
Accutome A-Scan Plus Connect User’s Guide 10. Using the mouse, position the cursor over the drop down window and left click. This will open the AC Material (Anterior Chamber) window and allow the selection of the A.C. Material (Anterior Chamber) to be included in the new eye type.
Page 113: Figure 5-59 Selecting Vitreous Material
Personal Preferences 12. Using the mouse, position the cursor over the drop down window and left click. This will open the VC Material (Vitreous Material) window and allow the selection of the VC Material to be included in the new eye type. 13.
Page 114: How To Create A New Eye Type Based On A Previously Stored Eye Type
Accutome A-Scan Plus Connect User’s Guide Figure 5-60 Are You Sure How to Create a New Eye Type Based on a Previously Stored Eye Type 1. Position the mouse over the eye type that you would like to use as a template to create the new eye type form.
Page 115: Figure 5-62 New Eye Type Completed
Personal Preferences 3. Click on “Dup Selected” 4. You will see a duplicate entry added to “Manage Eye Types” list, labeled “undefined”. 5. Using the mouse cursor, select the entries you would like to change. 6. Open the drop down list and select from the materials listed. If the material required is not listed, refer to the “Add Lens Materials”...
Page 116: How To Delete An Existing Eye Type
Accutome A-Scan Plus Connect User’s Guide How to Delete an Existing Eye Type 1. Position the cursor over the Eye Type that you would like to delete. 2. Left click to activate. 3. Click “Delete Selected”. 4. The screen will prompt “Are you sure” “Yes or No””.
Page 117: Personalizing Iol Overview
Personal Preferences Personalizing IOL Overview One of the great features of the Accutome A-Scan Plus Connect is the ability to personalize the lens constants used in calculating lens power. This ability to fine tune lens constants results in even greater success for patient outcomes.
Page 118: Auto Personalization
Accutome A-Scan Plus Connect User’s Guide Auto Personalization 1. Position the mouse cursor over the Set Up tab and left click. This opens the Set Up screen. 2. Position the mouse cursor over the Personalize IOL tab and left click. This opens the personalization table.
Page 119: Figure 5-66 Selecting Iol Group
Personal Preferences 4. Left click the IOL groups drop down window. 5. Select and left click the lens group of interest. This will load four possible lenses and the constants in the table to the right. Figure 5-66 Selecting IOL Group 6.
Page 120: Figure 5-68 Selecting The Formula
Accutome A-Scan Plus Connect User’s Guide Note: The Accutome A-scan Plus Connect personalization program allows the user to selects the any personalization formula. The default value is based on the default formula chosen in the “Options” tab during the initial set up.
Page 121: Selecting The Patient Record To Be Personalized
Personal Preferences Selecting the Patient Record to be Personalized 1. Located on the lower right of the screen is the “Select Exam” button. Position the mouse over this button and left click. 2. The saved exams page will open. See figure 5-69 on next page. Using the mouse cursor, select patient records to be included by left clicking on them.
Page 122: Figure 5-70 Selecting Patients To Be Personalized
Accutome A-Scan Plus Connect User’s Guide Figure 5-70 Selecting Patients to be Personalized 4. The post operative result page will be populated with the stored information. 5. Using the mouse, position the cursor over the Pwr (power chosen) entry and left click.
Page 123: Figure 5-72 Multiple Entries Completed
Personal Preferences 7. Using the mouse, position the cursor over the Sph (postoperative sphere measurement) entry and left click. This activates the entry. 8. Type in the postoperative sphere. 9. Using the mouse, position the cursor over the Cyl (postoperative cylinder measurement) entry and left click.
Page 124: Manual Entry Of Personalization Information
Many surgeons may want to include information in the personalization of a lens constant when they upgrade from older models of the A-Scan. The Accutome A-scan Plus Connect has the ability to manually enter previous patient outcome information. Selecting IOL Group and Lens 1.
Page 125: Figure 5-74 Select Lens
Figure 5-74 Select Lens 6. Select the lens to be personalized. Note: The Accutome A-scan Plus Connect personalization program, allows the user to select any personalization formula. The default value is based on the default formula chosen in the “Options” tab during the initial set up.
Page 126: Manual Entry Of A Patient Record To Be Personalized
Accutome A-Scan Plus Connect User’s Guide Figure 5-75 Selecting the Formula Manual Entry of a Patient Record to be Personalized 1. Located on the lower right of the screen is the “Manual Enter” button. Position the mouse over this button and left click.
Page 127: Figure 5-77 Manual Entry
Personal Preferences 3. Position the mouse cursor over the “Name of Patient” cell and left click. The cell will become a dark blue allowing the patient name to be entered. 4. Type in the patient’s name. 5. Press the tab key or position the mouse over the Eye cell and left click. 6.
