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- Page 1 Cod. 161204EN 2008-12-03 Rev.B ® KERATRON SCOUT Videokeratoscope INSTALLATION AND OPERATING MANUAL OPTIKON 2000 S.p.A. Via del Casale di Settebagni, 13 - 00138 Rome Italy Phone +39 06 8888355 - Fax. +39 06 8888440 e-mail mailto:sales@optikon.com - www.optikon.com...
- Page 2 Optikon 2000 SpA is an ISO 9001 and ISO 13485 certified company which manufactures surgical and diagnostic devices for ophthalmology. Its products are manufactured to satisfy the requirements of 93/42/EEC Medical Devices Directive.
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Page 3: Table Of Contents
“PORTABLE” (BATTERY OPERATED) CONFIGURATION ........6-4 6.3.3 INTRA-OPERATORY CONFIGURATION ............6-6 SOFTWARE INSTALLATION................. 6-7 6.4.1 INTRODUCTION .................. 6-7 6.4.2 DOWNLOAD THE KERATRON SCOUT FROM THE WEB........6-8 6.4.3 KERATRON SCOUT SOFTWARE INSTALLATION..........6-9 ® 6.4.4 IMPORTING OLD KERATRON TESTS ............6-9 6.4.5... - Page 4 CLEANING AND DISINFECTION ..............8-1 STERILIZATION ..................8-1 9 TROUBLESHOOTING ............9-1 SOFTWARE INSTALLATION................. 9-1 THE SCOUT.INI FILE ................9-1 ® SHARING KERATRON SCOUT WITH OTHERS............ 9-2 CHANGING THE PC ................. 9-2 MISCELLANEOUS PROBLEMS ............... 9-3 INDEX ..............10-1 APPENDIX ..............11-1...
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Page 5: Disclaimer
Use of this system is a matter of professional medical judgment in all cases. Optikon 2000 S.p.A. is not responsible for any clinical problem resulting from mishandling this equipment and makes no medical recommendations. - Page 6 ® Keratron Scout Installation and Operating Manual OPTIKON 2000 THIS PAGE IS INTENTIONALLY BLANK Cod. 161204EN 2008-12-03 Rev.B...
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Page 7: Limited Warranty Conditions
This warranty does not cover the results of misuse, accident, abuse and tampering or alteration done by anyone other than personnel authorized by OPTIKON 2000 S.p.A. OPTIKON 2000 S.P.A. reserves the right to ascertain, in case of faults, whether or not the equipment and/or its accessories have been altered, tampered with, in any way, or have been damaged by improper use. - Page 8 ® Keratron Scout Installation and Operating Manual OPTIKON 2000 THIS PAGE IS INTENTIONALLY BLANK Cod. 161204EN 2008-12-03 Rev.B...
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Page 9: Warnings
Increase the distance between the equipment. • Connect the unit into an outlet on a circuit different from that to which the other • devices are connected. Consult your local distributor or OPTIKON 2000 technical assistance. • Environmental Cod. 161204EN 2008-12-03 Rev.B... - Page 10 ® Keratron Scout Installation and Operating Manual OPTIKON 2000 Recycle the Ni-Cd batteries or dispose properly • Do not dispose of Keratron ® Scout as unsorted municipal waste. Collect it separately according to the local laws/regulations on disposal of waste electrical and electronic equipment.
- Page 11 ® Keratron Scout Installation and Operating Manual OPTIKON 2000 • Plug the power chord only of a PC having an insulation class II of EN60950 (shortly represented with the symbol ), i.e.: compliant EN 60601-1 standard and then lock it by screwing the Perspex Plate in its...
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Page 13: Symbols
® Keratron Scout Installation and Operating Manual OPTIKON 2000 4 SYMBOLS Table shown below reports some symbols approved by I.E.C. and their meaning. When there is not enough room, they are frequently used on medical equipment to enable an easy and fast communication of information and warnings. Sometimes two or more symbols may be assembled to obtain a special meaning. - Page 14 ® Keratron Scout Installation and Operating Manual OPTIKON 2000 THIS PAGE IS INTENTIONALLY BLANK Cod. 161204EN 2008-12-03 Rev.B...
