> C SER MANUAL ONTENTS ONTENTS I. I NTRODUCTION II. S UPPLY PACKAGE 1. Unpacking and storage 2. List of accessories III. G ENERAL DESCRIPTION 1. Intended use a. Intended purpose b. Indications for use c. Expected clinical benefit d. Intended population e.
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> C SER MANUAL ONTENTS d. Accommodation e. Retro Illumination VI. S ETTING OF FUNCTION ON ETUP SCREEN 1. Operation Procedure on [Setup] screen 2. List of setup items 3. [Setup] screen - [Measure] tab a. [Setup] screen - [Measure 1] b.
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> I SER MANUAL NTRODUCTION The latest version of this user manual is available on a web space. To access other available languages, please scan the QR code available at the end of this user manual > QR Code Chapter (p.78).
> S SER MANUAL UPPLY PACKAGE 1. Unpacking and storage Do not store the product: Where dust accumulates Where water may get on the unit Where temperature and humidity are out of the specified ranges Where sunlight directly contacts Unstable and high place 2.
> G SER MANUAL ENERAL DESCRIPTION 1. Intended use a. Intended purpose This product aims to objectively measure the refractive power of the eye and to measure the corneal curvature radius. b. Indications for use This product is intended to be used to provide measurements (objective refraction errors and radius of curvature of the eye) that will allow the practitioner to prescribe a corrective solution such a spectacle lenses or contact lenses.
> G SER MANUAL ENERAL DESCRIPTION Applied part b. Operations on control panel The measurement result and setting conditions, as well as observation image, are displayed. Do not use something sharp such as a ballpoint pen to operate the control panel. It can result in breakage of the control panel.
> G SER MANUAL ENERAL DESCRIPTION 3. Description of LCD touch panel a. Measurement mode Name of screen (measurement mode) R switch : Select either left or right eye. The optical head moves to the direction of the selected eye by tapping these buttons. The [Right] and [Left] buttons are in light blue while they are selected.
> G SER MANUAL ENERAL DESCRIPTION Display current measurement area. Measurement switch : Measurement will be started. c. Measurement mode - R-SMP Target light status display : Displays the status of the target light. Graph switch : Enlarge the graph of right eye data. : Enlarge the graph of left eye data.
> G SER MANUAL ENERAL DESCRIPTION d. Measurement mode - WTW Circle size adjustment switch : Enlarges the size of the circle that serves as a reference for measuring the diameter of the cornea. : Reduces the size of the circle that serves as the standard for measuring the diameter of the cornea. Measurement switch : Switch to measurement mode of right eye corneal diameter.
> G SER MANUAL ENERAL DESCRIPTION e. Measurement mode - Accommodation Alignment switch : Re-alignment before moving the target. : It does not perform re-alignment. Number of measurements switch : It is possible to set the number of measurements to 3 times. : It is possible to set the number of measurements to 5 times.
> G SER MANUAL ENERAL DESCRIPTION f. Measurement mode - Retro Illumination Auto gain On/Off switch : Perform the auto gain. : It does not perform the auto gain. LED light quantity adjustment switch : It is possible to adjust the brightness of the image. Image icon : Enter the right eye capture image observe screen.
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> G SER MANUAL ENERAL DESCRIPTION When print [REF/KRT] is set to [All/Eco]: Sample of Printout Date and time Patient ID barcode Patient information Patient ID Examinee's name Vertex distance Pupil distance/PD for near vision Refractive data - Right Optimum value - Right Indicated when each eye is measured more than three times.
> G SER MANUAL ENERAL DESCRIPTION Keratometry data - Right Residual astigmatism - Right Keratometry data - Left Residual astigmatism - Left Product name Message area b. Description of report output The measurement result can be output to the USB memory or PC in the format of the report by pressing the output switch on the measure/analysis screen if each setting is set on the Export tab of the setup screen.