Page 128: Save And Confirm Configuration Changes
Accutome A-Scan Plus Connect User’s Guide 21. Once the information has been completely entered you will see the personalized lens constant in the Value cell. Save and Confirm Configuration Changes Anytime a table is updated the changes must be saved to the configuration file.
Page 129: Updating Iol Constant
Personal Preferences Figure 5-79 Are You Sure The prompt: “Save Configuration will overwrite existing configuration file! Are you sure you want to save?” “Yes or No”. Left click “Yes” to confirm the entry. Selecting “No” will not save the changes. Updating IOL Constant While you enter postoperative results you will notice the date change in the Average table, located at the bottom of the screen.
Page 130: Deleting Postoperative Results
Accutome A-Scan Plus Connect User’s Guide To do this: 1. Position the mouse cursor over the “Update IOL” button. 2. Left click 3. The message “Replace the lens constant with the average results!! Are you sure you want to overwrite the lens constants?” will appear.
Page 131: Deleting Current Postoperative Result
Personal Preferences Deleting Current Postoperative Result To delete current post operative result: 1. Select the IOL group. 2. Position the mouse cursor over the name of the patient to be deleted. 3. Left click to highlight. 4. Left click the “Clear Selected” button. 5.
Page 132: Deleting All Postoperative Results
Accutome A-Scan Plus Connect User’s Guide Deleting All Postoperative Results To delete all post operative result: 1. Select the IOL group. 2. Position the mouse cursor over Clear All. 3. Left click 4. The message “All entries will be removed from the post operative results table!! Are you sure you want to remove selected entries?”...
Page 133: Save And Confirm Configuration Changes
Personal Preferences Save and Confirm Configuration Changes Anytime a table is updated, such as when deleting personalization information, the changes must be saved to the configuration file. Once the changes have been made left click on the save button located on the lower right portion of the screen.
Page 134: Chapter 6: Entering Patient Information
Chapter 6: Entering Patient Information Information Overview The Accutome A-Scan Plus Connect is very simple to operate, and has advanced features to help you obtain the best possible measurements. The Exams tab is used for entering all patient related information, selecting existing patients for review, selecting existing patient for re-measurement, selecting a B-Scan Plus/UBM patient for measurement, and data storage.
Page 135: New A-Scan Study
Entering Patient Information Figure 6-1 Selecting New Exam New A-scan Study Once the New Exam button has been selected, a new A-scan study window will open. See Figure 6-2. Figure 6-2 Create New A-scan Exam...
Page 136: Entering Information On New A-Scan Plus Connect Study Screen
Selecting Items from a Drop Down List Some of the fields in the New A-scan Plus Connect Study Screen contain a drop down list. To select an item from the drop down list: 1. Select the drop down arrow to the right of the field.
Page 137: First And Last Name
Exam Name Format Combination selected in the Setup, Options tab. If the Medical Record Number is included in the Exam Name Combination, the Medical Record number is entered by the user. The A-Scan Plus Connect then generates an Exam ID based on the specific Exam Name Combination chosen.
Page 138: Date Of Birth
Accutome A-Scan Plus Connect User’s Guide Date of Birth If you choose to enter the date of birth it should be in the MM/DD/YY format as shown in Figure 6-5. Figure 6-5 Entering Patients Date of Birth The gender field provides a drop down to select either Male or Female as show in Figure 6-6.
Page 139: Remark
Entering Patient Information Remark The Remark Field in the Study Info section can be edited with any information related to the patient’s scan. To add information, click in the field and begin typing as shown in Figure 6-7. Figure 6-7 Entering Remark...
Page 140: Control Unit Info
The Serial Number field displays the serial number of the Accutome A-Scan Connect’s PCB and the firmware revision currently installed. Name The A-Scan Plus Connect generates a study name Exam ID based on the patients name, entered Medical Record number in combination with the date and tracking number.
Page 141: Facility
In the physician field you can select the physician for the Patient Exam by selecting the name from the drop down list. Physician names are entered in the A-Scan Plus Connect Setup. (Refer to the Setup Chapter of this manual). Figure 6-10 Selecting Physician...
Page 142: Operator
In the operator field you can select the operator for the Patient Exam by selecting the name from the drop down list. Operator names are entered in the A-Scan Plus Connect Setup on the Users tab. (Refer to the Setup Chapter of this manual).
Page 143: Recall Existing Patient
Entering Patient Information Clicking on the Done button will take you to the Measurement screen. Figure 6-13 Measurement Screen Recall Existing Patient When the “Exams” screen is displayed, all saved patient records are displayed and available to view.