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Page 15: General Information
® Keratron Scout Installation and Operating Manual OPTIKON 2000 5 GENERAL INFORMATION 5.1 SYSTEM DESCRIPTION ® The KERATRON SCOUT is a Modular “Computer Assisted VideoKeratographer” (also said CAVK in the literature) that, just like the ® KERATRON , is designed to measure the shape of the cornea and to represent it as symbolic colour map of the corresponding axial or refractive powers, of its local curvatures or of its elevations in several formats (corneal topography). -
Page 16: Technical Specifications
TV-camera, and that is an important reference point for all corneal maps. The entrance pupil is also detected. 5.2 TECHNICAL SPECIFICATIONS PARAMETER SPECIFICATION Manufacturer:....... OPTIKON 2000 S.p.a. via del Casale di Settebagni, 13 00138 Rome - Italy ® Model: .......... Keratron Scout Regulatory compliance: .... - Page 17 ® Keratron Scout Installation and Operating Manual OPTIKON 2000 PARAMETER SPECIFICATION ENVIRONMENTAL SPECS Storage: ........temp range -10°C to +60°C, humidity 0-100% (cond.included) atm. pressure 500 to 1060 hPa Operation: ........temp range 0°C to +40°C, humidity 0-90% (non condensing) atm.
- Page 18 ® Keratron Scout Installation and Operating Manual OPTIKON 2000 Degree of protection against electric shock: Docking Base....... Type B OR Trolley........Type B ® Keratron Scout ......Type BF Degree of protection against harmful ingress of water: Docking Base....... Ordinary OR Trolley........
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Page 19: Emc Tables
® Keratron Scout Installation and Operating Manual OPTIKON 2000 Depth: .......... 120 mm Weight:......... about 500 g OR TROLLEY BASE Height: ......... 1400 mm Width:........... 600 mm (900 with max arm extension) Depth: .......... 600 mm (900 with max arm extension) Weight:......... -
Page 20: Electromagnetic Immunity
® Keratron Scout Installation and Operating Manual OPTIKON 2000 5.3.2 GUIDANCE MANUFACTURER’S DECLARATION – ELECTROMAGNETIC IMMUNITY ® The Keratron Scout is intended for use in the electromagnetic environment ® specified below. The customer or the user of the Keratron Scout should assure that it is used in such an environment. - Page 21 ® Keratron Scout Installation and Operating Manual OPTIKON 2000 NOTE: is the a.c. mains voltage prior to application of the test level Note 1:At 80 MHz and 800 MHz, the higher frequency range applies. Note2:These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people.
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Page 22: Circuit Diagrams
Installation and Operating Manual OPTIKON 2000 5.4 CIRCUIT DIAGRAMS Optikon 2000 S.p.A. will make available on request circuit diagrams, component part lists, descriptions, calibration instructions, or other information which will assist the user's appropriately qualified technical personnel to repair those parts of equipment which are repairable. -
Page 23: Accessories
162205. ATXM4078) 5.6 ACCESSORIES CODE DESCRIPTION 162210 USB/EPP INTERFACE, including one USB cable and Keratron Scout software CD ROM including USB drivers. 162211 SCOUT “FAR” MIRES CONE, including its own calibration sphere. (ex ATXM4079) 162212 SPACER FOR SCOUT SL ADAPTOR, to fit the SL adaptor (162206) wit SL having too close distance between hole and projector arm. -
Page 24: Upgrade Kits
® Keratron Scout Installation and Operating Manual OPTIKON 2000 196201 SCOUT DISPOSABLE SLEEVE, sterile sleeve for intra-operatory Scout use, with standard cone. 196203 SCOUT DISPOSABLE SLEEVE FOR FAR CONE, sterile sleeve for intra-operatory Scout use, with “far” mires cone. 5.7 UPGRADE KITS... -
Page 25: Not Supplied Accessories
“double deck board” (Main Board with code 380260 and CPU Board with code 380280) with the Scout Board (380290).To know the production year call the local distributor or Optikon 2000 S.p.A. 5.8 NOT SUPPLIED ACCESSORIES COMPUTER minimal requirements:... -
Page 26: Discontinued Codes
