Optos P200T E Series User Manual

Oct ophthalmoscope

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USER GUIDE

Optos OCT Ophthalmoscope

P200TxE

optos.com

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Page 1 USER GUIDE Optos OCT Ophthalmoscope P200TxE optos.com...
Page 2 In the United States of America, Federal law restricts this device to sale by or on the order of a physician. CAUTION Page 2 of 72 Part Number: G110230/1ENG English Copyright 2019, Optos plc. All rights reserved.
Page 3 This document may only be used for your personal, non-commercial use. This document and all its contents (including without limitation, all text, formats, graphics and logos) are the property of Optos plc and are protected from unauthorized copying and dissemination by the Copyright, Designs and Patents Act 1988 (as amended), by various intellectual property laws and by international conventions.
Page 5: Table Of Contents
3.1 Get started 3.1.1 Switch on each day 3.1.1.1 Switch on the image server 3.1.1.2 Switch on the scan head 3.1.1.3 Switch on browser-based review clients Part Number: G110230/1ENG Page 5 of 72 Copyright 2019, Optos plc. All rights reserved. English...
Page 6 3.2.8.3 What to do after OCT image capture 3.2.8.4 SNR and OCT scan quality 3.2.9 Capture using Multi-mode 3.2.10 Manage the patient session 3.3 Review images Page 6 of 72 Part Number: G110230/1ENG English Copyright 2019, Optos plc. All rights reserved.
Page 7 3.4.9 Troubleshooting 3.4.9.1 Why can't I login? 3.4.9.2 What information do I need when contacting Optos? 3.4.9.3 How do I image if the alignment system does not recognize the eye? 3.4.9.4 How do I restart the scan head? 3.4.9.5 How do I restart the image server? 3.4.9.6 What should I do if the PC drive on the image server is full?
Page 8 Sweden 5.2.9 Switzerland 5.2.10 United Kingdom and other European countries Patient Alignment Guide List of Tables TABLE 1: Network specification TABLE 2: List of parts Page 8 of 72 Part Number: G110230/1ENG English Copyright 2019, Optos plc. All rights reserved.
Page 9 FIGURE 2: Network data flow FIGURE 3: Optos OCT line scan example position and scan pattern FIGURE 4: Optos OCT raster scan example area, scan pattern and fixed center FIGURE 5: Optos OCT retina scan example scan area and cross hairs...
Page 11: Warnings And Cautions
If the device appears faulty or has non-functioning components, please contact your Optos representative, see Contact us on page 67. If you have any questions regarding the correct use of your device, please contact your Optos representative before attempting to operate the device.
Page 12 1. Isabel Escudero-Sanz and Rafael Navarro, "Off-axis aberrations of a wide-angle schematic eye model," J. Opt. Soc. Am. A 16, 1881-1891 (1999). 2. Signal to noise ratio Page 12 of 72 Part Number: G110230/1ENG English Copyright 2019, Optos plc. All rights reserved.
Page 13: Laser Safety
Chapter 1 - Warnings and cautions Installation and maintenance Your device will be installed by Optos trained personnel. Do not operate the device until they have completed the installation and training. Your Optos representative will configure the settings when the device is installed. These settings should not be changed in the course of normal operation.
Page 14: Electrical Safety
Care must be taken never to touch exposed parts of the device while in physical contact with a patient. If the mains cable is damaged do not use the system and contact your Optos representative, see Contact us on page 67.
Page 15: Emc Safety
If you suspect the device may be faulty see Troubleshooting on page 55. WARNING If the fault still persists, please contact your Optos representative, see Contact us on page 67. Part Number: G110230/1ENG Page 15 of 72 Copyright 2019, Optos plc.
Page 16: Cleaning Guidelines
Dispose of the dirty cloth after each wipe to avoid transferring the dust back on to the mirror. You will have to use several wipes to clean the mirror. Page 16 of 72 Part Number: G110230/1ENG English Copyright 2019, Optos plc. All rights reserved.
Page 17: Maintaining Information Security
If you believe cleaning sprays or liquids have got into the equipment, disconnect the power supply and have the equipment checked by Optos qualified service personnel. Do not let the cleaning wipes come into contact with the inside of the instrument.
Page 18: Data Security
PC and Viewing PCs by following the instructions displayed during the update. 1.10 Software on Optos-supplied PCs Only install software when supplied and instructed by Optos. Installing new software Contact Optos Customer Support if you need to install other software, see Contact us on page 67. Updating existing software CAUTION Your System Administrator should carry out software upgrades using the software and instructions provided by Optos.
Page 19: Symbol And Label Information
Damage to the equipment or loss of data. Interference may occur in the vicinity of equipment marked with this symbol. Laser device present. This symbol is used internally. Only Optos trained personnel are permitted to service the device. Under normal use, operators should never see this symbol.