Page 144: Selecting Existing Patient For Rescan
Accutome A-Scan Plus Connect User’s Guide Selecting Existing Patient for Rescan When performing a follow up examination of an existing patient, the previously stored patient data can be imported into the New A-scan Study window. To recall an existing patient, highlight and double click the Name of the patient in the Patient Records List.
Page 145: Selecting Rescan
Entering Patient Information Selecting Rescan Selecting the Rescan button will clear the previously measured scan and allow you to start a test. The message “Re-Scan will erase all existing measurements. Do you want to Re-scan all” will appear. Clicking yes will erase the previous measurement and allow you to continue to measure.
Page 146: Import Patient Information From Previously Saved B-Scan Plus/ Ubm Plus Information
Import Patient Information from Previously Saved B-Scan Plus/ UBM Plus Information The Acctutome A-scan Plus Connect, B-scan, and UBM Plus may all be operated on the same computer. The Accutome A-scan Plus Connect has the ability to import saved Accutome B-scan Plus and UBM Plus patient information for use in subsequent axial length measurements.
Page 147: Figure 6-18 Import B-Scan Exam
Entering Patient Information To recall an existing patient from saved B-scan/UBM information click on “Import B-Scan Exam”. Figure 6-18 Import B-scan Exam Position the mouse cursor anywhere on the patient to be recalled from saved patient list window. Double left click the patient to be recalled and the system will load all of the patient’s previously stored information and exam set up preferences.
Page 148: Delete Selected Exams Button
Accutome A-Scan Plus Connect User’s Guide Delete Selected Exams Button To delete a patient record, start at the Exams screen, position the mouse cursor over the record to be deleted and left click. The record to be deleted will now become highlighted a darker blue.
Page 149: Refresh List
Entering Patient Information Figure 6-21 Are You Sure Refresh List The refresh list tab is used to refresh the patient list when data has been imported into the stored patient record files. Select Folder Clicking on select folder allows you to browse the hard drive or network to select the location of the Exams folder.
Page 150: Exams Folder
The manage Ver 4.0 Exams tab allows you to import, view and save scans that have been previously saved to a memory stick or network drive location. The A-scan Plus Connect can import previous versions of patient records from the older version 4.0 A-scan as well as export printouts using either an Ethernet connection and/or a memory stick.
Page 151: Chapter 7: Measuring A Patient
Measuring A Patient Chapter 7: Measuring A Patient Overview The Accutome A-Scan Plus Connect is very simple to operate, and has advanced features to help you obtain the best possible measurements. The Accutome A-scan Plus Connect takes measurements by sending a signal through the eye through the ultrasonic probe.
Page 152: Measurement Tab
User’s Guide Measurement Tab When the measurement tab is selected the Accutome A-scan Plus Connect is ready to measure the axial length of the eye. When in this screen, all information that pertains to the axial length measurement of the eye is accessible.
Page 153: Eye Type
Measuring a Patient Eye Type When the Accutome A-scan Plus Connect is set up at the factory, it is equipped with predefined eye types and specific velocities for the predefined types. Description of the factory installed eye types and their characteristics are given below.
Page 154: Capture Method
Immersion The Accutome A-scan Plus Connect makes it easy to use the Immersion method. The immersion method yields improved accuracy by allowing direct detection of the corneal echo and eliminating compression of the ACD associated with the contact method.
Page 155: Gain
Auto Mode When you are using the Auto mode the Accutome A-scan Plus Connect uses the definitions of automatic mode that has been set up in the options screen.
Page 156: To Switch Between The Auto And Manual Modes
Accutome A-Scan Plus Connect User’s Guide To Switch Between the Auto and Manual Modes Clicking on Auto/Manual allows you to select either automatic capture or manual. Figure 7-3 Sclera and Retina Activated Auto Restart When checked, indicates the “Auto Restart” function is ON. The ultrasound measurement will automatically restart after each successful measurement.
Page 157: Edit Exam
When on the eye and the Accutome A-Scan Plus Connect is set to the automatic capture, the instrument will auto capture when the minimum lock on criteria is met.
Page 158: How To Print A Record
Screen Printout Formats The type of page the Accutome A-scan Plus Connect prints is determined by the screen from which you execute the print command. The screens and associated printout formats are: •...
Page 159: Figure 7-4 Measurement Reports
Measuring a Patient Figure 7-4 Measurement Reports Figure 7-5 Calculation Reports...
Page 160: Moving Gates
• Sclera Accuracy depends on probe alignment and gates and thresholds. The gates/ threshold tell the Accutome A-scan Plus Connect when to start looking for the different events in the waveform. Events will be detected to the right of the gate and above the threshold.