> I SER MANUAL NSTALLATION ONNECTION 1. Installation of the device Do not install unstable place such as incline. Otherwise you may drop down the device and get injured. When install on the optical bench.be careful not to catch a finger of examinee. You may get injured. Conduct the installation with unplug the power cord.
> I SER MANUAL NSTALLATION ONNECTION 2: Terminal for USB-A input/ output 3: Terminal for LAN output Connect the other end of the connecting cord to the PC and so on. Wiring diagram: RS-232C Data input This device can be connected to the bar-code reader and keyboard through USB-A. In order to prevent deterioration of the USB-A connector, it is recommended to connect a USB hub to the USB-A connector beforehand when connecting USB devices.
> I SER MANUAL NSTALLATION ONNECTION Set the printer paper roll in place paying attention to the direction of the paper. Set the paper as coming out toward the front. * Rolling direction Close the printer cover until it clicks. If the cover is not closed completely, the error message appears, and cannot print out.
> I SER MANUAL NSTALLATION ONNECTION b. Turning OFF Turn off the power. If applicable, turn off the external connection equipment. Disconnect the plug of the power cord from the three-core socket with grounding. 3. Connection to other instruments This section is not applicable. AKR800 - Auto Kerato Refractometer >...
> U SER MANUAL SE OF THE DEVICE 2. Setting of patient information Tap the patient information input switch. The screen is switched to the one inputting the patient information input screen by pressing the input buttons. Patient ID input section Last name input section First name input section Input buttons...
> U SER MANUAL SE OF THE DEVICE 3. Preparation of examinee Adjust the height of the optical bench and chair so that a patient feels comfortable during measurements. It can result in making a patient feels stressed, or incorrect measurement values. Use this device with great caution because a part of this device might come into contact with a subject's eye or nose during its operation.
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> U SER MANUAL SE OF THE DEVICE If subject's eyelid or eyelashes covers his/her pupil, the measurement in auto mode might not be performed. In these cases, ask him/her to open his/her eye wider or to pull up his/her eyelid with his/her hand. The auto mode might not work for a patient with frequent blinking or with abnormality on the corneal surface due to a corneal disease and others.
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> U SER MANUAL SE OF THE DEVICE > The alignment is started by tapping the screen. In the case of Measurement start method switch is Auto or Auto-Q, measurement is started automatically after the alignment. In the case of Measurement start method switch is Manual, measurement is started by touching measurement switch after the alignment.
> U SER MANUAL SE OF THE DEVICE 5. Confirmation of measurement result Number of refractive measurement Refractive measurement value [S]: Spherical value [C]: Cylindrical value [A]: Axis angle Number of Kerato measurement Kerato measurement result [R1]: Radius of curvature (Max.) [R2]: Radius of curvature (Min.) [AX]: Axis Angle Pupil diameter measurement result...
> U SER MANUAL SE OF THE DEVICE [All]: Print out a maximum of ten data of the refractive measurement or Kerato measurement for each eye. [Eco]: Print out only the optimum values for all of the measurement. [Off]: Print out no data If the red line appears at the end of the printer paper, replace the paper soon.
> U SER MANUAL SE OF THE DEVICE 9. Optional function measurement method a. P.K Switch to the P.K. measurement mode screen. Perform the measurement. The usual measurement is taken in order of H→V→S→T→I→N. H (Horizontal): Horizontal measurement V (Vertical): Vertical measurement S (Superior): Superior measurement T (Temporal): Ear side measurement I (Inferior): Inferior measurement...
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> U SER MANUAL SE OF THE DEVICE If you touch “Target selecting switch” without measuring the center, the following error message will be displayed. After measuring the center (H/V), touch “Target selecting switch” to switch to S. Superior (S) measurement is performed after alignment. Measure the other peripheral kerato in turn.
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> U SER MANUAL SE OF THE DEVICE The color of the icon changes depending on the measurement status. Icon Description Not measured Measurement success Measurement failure AKR800 - Auto Kerato Refractometer > V4 - 05-2022 - CE0459...