Page 20 Chapter 1 - Warnings and cautions Symbol and label information Consult accompanying documents. Disposal in compliance with WEEE Directive. Page 20 of 72 Part Number: G110230/1ENG English Copyright 2019, Optos plc. All rights reserved.
Page 21: Introduction
Optos’ technology is designed to operate through a minimum pupil diameter of 2 mm. Although pupil dilation is not required, the decision to dilate is a medical decision to be made by the eyecare professional.
Page 22: Contraindications
The chin rest supports the patient's head when the patient is being imaged, see Chin rest Using the chin rest and head rest on page 33. Page 22 of 72 Part Number: G110230/1ENG English Copyright 2019, Optos plc. All rights reserved.
Page 23: Network Specification And Characteristics
1 Gbps recommended Connection security All transport HTTPS by default Connection ports (defaults) 443, 56620 Unused ports Locked on scan head and image server PC Part Number: G110230/1ENG Page 23 of 72 Copyright 2019, Optos plc. All rights reserved. English...
Page 24: Image Modalities
FIGURE 2: Network data flow 2.6.3 Image modalities Optos multi-modal ultra-widefield retinal imaging enables the capture of posterior images, with a field of view of up to 200 degrees in a single capture, and in an imaging time of less than 0.4 seconds.
Page 25: Oct Imaging Modalities
1. Isabel Escudero-Sanz and Rafael Navarro, "Off-axis aberrations of a wide-angle schematic eye model," J. Opt. Soc. Am. A 16, 1881-1891 (1999). Part Number: G110230/1ENG Page 25 of 72 Copyright 2019, Optos plc. All rights reserved. English...
Page 26: Multi-Mode Workflow
Captures a high density raster scan of OCT images covering a 20 x 20 degrees (6 mm x 6 mm) field of view centered around the optic nerve head. The Optos OCT optic nerve head scan comprises 111 horizontal line scans.
Page 27: Understanding The Review Software
CAUTION TABLE 2: List of parts Part Number Part M13322 Head rest M13230 Chin rest B13177 Face pad B14294 Dust cap A10612 Touch screen Part Number: G110230/1ENG Page 27 of 72 Copyright 2019, Optos plc. All rights reserved. English...
Page 28 Mains power cable C5881 Network cable 1. Where the OptosAdvance image server software is installed on a compatible virtual machine the physical server will not be supplied. Page 28 of 72 Part Number: G110230/1ENG English Copyright 2019, Optos plc. All rights reserved.
Page 29: How To
1. Remove the scan head fabric cover. 2. Check the image server is switched on and fully started up before switching on the scan head. Part Number: G110230/1ENG Page 29 of 72 Copyright 2019, Optos plc. All rights reserved. English...
Page 30: Switch On Browser-Based Review Clients
I restart the image server? on page 58. You will be unable to capture images if the self-tests have not been successful. Please restart the scan head. If the problem persists please contact your Optos representative, see Contact us on page 67.
Page 31: Shut Down The Scan Head
CAUTION You should restart the image server each week to allow updates to install. 1. Exit OptosAdvance. 2. Select the "Windows" button. 3. Select Restart. Part Number: G110230/1ENG Page 31 of 72 Copyright 2019, Optos plc. All rights reserved. English...
Page 32: Use The System
When capturing OCT scans the hand control can also be used to adjust the scan, see How to optimize OCT scan quality on page 45. The retina view will update in real time to show the location of the scan. Page 32 of 72 Part Number: G110230/1ENG English Copyright 2019, Optos plc. All rights reserved.
Page 33: Using The Chin Rest And Head Rest
The head rest comprises a forehead pad that supports the patient's head. The chin rest and head rest should be kept clean, see Cleaning before each patient on page 53. Part Number: G110230/1ENG Page 33 of 72 Copyright 2019, Optos plc. All rights reserved. English...
Page 34: Capture Images
FIGURE 8: Chin rest and head rest 3.2 Capture images These procedures should be used as the basic procedure for all image captures. Please contact your Optos representative if the image modality you want is not available, see Contact us on page 67.
Page 35: Working With Patient Details
For example, to search for John Smith, who was born on 23 May 1987 and who has a patient ID of 456789 you could enter: by name: Sm 1987 Smith 23 (birthday on the 23rd day) Part Number: G110230/1ENG Page 35 of 72 Copyright 2019, Optos plc. All rights reserved. English...
Page 36: Working With Modality Work List (Mwl)
MWL and display the corresponding MWL Work Item. Note Please contact your Optos representative if introducing MWL to your site. 3.2.2 How to prepare for image capture Before you capture an image the patient needs to be aligned and the image options selected.
Page 37: How To Align The Patient