161202 VK WITH MEMORY EXPANSION unit complete with 28 mires cone, calibration sphere, (ex UTXE1014) "Keratron Scout " software and user manual, including an internal memory expansion board to store up to 8 photos. 161203 VK WITH PUPILLOMETRY unit complete with 28 mires cone including the pupillometry lamp board, calibration sphere, “Scout”... -
Page 27: Installation
If external or internal shipping damage is discovered, notify the carrier (mail, railways or forwarding agents) and Optikon 2000 as soon as possible. Check the contents against the packing list and notify Optikon 2000 immediately of any discrepancies. -
Page 28: Installation Procedure
® Keratron Scout Installation and Operating Manual OPTIKON 2000 6.3 INSTALLATION PROCEDURE 6.3.1 CONFIGURATION ON THE SLIT LAMP Fig.1 – Diagram of the Slit Lamp configuration To set up this configuration: 1. Insert the expandable pin of the Slit Lamp Adapter (4) completely in the hole for accessories of your Slit Lamp and then turn its wheel in the direction indicated with “TIGHT”, i.e.: in the clockwise direction. - Page 29 Keratron Scout Installation and Operating Manual OPTIKON 2000 5. Connect the footswitch (5) to the Docking Base 6. Connect the PC (8) to the Docking Base via a parallel cable D-sub 25 Male/Female (the male in the PC printer port and the female in the connector “Computer”...
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Page 30: Portable" (Battery Operated) Configuration
® Keratron Scout Installation and Operating Manual OPTIKON 2000 Fig.3 : Slit Lamp configuration: Docking Base cables connection 6.3.2 “PORTABLE” (BATTERY OPERATED) CONFIGURATION For this configuration, referring to fig.4: 1. Insert the Battery Module (11) under the VK and screw the white knob until the two parts do match tightly. - Page 31 ® Keratron Scout Installation and Operating Manual OPTIKON 2000 Fig.4 – Handheld Configuration It’s strongly suggested, after every move, to make a calibration, before the test. NOTES: When the battery is almost out of charge, a red led will turn on the display panel, and a random be- beep will warn you that you still have a few minutes in order to download and save all the images, and to put it back to charge, too.
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Page 32: Intra-Operatory Configuration
® Keratron Scout Installation and Operating Manual OPTIKON 2000 6.3.3 INTRA-OPERATORY CONFIGURATION For this configuration (refer to Fig.5): 1. Caution: always block the wheels under the basement of the OR Trolley Base (18). 2. Turn the OR base switch OFF. Connect the PC to the OR trolley base through a USB cable, connect the OR Footswitch to the base and turn the OR base ON. -
Page 33: Software Installation
(65K or 16M colors). It is however recommended a screen size of at least 1024x768 pixels. 3. Do not alter any of the system files installed by the Keratron Scout Setup software, nor any file in the Database unless you have a specific competence on the PC and LAN management. -
Page 34: Download The Keratron Scout From The Web
You must first uninstall the previous version, and then install the updated version of “Keratron Scout Setup”. The most recent version can be also downloaded after registration from the web Internet site of Optikon 2000: http://www.optikon.com/. NOTE : In Windows 2000 and XP operating systems, you must have system administration (Administrator) privileges to install the software. -
Page 35: Keratron Scout Software Installation
OPTIKON 2000 6.4.3 KERATRON SCOUT SOFTWARE INSTALLATION Both if you are installing the Keratron Scout software from the Web and if you are installing from CD, remove any previous Scout versions from your PC before install the new Scout software. - Page 36 Keratron Scout Installation and Operating Manual OPTIKON 2000 • If there are many tests do not import them all together, try to import a little group, and check them. • Make attention to the list showed il the “Test Manager”, verify that each name, surname, sex, DOB, test number and test date are imported correctly.