> U SER MANUAL SE OF THE DEVICE Example of measurement failure b. R-SMP Switch to the R-SMP measurement mode screen. Scotopic: Wait until the eye gets used to the light. > Scotopic: Ref measurement and pupil diameter measurement of the both eyes. AKR800 - Auto Kerato Refractometer >...
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> U SER MANUAL SE OF THE DEVICE After the measurements are completed, it automatically switches to the mesopic measurement. Scotopic > Mesopic: Change brightness of target. Mesopic: Wait until the eye gets used to the light. > Mesopic: Ref measurement and pupil diameter measurement of the both eyes. After the measurements are completed, it automatically switches to the photopic measurement.
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> U SER MANUAL SE OF THE DEVICE Photopic: Wait until the eye gets used to the light. > Photopic: Ref measurement and pupil diameter measurement of the both eyes. > The graph switches appear. With 1 and 2: Graph switch >...
> U SER MANUAL SE OF THE DEVICE Graph specifications Indication of the SE value (unit: diopter) The bar graphs show the SE value. The bar graphs of "Night" and "Dim" are displayed in orange if difference is 0.25D compared to "Day". Indication of the pupil diameter value (unit: mm) The line graphs show the pupil diameter value.
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> U SER MANUAL SE OF THE DEVICE The alignment image is saved by touching the capture switch after alignment is completed. > The measurement switch is displayed after the image is saved. With 1: Gaging switch The last alignment image is already saved if the measurement of REF or KRT etc. is done before corneal diameter measurement.
> U SER MANUAL SE OF THE DEVICE With: 1: Circle size adjustment switch 2: Circle position adjustment switch 3: Corneal diameter d. Accommodation Switch to the accommodation measurement mode screen. AKR800 - Auto Kerato Refractometer > V4 - 05-2022 - CE0459...
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> U SER MANUAL SE OF THE DEVICE The alignment is performed and the accommodation measurement is started by touching measurement start switch. With: 1: Alignment switch 2: Number of measurement switch 3: Measurement value after the target is moved. 4: Normal REF Measurement results >...
> U SER MANUAL SE OF THE DEVICE With 1: Accommodation measurement value. The ACM value is calculated as follows: ACM = (SE value of the starting position of the fixation chart position) - (SE value of the bar graph in the orange position) Graph specifications Indication of SE value (unit: diopter) The bar graphs show the SE value.
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> U SER MANUAL SE OF THE DEVICE If the alignment is OK, it enters the observation mode automatically. > The modes between alignment and observation can be switched by touching mode selector switch. With: 1: [Auto gain] switch 2: LED intensity adjustment switch 3: [Capture] switch 4: Mode selector switch When the [Auto gain] switch is active, the light level is adjusted automatically.
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> U SER MANUAL SE OF THE DEVICE Touch one of the Cataract diagnosis level switch to zoom in at the selected level (here example if selection of level 2). Touch the enlarged icon to return to the original screen. AKR800 - Auto Kerato Refractometer >...
> S SER MANUAL ETTING OF FUNCTION ON ETUP SCREEN 1. Operation Procedure on [Setup] screen Tap the [Setup] switch on the LCD touch panel in the measurement mode. > The [Setup] screen is displayed. 2. List of setup items The Setup consists of 6 tabs, and the items in the Setup are divided according to the setting items.
> S SER MANUAL ETTING OF FUNCTION ON ETUP SCREEN 3. [Setup] screen - [Measure] tab a. [Setup] screen - [Measure 1] It contains the settings regarding the operations on the measurement screen and the analysis screen. [REF step] 0.25 > Select the step 0.25 for Sphere and Cylinder. 0.12 >...
> S SER MANUAL ETTING OF FUNCTION ON ETUP SCREEN Auto > Take 3 times of Kerato measurements and refractive measurements continuously for each eye. The result is printed out automatically when “Auto(Print/Export tab)” is set as ON. (For the refractive measurement, the fog control is done every time).