Page 161: Available Gates/Threshold
Measuring a Patient Available Gates/Threshold There are four vertical gates and one horizontal threshold along the horizontal and vertical axis of the waveform. The gates/threshold are as follows: • Cornea Gate • Anterior Lens Gate (visible if the eye type is not Aphakic) •...
Page 162: Figure 7-7 Reset Gates
Accutome A-Scan Plus Connect User’s Guide Edit Gates of all Scan When checked, the gate of all scans will move together and axial length of all scans will be recalculated. When unchecked, only the gate of the current scan will change.
Page 163: Chapter 8: Performing Calculations
Performing Calculations Chapter 8: Performing Calculations Overview Performing IOL calculations with the Accutome A-scan Plus Connect can be as simple as clicking the Calculate Tab. There are numerous features available to enhance the calculation process. The Accutome A-scan Plus Connect instantly calculates emmetropic and...
Page 164: Iol Calculation Tab
IOL Group. The Accutome A-scan Plus Connect allows the user to fine tune the calculation by providing the ability to change the AXL value, the lens, formula and desired postoperative refraction (the target).
Page 165: Figure 8-2 Iol Calculation Screen
Performing Calculations When the “IOL Calculation” tab is selected the Accutome A-scan Plus Connect displays all information that pertains to the IOL Calculation and allows the following. • The power of up to four lenses simultaneously • Select IOL Group •...
Page 166: Manage Iol Groups
IOL groups. When you set up IOL groups you set them up in the Manage IOL Groups screen. The manage IOL groups screen is the only location within the Accutome A-scan Plus Connect for entering IOL information.
Page 167: Manage Iol Groups Screen
Performing Calculations Manage IOL Groups Screen This screen displays a list of all IOL groups and their associated lens constants. The individual lens group may be labeled and are divided into four entries, consisting of a name or a description of the implant, the lens constant which may be represented as an A-constant, ACD for Hoffer Q, SF for Holladay, ACD for SRK and Haigis as A0, 1 and 2.
Page 168: Entering Iol Group Information
Accutome A-Scan Plus Connect User’s Guide Entering IOL Group Information 1. Use the mouse and left click on the New button. Figure 8-5 Select New IOL Group 2. An empty IOL group will be displayed on the screen. Figure 8-6 New IOL Group Selected...
Page 169: Figure 8-7 Group Name Added
Performing Calculations 3. Type in the group name and press tab. Figure 8-7 Group Name Added 4. Enter the description of the first lens. Figure 8-8 Entering the Description of the Lens...
Page 170 Accutome A-Scan Plus Connect User’s Guide Note: Pressing tab saves the entry and advances to the next entry. You may also press enter and use the mouse to advance to the next entry. Note: This procedure used the a-constant as the IOL constant. You can enter the ACD of SF as the first constant entered also.
Page 171: Figure 8-9 Entering A-Constant
A-constant and type in the A-constant. Figure 8-9 Entering A-Constant 6. Press enter. 7. The Accutome A-Scan Plus Connect will calculate corresponding IOL constants for each formula and automatically fill out the formula cells in each table Figure 8-10 First Lens Entered...
Page 172: Clear
Accutome A-Scan Plus Connect User’s Guide 8. Continue to enter all lens information for the IOL Group in the same manner. When you have completed the table, position the mouse over the lock icon or check box next to lock and left click. This locks the lens group.
Page 173: Remove Selected Groups
Performing Calculations Remove Selected Groups Periodically, entire lens groups including the name of the group, lens descriptions and constants need to be removed. To remove a lens group first ensure that the group is unlocked, then check “select” tab and click on “Remove selected groups”. Figure 8-12 Selecting Lens Group to be Removed Done Selecting “Done”...
Page 174: Save Changes
Accutome A-Scan Plus Connect User’s Guide Save Changes Pop-up window will display “Would you like to save the changes of the IOL Groups” before closing the “Manage IOL Groups window” click Yes, No, or Cancel. See Figure 8-13. Figure 8-13 Save Changes...
Page 175: Select Iol Groups
Figure 8-14 Selecting IOL Group Selecting Formula The Accutome A-Scan Plus has third and fourth generation formulas. You may want to select the formula used to calculate the IOL power based on the patient’s needs. To change between formulas click on the desired formula to highlight it as shown in Figure 8-15.
Page 176: Changing The Axl Value
User’s Guide Changing the AXL Value The A-Scan Plus Connect allows the user to fine tune the calculation by providing the ability to change the AXL value. You can select the AXL value from any of the five measurements, or you can enter your own axial length.
Page 177: Entering K1 And K2 Values
Performing Calculations To enter a value: 1. Position the cursor over the AXL length measurement box field in the measurement table, located on the upper right corner of the screen. 2. Left click the mouse to select. 3. Delete the current entry if there is one. 4.