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Page 37: Keratron Scout Software Anatomy
6.4.5 KERATRON SCOUT SOFTWARE ANATOMY Default database folder. Scout Trialsets folder (void after first installation). Keratron Scout system files. Be careful to this folder!! Put here imported print-templates, and those you create new. The SW puts here temporary files. *.tb Toolbar settings Scout.ini... -
Page 38: Scout Customization
® Keratron Scout Installation and Operating Manual OPTIKON 2000 6.4.6 SCOUT CUSTOMIZATION You can customize/change SW behaviour and toolbar buttons. Change the SW behaviour using the “Options” window under the “Tools” menu. Customize the toolbars simply right-click on it. 6.4.7 USB DRIVERS INSTALLATION With the computer at the Windows desktop, insert the supplied CD-ROM that contains the drivers. - Page 39 ® Keratron Scout Installation and Operating Manual OPTIKON 2000 Figure 1 Click the Next button. The computer will display a message confirming that the suitable driver has been found and is going to install it. Continue with the Next button.
- Page 40 ® Keratron Scout Installation and Operating Manual OPTIKON 2000 Click on the Finish button. Windows 2000/XP NOTE : You must have system administration (Administrator) privileges to install the USB drivers. As the interface is a Plug & Play device the operating system will recognize it and will display the Dialog Box “Found New Hardware Wizard”...
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Page 41: Configuring Keratron Scout Software
6.4.8 CONFIGURING KERATRON SCOUT SOFTWARE The next phase consists of enabling the USB communication in the Keratron Scout software. Start the Keratron Scout software. In the menu bar select Tools then select the item Option..The dialog box shown in fig.4 will display. -
Page 42: Uninstall Keratron Scout Software
DLLs, click on the “Yes to all” button. The second one calls directly a specific unistall utility: 1. From Windows menu “Start” -> “Programs” -> “Keratron Scout”, choose “Uninstall Keratron Scout” item. For both methods verify that these files has been really unloaded/deleted from the •... - Page 43 ® Keratron Scout Installation and Operating Manual OPTIKON 2000 • C:\Keratron\ScoutPad.exe • C:\Keratron\Test Bridge.exe • C:\Keratron\Test Scout.exe Finally, restart your PC. Cod. 161204EN 6-17 2008-12-03 Rev.B...
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Page 45: Screen And Commands Description
® Keratron Scout Installation and Operating Manual OPTIKON 2000 7 SCREEN AND COMMANDS DESCRIPTION 7.1 INTRODUCTION In this section only the basic operation are described. For a more comprehensive and updated description of the software functions, refer also to the HELP menu (command or key “?”... -
Page 46: How To Acquire A Good Image
Keratron Scout Installation and Operating Manual OPTIKON 2000 7.3 HOW TO ACQUIRE A GOOD IMAGE Acquiring an image is the most critical operation of topography. Care must be taken to capture the image moving slowly to the proper vertex distance every time and to avoid bad tearing and eyelashes artifacts (see the last page in this manual). -
Page 47: The Portable Configuration
® Keratron Scout Installation and Operating Manual OPTIKON 2000 It is advisable that, as your first training experience, you take 6-8 pictures on the same eye and to check their repeatability by “Acquire”, “Repeatability Check” menu, until this is good. - Page 48 Keratron Scout Installation and Operating Manual OPTIKON 2000 3. Tilt the cone possibly in its horizontal position. Only with patients having a leaned forehead or with children orientate the cone to 5° or 10° upwards (1 or 2 clicks). In such cases, however, you could need to be even higher than the patient.
- Page 49 ® Keratron Scout Installation and Operating Manual OPTIKON 2000 Fig.7 – Correct Approach Fig.8 – Bad Approach It is very important that the patient opens BOTH eyes VERY WIDE, to avoid typical eyelashes artefacts (see the last page in this manual). If the eyelashes shadows reach the horizontal line passing through the centre in the picture, they can fool the detection system and you will get a map with abnormally high curvatures.