> S SER MANUAL ETTING OF FUNCTION ON ETUP SCREEN [W-D] Off > Do not set the working distance. 30 > The near pupil distance (30cm ahead) is automatically computed after the measurement and displayed on the screen. 40 > The near pupil distance (40cm ahead) is automatically computed after the measurement and displayed on the screen.
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> S SER MANUAL ETTING OF FUNCTION ON ETUP SCREEN [Date] & [Time] Set the date and time. [Brightness] Indication with 11 levels > Set the light intensity of the LCD touch panel. [Save (min.)] Off > Sleep mode is not used. 3 >...
> S SER MANUAL ETTING OF FUNCTION ON ETUP SCREEN 5. [Setup] screen - [Export] tab It contains the settings regarding the data output with external devices. [XML] Off > Measurement result is not output in XML format. LAN > Measurement result is output in XML format through LAN connector. USB >...
> S SER MANUAL ETTING OF FUNCTION ON ETUP SCREEN a. [Shared folder] - [Setting] screen The shared folder is set. Shared folder: 64 letters User: 15 letters Password: 16 letters The “User” name should be different from the computer name. The following symbols cannot be entered for each item.
> S SER MANUAL ETTING OF FUNCTION ON ETUP SCREEN [Subnet mask] Subnet mask of this device is set. [Default gateway] Default gateway is set. [Primary DNS server] Number of primary DNS server is set. [Secondary DNS server] Number of secondary DNS server is set. * Network info.
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> S SER MANUAL ETTING OF FUNCTION ON ETUP SCREEN [R-SMP] Off > No R-SMP measurement result is printed out. On > R-SMP measurement result is printed out. [Diagram of eye] Off > No Diagram of eye is printed out. On >...
> S SER MANUAL ETTING OF FUNCTION ON ETUP SCREEN 7. [Setup] screen - [Print/Export] tab It contains the settings regarding [Print/Export] common. [Barcode] Off > Barcode is not printed out. On > Barcode is printed out. [No.] Off > No. is not printed out. On >...
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> E SER MANUAL RROR DISPLAY When this device judges that the measurement conditions or measurement results are not reasonable or something is wrong with the performance from the several conditions at the time of measurements, the error messages are displayed in the red frame on the figure on the right.
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> E SER MANUAL RROR DISPLAY The printer cover is opened. Close the printer cover. Printer cover opened If this message remains displayed even after closing the cover, contact your local distributor. Do not attempt to repair it by yourself. The printer head is overheated.
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> E SER MANUAL RROR DISPLAY It indicates a network problem and usually occurs when the host is not responding. It can also be caused by improper firewall or router settings. No route to host Check if there is a problem with your network. Make sure that the settings of your firewall and router are proper User authentication failed.
> S SER MANUAL AFETY CONSIDERATION A great deal of consideration has gone into the design and manufacturing of this device with regard to its operational ease, the patient's safety and well-being as well as to the reliability of the product. For safer and more effective use, however, follow the points described in this manual.
> S SER MANUAL AFETY CONSIDERATION Symbol of the waste disposal in compliance with the Directive 2012/19/UE (WEEE) Do not place your hand or fingers between the stage and base. Also ensure that the examinee does not place his/her hand or fingers there either. Otherwise, hand or fingers may be hurt.
> S SER MANUAL AFETY CONSIDERATION The warnings and precautions should be strictly observed. It can result in failure, breakage, electric shock, fire and so on. Disconnect the plug immediately and contact your local distributor in case of malfunction (noise, smoke etc.). It can result in fire or injury if keep using it.
Please contact your distributor about the detail of this device. 8. Electromagnetic compatibility AKR 800 conforms to the requirements of the EMD (electromagnetic disturbances) standard. This device complies with EMD standard IEC 60601-1-2: 2014+AMD1:2020, and the expected electromagnetic environment for the entire life cycle is the home healthcare environment.
> S SER MANUAL AFETY CONSIDERATION a. Electromagnetic emissions This product is intended for use in the electromagnetic environment specified below. It is up to the customer or the user to verify that the instrument is used in this environment. –...