Page 178: How To Enter The K1, K2 Values
Accutome A-Scan Plus Connect User’s Guide How to Enter the K1, K2 Values 1. Position the mouse cursor over the K1 box. 2. Left click the mouse to activate the box. 3. Type in the K reading from the keratometer.
Page 179: Rx Surgery
The methods and formulas presented by the Accutome A-Scan Plus Connect for this type of patient should only be used by a qualified individual who has done due diligence to determine the best method, and how to execute that method, for each patient.
Page 180: Determining Corneal Power After Refractive Surgery
The K value (corneal power or corneal curvature) for patients that have had corneal refractive surgery cannot be determined using common methods. Four K Post formulas, or methods, are available in the Accutome A-Scan Plus to determine the current corneal power for refractive patients (Kpost).
Page 181: Changing Rx Surg Field To Yes
Performing Calculations The Kpost calculation methods are listed in order of preference, with the Clinical History method widely accepted as the most accurate. The Clinical History method is the default for new patients. For the refractions entered, the vertex of the refraction is stored and becomes the default for the next patient.
Page 182: Clinical History Method
Accutome A-Scan Plus Connect User’s Guide When the Rx Surg field is set to Yes, the K1/K2 fields are replaced with Kpre and Kpost methods and associated fields appear in the middle, bottom of the screen. PLEASE NOTE: The Kpre field is an average of the measured K1 and K2 prior to corneal refractive surgery.
Page 183: Figure 8-18 K-Post Formula Selection Window Open
Performing Calculations 1. Position the mouse cursor over the Kpost formula drop down window. 2. Select the Clinical history method 3. Left Click the mouse to select the clinical history formula 4. Position the mouse cursor over the fields to enter data. 5.
Page 184: Contact Lens Method
Accutome A-Scan Plus Connect User’s Guide Contact Lens Method The Contact Lens method requires you to enter the following fields: • K-pre, the average K value before refractive surgery • Current refraction in Sphere and Cylinder. • Base Curve (of the contact lens) •...
Page 185: Shammas Clinical Method
Performing Calculations Shammas Clinical Method The Shammas Clinical method requires you to enter the following fields: • K-pre, the average K value before refractive surgery • K1 (measured)* • K2 (measured)* *Measured - using a manual keratometer on the post refractive surgery cornea. 1.
Page 186: Calculation Results
IOL. The Accutome A-Scan Plus Connect also provides you with a lens value for a zero target (Emmetropia). The zero target values are listed below the optimal IOL powers in small numbers.
Page 187: Printing Records
Figure 8-22 Print Icon Screen Printout Formats The type of page the Accutome A-scan Plus Connect prints is determined by the screen from which you execute the print command. The screens and associated printout formats are: •...
Page 188: Sample Printouts
Accutome A-Scan Plus Connect User’s Guide Sample Printouts Are given to provide you samples of the printout formats. Save Exam Clicking on save exam saves the current patient information and waveforms to the storage location, specified in the setup, options screen.
Page 189: Chapter 9: Synergy Mode
Sonolink software option is installed. If the Sonolink software is not present, your IOL Master 500 will be unable to export data to the A-Scan Plus Connect. Please contact Zeiss with any questions about your IOL Master 500 or the Sonolink software.
Page 190: Network Folder Or Usb Disk Mode
“Import/Export”. This screen allows you to turn the Synergy function on or off of the Accutome A-Scan Plus Connect software. At the top of the screen in large yellow writing is a label “Synergy Mode”, with a small grey check box at its left.
Page 191: Setting Up The A-Scan Plus Connect Synergy
Synergy Mode Setting up the A-Scan Plus Connect Synergy Software for IOLMaster 500 version 7.7 1. Power on IOL Master 2. Select the i icon in the top right hand corner of the IOL Master screen 3. On the next screen (About IOL Master)
Page 192: Figure 9-4 Import/Export Screen
Number of A-Scans Connecting to One IOL Master 500: if you have more than one Accutome A-Scan Plus Connect with Synergy software, you can connect all units to the IOL Master 500. If multiple connections are done, you will be asked to select the patient name from a pop-up exam list.
Page 193: Iol Master 500 Version 7.5 Or Older (7.4, 7.3, Etc)
5. Remove the USB Disk from the IOL Master and plug it into the Accutome A-Scan Plus Connect control unit, or any open USB ports on the PC that you are using to run the A-Scan Plus Connect.
Page 194: Operation Of The Accutome A-Scan Plus Connect Software With Iol Master 500 Version 7.7
Operation of the Accutome A-Scan Plus Connect Software with IOL Master 500 version 7.7 1. Set the Accutome A-scan Plus software to Network Folder under the Method of Data Exchange under the “Setup” tab. 2. Return to the Exams screen by clicking on the Exams tab at the top of the screen.