FIGURE 10: Position of the canthus mark on the covers 1. The inner or outer corner of the eye where the upper and lower eyelids meet. Part Number: G110230/1ENG Page 37 of 72 Copyright 2019, Optos plc. All rights reserved. English...
Page 38: Figure 11: Aligned Patient
If the patient has very large pupils you may choose to capture when the target is blue. You can make adjustments using the hand control, see Using the hand control on page 32. 1. Intraocular lens Page 38 of 72 Part Number: G110230/1ENG English Copyright 2019, Optos plc. All rights reserved.
Page 39: How To Capture Slo Images
How to capture SLO angiography images 3.2.4 How to capture SLO images To capture SLO images use the procedure below: FIGURE 12: SLO capture workflow Part Number: G110230/1ENG Page 39 of 72 Copyright 2019, Optos plc. All rights reserved. English...
Page 40: What To Do After The Image Is Captured
The next image captured will be an on-axis image. Eye steering direction selected Superior In this example, the next image captured will be a Superior eye steered image. Page 40 of 72 Part Number: G110230/1ENG English Copyright 2019, Optos plc. All rights reserved.
Page 41: How To Capture Slo Stereo Images
1. Position the patient, see How to prepare for image capture on page 36. 2. Align the patient, see How to align the patient on page 37 3. Select the stereo pair options on the touch screen. Part Number: G110230/1ENG Page 41 of 72 Copyright 2019, Optos plc. All rights reserved. English...
Page 42: How To Capture Slo Angiography Images
The contrast is set separately for optomap and optomap images. When you change between optomap and optomap icg, the device uses the most recent contrast settings for the selected image modalities. Page 42 of 72 Part Number: G110230/1ENG English Copyright 2019, Optos plc. All rights reserved.
Page 43: How To Capture Oct Images
8. Select the live SLO image on the touch screen or press the top button on the hand control to capture. 9. If required, select Press to check OCT quality to replay the scan. Part Number: G110230/1ENG Page 43 of 72 Copyright 2019, Optos plc. All rights reserved. English...
Page 44: The Patient's View Of Oct Alignment
Ask the patient to look off center towards a suitable reference point on the alignment target and recapture the optomap image. For more information on the alignment targets, see Patient Alignment Guide on page 71. Page 44 of 72 Part Number: G110230/1ENG English Copyright 2019, Optos plc. All rights reserved.
Page 45: How To Optimize Oct Scan Quality
Ask the patient to avoiding blinking at the start of the auto-routines. A few seconds after the auto-routines have started the patient may blink occasionally without impacting the OCT setup. Part Number: G110230/1ENG Page 45 of 72 Copyright 2019, Optos plc. All rights reserved. English...
Page 46: What To Do After Oct Image Capture
Scan position errors indicate that the scan position cross reference to the optomap image Scan could not be established. position error You should attempt to recapture the scan. 1. Signal to noise ratio Page 46 of 72 Part Number: G110230/1ENG English Copyright 2019, Optos plc. All rights reserved.
Page 48: Starting The Review Software
6. Compare results across studies if required. Note Detailed instructions can be found in the application help files. 3.3.3 Exiting the review software To leave OptosAdvance, select Logoff Page 48 of 72 Part Number: G110230/1ENG English Copyright 2019, Optos plc. All rights reserved.
Page 49: Manage The System
1. Log in to the scan head using the touch screen. 2. Select admin. 3. Select Language. 4. Select a language from the list. 5. Select to set the language and close the page. Part Number: G110230/1ENG Page 49 of 72 Copyright 2019, Optos plc. All rights reserved. English...
Page 50: How To Change The Language Displayed In The Review Application
The ability to edit network settings is restricted to System Administrators. If there are any connection problems ask your System Administrator to review your settings and where necessary contact your Optos representative for instructions on how to proceed, see Contact us on page 67. 3.4.6 Managing the Modality Work List Where is available a traffic light system indicates if the scan head is connected to the server.
Page 51: Maintenance
3.4.8 Maintenance User maintenance is restricted to cleaning and visual checks for external damage. Your device will be installed by Optos trained personnel. Do not operate the device until they have completed the installation and training. Your Optos representative will configure the settings when the device is installed. These settings should not be changed in the course of normal operation.
Page 52: Cleaning
If you believe cleaning sprays or liquids have got into the equipment, disconnect the power supply and have the equipment checked by Optos qualified service personnel. Do not let the cleaning wipes come into contact with the inside of the instrument.
Page 53: Cleaning Before Each Patient