> S SER MANUAL AFETY CONSIDERATION c. Radiofrequency wireless communications EST FREQUENCY AX POWER MMUNITY TEST ISTANCE OMPLIANCE LEVEL ERVICE ODULATION LEVEL Pulse 380 - 390 TETRA400 modulation 18Hz FM ±5kHz GMRS460, 430 - 470 deviation 1kHz FRS460 sine Pulse LTE Band 13, 704 - 787 modulation...
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> S SER MANUAL AFETY CONSIDERATION MMUNITY TEST LEVELS & B HENOMENON ASIC STANDARD OMPLIANCE LEVEL OME HEALTHCARE ENVIRONMENT Input AC power port ± 2kV ± 2kV 100 kHz repetition frequency Electrical fast transients/ bursts (IEC 61000-4-4:2012) Signal input/ output unit port ±1kV ±...
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> T SER MANUAL ROUBLESHOOTING If a problem is detected, refer to the table below in order to take the appropriate measures. YMPTOMS AUSES AND MEASUREMENTS The plug of the power cord is disconnected from the outlet. The power plug is disconnected from this device. Connect to the outlet securely.
> M SER MANUAL AINTENANCE At a time of fuse replacement, disconnect the power cord from the main unit before removing a fuse. If a fuse is removed without disconnecting the power cord, it can result in electric shock. Do not attempt to disassemble, modification or repair.
> M SER MANUAL AINTENANCE c. Cleaning of LCD touch panel 1. If dust is adhered, gently wipe it with monitor cleaner etc. after brushing it off with a soft brush etc. 2. If a fingerprint etc. is put, gently wipe it with monitor cleaner etc. Wipe the LCD touch panel after turning power off because it is the touch panel.
> M SER MANUAL AINTENANCE a. Conveyance Make sure to set as package mode when transporting the device. After turning on the power, press the Packing button on the setting screen to enter the package mode. The product will then return to its parked position. At the time of conveyance, hold the back and front of the base unit (the cutout of the front side and the handle under the chinrest) with both hands securely.
> M SER MANUAL AINTENANCE When refilling the chinrest liner, pull out the chinrest liner pins and refill it. With: 1: Chinrest liner pin 2: Chinrest liner 3: Chinrest After that, fix it with the pins again. 5. Disposal Instructions for the disposal of the instrument in accordance with Directives 2012/19/EU and 2011/65/EU regarding the limitation of dangerous substances in electrical and electronic equipment and the disposal of electrical and electronic waste.
> S SER MANUAL PECIFICATIONS 1. Technical data The expected life of the device and its components is 7 years. Refractive measurement range Sphere (S): -30D to +22D (In case of VD=12)(step: 0.01/0.12/0.25D ) Cylinder (C): 0 to ±10D (step: 0.01/0.12/0.25D) Axis (A): 0 to 180°...
> S SER MANUAL PECIFICATIONS Vertical adjustment range of chinrest ±30 mm Dimensions & Weight Dimensions: (W): 271 mm (D): 464 mm (H): 482-523 mm Weight: Approx. 22 kg Data output LAN connector USB-A connector RS-232C connector Power source AC 100 to 240V 50/60Hz Power rating 90VA...
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> QR C SER MANUAL The latest version of the user manual in the appropriate language is available on a web space. Upon request, a paper version can be provided for free. The complete user manual is available on a web space. To access it, please scan the QR code below using a dedicated application.
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> QR C SER MANUAL Manual pengguna yang lengkap boleh didapati di ruangan web. Untuk akses, sila imbas kod QR di bawah menggunakan aplikasi yang berkenaan. De volledige gebruikershandleiding is beschikbaar op een website. U kunt de handleiding bereiken door de QR- code hiernaast te scannen met een geschikte applicatie.
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Essilor Instruments USA 8600 W. Catalpa Avenue, Suite 703 Chicago, IL 60656 Phone: 855.393.4647 Email: info@essilorinstrumentsusa.com www.essilorinstrumentsusa.com...
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