Page 195 IOL Master screen. This will export both eyes in one data file to the Accutome A-Scan Plus Connect. If at any point you wish to stop using the Accutome A-Scan Plus as the Synergy device, simply turn off the Synergy mode in the setup screen under the Import/...
Page 196: Chapter 10: Maintenance
Safety Inspection Safety inspections should be done to ensure the Accutome A-Scan Plus Connect remains in perfect operating condition. Device should undergo a monthly safety check involving a visual inspection of the entire system. Inspect the device and its environment specifically against each relevant item in Chapter 2 –...
Page 197: Chapter 11: Specifications
0.43Kg (15.1 oz.) DC Input 5VDC, 500mA typical via USB cable from PC External I/O Connectors USB Master USB B Type, R/A USB Slave 3 USB A Type, R/A, USB 1.1 compatible Device classification of A-Scan Plus Connect Control Unit: continuous operation.
Page 198: Environmental Specifications
Weight .337 lb. .153 kg Environmental IP20, IP68 Environmental Specifications Table 10-3 below lists the Accutome A-Scan Plus Connect system operating and storage values for temperature and humidity. Table 11-3 Environmental Specifications Temperature Operating +10° C to + 40° C Storage -20°C to + 60°C...
Page 199: Measurement Accuracy
Computer Specification Table 10-5 on the next page provides the recommended specifications for the computer to be used with the Accutome A-Scan Plus Connect. Note: The user must supply the computer. The computer is not provided with the Accutome A-Scan Plus Connect.
Page 200: Operating Modes
Accutome A-Scan Plus Connect User’s Guide Table 11-5 Recommended Computer Specifications Windows based PC, with Intel Duo (2.40 GHz) 4M L2 Cache, 667 MHz Dual Core or higher I/O Ports Minimum 3 USB 2.0 Operating Systems Windows® XP Professional, SP2 15.4 inch WSXGA + LCD or larger...
Page 201: Formula References
Specifications Formula References Table 10-7 below lists the references for the calculation formulas used in the Accutome A-Scan Plus Connect Table 11-7 Formula References Hoffer Q Formulas are implemented as defined in “The Hoffer Q formula: A comparison of theoretic and regression formulas” by HOFFER KJ: The Hoffer Q Formula: A comparison of theoretic and regression formulas.
Page 202: Storage/Range Specifications
Accutome A-Scan Plus Connect User’s Guide Storage/Range Specifications Table 10-8 below lists the data storage and range specifications of the Accutome A-Scan Plus Connect. Table 11-8 Data Specifications Stored Data Capacity Waveforms/ Patient Unlimited Stored Patients 120 total; 30 groups of 4...
Page 203 Entered IOL SF Range 0.01 mm to 9.99 mm Entered ACD Range -9.999 to 9.999 Entered IOL a0 constant Range -0.999 to 0.999 Entered IOL a1 constant range -0.999 to 0.999 Entered IOL a2 constant range Accutome Clock Through year 2099 Clock/calandar valid...
Page 204: Acoustic Output
Accutome A-Scan Plus Connect User’s Guide Acoustic Output Table 10-10 below provides the acoustic output reporting for the following: Transducer Model: Accutome A-Scan Plus Connect Operating Mode: A-Scan Application(s): Ophthalmic Table 10-11 Acoustic Output Reporting Table for Track 1 Non-Autoscanning Mode ISPTA.3...
Page 205: Emc Compliance Information
Specifications Table 11-11 Acoustic Output Reporting Table for Track 1 Non-Autoscanning Mode Control 1 Control 2 Operating Control 3 Control Conditions Control 4 Control 5 These values are based on measurements of production units. The “derated” intensity calculations are based on the measured center frequency of the acoustic signal (fc, MHz) and the distance from the transducer under test to the hydrophone (z, cm) using the derating factor e-0.069fcz.
Page 206: Chapter 12: Warranty And Repairs
Any product that is proven to be defective will be repaired or replaced at our discretion, free of charge, up to one year from the date of purchase by the initial user of the equipment from Accutome, Inc. or any of its authorized distributors.
Page 207: Product Returns
Warranty and Repairs Product Returns Follow the instructions given below to return products to Accutome, Inc. Service and Repair Before returning instruments for service or repair, contact the Accutome Technical Service Group for a Return Goods Authorization (RGA) number. Toll Free (in USA):...
Page 208: Replacement Parts
Accutome A-Scan Plus Connect User’s Guide Replacement Parts Table 11-1 below lists items that are available from Accutome, Inc. or from your local sales representative. Please be sure to use the Accutome part number for the item when placing an order.
Page 209: Appendix
Peforming Calculations Appendix Appendix Table A-1 A-Scan Plus Connect System Messages Message Problem Solution Indicator on A-Scan Plus The Control Unit Check and make sure the Connect Control is dark is not connected to Control Unit is connected the PC to the PC with USB cable provided by Accutome.
Page 210 Accutome A-Scan Plus Connect User’s Guide Table A-1 A-Scan Plus Connect System Messages Message Problem Solution “Error opening log file” Another A-Scan Press the “OK” to exit and message pop-up after Plus Connect use the one already running. launching the A-Scan Plus...