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Page 50: How To Process, Print And Save Images
Keratron Scout Installation and Operating Manual OPTIKON 2000 7.4 HOW TO PROCESS, PRINT AND SAVE IMAGES After “Acquisition”, you can process individual images by double clicking on them, but it is advisable to process all of them by the “Process All” menu or icon-button. -
Page 51: Pupillometry
® Keratron Scout Installation and Operating Manual OPTIKON 2000 7.5 PUPILLOMETRY In this chapter are described only basic information on how pupillometry images shall be acquired with a Scout videokeratoscope with pupillometry lamp board (161203/161204). You will find detailed information of: pupillometry functions, how pupillometry is ®... - Page 52 Keratron Scout Installation and Operating Manual OPTIKON 2000 Then wait for at least 10-15 seconds in order to allow the pupil time to accommodate to its size to dark conditions. Then acquire the dilated-pupil picture as a normal capture. Usually you need to take just one IR picture, whose pupil track will be then associated to all map views.
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Page 53: Cleaning, Sterilization And Maintainance
NOTE: To maintain system safety, the compliance to EN60601-1 leakage current limits should be tested at least once a year. Please, inquire with the Bioengineering Department in your clinic or with your local Optikon Distributor/Service Center. Cod. 161204EN 2008-12-03 Rev.B... - Page 54 ® Keratron Scout Installation and Operating Manual OPTIKON 2000 THIS PAGE IS INTENTIONALLY BLANK Cod. 161204EN 2008-12-03 Rev.B...
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Page 55: Troubleshooting
OPTIKON 2000 9 TROUBLESHOOTING 9.1 SOFTWARE INSTALLATION While the installation utiliy is copying Keratron Scout files in the PC hard disk the following message could appear: THE FILE YOU ARE COPYING IS OLDER THAN THE FILE PRESENT IN THE PC •... -
Page 56: Sharing Keratron Scout With Others
• Create more databases. (recommended) • Create one folder fo each user (using “Windows Explorer”). • Create one database for each folder (using “Keratron Scout” function, “File” -> “New Database”). • Every user will point to his database using “File->Open Database”, or from “File->Recent Database”... -
Page 57: Miscellaneous Problems
The following guide lists some malfunctions which may occur, the symptoms and the ® corrective actions. If the Keratron Scout system remains inoperative even after performing the corrective actions indicated below, contact Optikon 2000 S.p.A. sales/service department. SYMPTOMS CORRECTIVE ACTION A.C. - Page 58 ® Keratron Scout Installation and Operating Manual OPTIKON 2000 SYMPTOMS CORRECTIVE ACTION d. In the motherboard BIOS setup utility check whether the USB port has been enabled. The Scout software cannot find some file a. If it is possible, track the missing or damaged file (for example, DLL, INI files...).
- Page 59 ® Keratron Scout Installation and Operating Manual OPTIKON 2000 SYMPTOMS CORRECTIVE ACTION e. Import tests from the folder “C:\My Documents\Database_old”. Solution B (if you are working in a LAN group) a. Exit (all) from the Scout program b. Open the file indtest.mdb (from the folder reported at the top of the Scout desktop).
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Page 61: Index
Battery Module..........3-2; 6-3 Indtest.mdb ............9-5 IR-Pupillometry picture........7-7 Calibration............7-1 Calibration sphere........5-2; 7-1 Keratron Scout Pupillometry Upgrade Kit..5-3 Carrying case............. 5-3 Keratron Scout software ........6-14 Circuit diagrams ..........5-2 Computer minimal equirements ......5-4 Concavity ............3-1 Contact lenses ........... - Page 62 ® Keratron Scout Installation and Operating Manual OPTIKON 2000 Scout “far” mires cone........5-2 Uninstall procedure .......... 6-15 Slit Lamp ............5-4 Unistall utility............ 6-15 Slit Lamp Adapter ..........6-1 USB port ............6-11 Slit Lamp Adaptor ..........3-3 USB/EPP interface ..........5-2 Slit Lamp Cable..........
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Page 63: Appendix
® Keratron Scout Installation and Operating Manual OPTIKON 2000 11 APPENDIX Eyelashes Artifact Shadow projected by eyelashes Cone Detector Artifact!! Caution ! The map shows a high Eyelashes fool the eye vertex The eyelashe’s shadow power area detector crosses the horizontal line...
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