Dispose of the dirty cloth after each wipe to avoid transferring the dust back on to the mirror. You will have to use several wipes to clean the mirror. Part Number: G110230/1ENG Page 53 of 72 Copyright 2019, Optos plc. All rights reserved. English...
Page 54: Disinfection
4. Inspect the surface of the mirror for visible dust. Take note of any smudges or spots. 5. Fold an Optos-approved cleaning cloth twice so that it has a number of layers. 6. Use single downward strokes to gently wipe the mirror. Always start from the top of the visible area.
Page 55: Cable Management
Note If you require further assistance, please contact your Optos representative, see Contact us on page 67. When contacting Optos you will need to supply your site number, see What information do I need when contacting Optos? on page 57. TABLE 8: List of problems and solutions...
Page 56 Images taken under wrong patient name displayed for the recently captured images just taken of patient. images. If they do not match contact Optos for help patient. moving them. Shut down the scan head and image server. Restart Images are not...
Page 57: Why Can't I Login
2. Restart the image server. 3. Switch the power back on to the scan head. If you still experience problems please contact your Optos representative, see Contact us on page 67. 3.4.9.2 What information do I need when contacting Optos? You will need to provide your Site Number when contacting Optos.
Page 58: How Do I Restart The Image Server
PC. Exit any programs if prompted. 3. Log on PC when prompted. 4. You can now login to the scan head and re-open any Optos applications on the other PCs. 3.4.9.6 What should I do if the PC drive on the image server is full?
Page 59: Technical Specification
User Guide. Read the warnings and cautions before using your device, see Warnings and cautions on page 11. If you have any questions regarding the correct use of your device, please contact your Optos representative, see Contact us on page 67.
Page 60: Connections
The scan head, hand control and touch screen should be placed on a table which meets the table specification, see Table requirements on page 62. There should be adequate clearance around the table to operate the device. Page 60 of 72 Part Number: G110230/1ENG English Copyright 2019, Optos plc. All rights reserved.
Page 61: Review Client Properties
20 mm (1 inch) Height 234 mm (9.5 inches) Weight less than 1.5 kg Touch screen mount VESA MIS-D, 75, C (hole pattern: 75 mm x 75 mm) Part Number: G110230/1ENG Page 61 of 72 Copyright 2019, Optos plc. All rights reserved. English...
Page 62: Table Requirements
725 mm (29 inches) to 1205 mm (47 inches) Where wheelchair accessibility is required the table must meet wheelchair accessibility standards. 4.1.7 Battery Do not remove the scan head covers. Only Optos trained technical personnel are permitted to service the device. CAUTION The device contains a 3V Lithium coin battery.
Page 63: Laser Safety Designation (Iec 60825-1)
The P200TxE is intended for use in the electromagnetic environment as specified in the following tables. The customer or the user of the device should assure that it is used in such an environment. Part Number: G110230/1ENG Page 63 of 72 Copyright 2019, Optos plc. All rights reserved. English...
Page 64: Guidance And Manufacturer Declaration - Electromagnetic Emissions
Surge ±1 kV line to line Mains power quality should be that of a typical commercial or hospital environment. IEC61000-4-5 ±2 kV line to earth Page 64 of 72 Part Number: G110230/1ENG English Copyright 2019, Optos plc. All rights reserved.
Page 66: Recommended Separation Distances
At 80MHz and 800MHz the higher frequency range applies. These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people. Page 66 of 72 Part Number: G110230/1ENG English Copyright 2019, Optos plc. All rights reserved.
Page 67: Contact Us
Fax: +44 (0) 1383 843 333 All inquiries: ics@optos.com Website: optos.com Existing customers will need to provide their site number to allow Optos to access their details. You can find the site number on the documentation received from Optos. 5.2 Regional Offices Please check optos.com...
Page 68: Australia
Telephone: +47 800 16711 All inquiries: ics@optos.com Customer Support: +47 800 16711 5.2.7 Spain Telephone: +44 (0) 1383 843 300 All inquiries: ics@optos.com Customer Support: 800 600267 Page 68 of 72 Part Number: G110230/1ENG English Copyright 2019, Optos plc. All rights reserved.
Page 69: Sweden
Telephone: +44 (0) 1383 843 300 Fax: +44 (0) 1383 843 333 All inquiries: ics@optos.com Customer Support Freephone: 0808 100 45 46 Customer Support: +44 (0) 1383 843 350 Part Number: G110230/1ENG Page 69 of 72 Copyright 2019, Optos plc. All rights reserved. English...
Page 71: Patient Alignment Guide
Optos Inc Optos plc Optos Australia Tel: 800-854-3039 Tel: +44 (0) 1383 843 300 Tel: +61 8 8444 6500 usinfo@optos.com ics@optos.com auinfo@optos.com Part Number: G110230/1ENG Page 71 of 72 Copyright 2019, Optos plc. All rights reserved. English...
Page 72 G110230/1ENG...

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