Accutome A-Scan Plus Connect User Manual

Chapter 1: Introduction

Accutome A-Scan Plus Connect Overview

About this Manual

Chapter 2: Safety

Safety Information

Safety Precautions

Disposal Requirements

How to Prevent Patient-To-Patient Transfer of Infection

Electrical Hazard and Safety

Avoiding Equipment Damage

Chapter 3: Getting Started

Assembling the Accutome A-Scan Plus Connect

Assembling the A-Scan Plus Connect

Probe Setup

Basic Operation

Chapter 4: How to Navigate the Screens and Buttons

Overview

Main Tabs

Chapter 5: Setting up Personal Preferences

Overview

Setup Tab Selections

Save and Confirm Configuration Changes

How to Set the Default Eye Type

How to Set the Default Formula

How to Set the Default Capture Mode

How to Set the Auto Capture Mode

Audio Feedback on Live Scan

Selecting the Default K Index

Target

Reset All to Defaults

Gain

Import /Export

Snapshots/ Reports

How to Activate the Export Reports

R/W Test

Facilities

Physicians

Users

Eye Types

Adding a New Lens Material

Manual Entry of Personalization Information

Chapter 6: Entering Patient Information

Overview

Exam Tab

New A-Scan Study

Required Fields

Entering Information on New A-Scan Plus Connect Study Screen

Control Unit Info

Serial Number

Name

Facility

Physician

Operator

Quick Links

Related Manuals for Accutome A-Scan Plus Connect

Summary of Contents for Accutome A-Scan Plus Connect