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Next Sight NEXY User Manual

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NEXY
USER GUIDE AND
TRAINING
Nexy user guide 2018-11-08 Rev. 02
1

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Summary of Contents for Next Sight NEXY

  • Page 1 NEXY USER GUIDE AND TRAINING Nexy user guide 2018-11-08 Rev. 02...
  • Page 2 NEXY USER GUIDE AND TRAINING Dear Customer, Thank you for purchasing Nexy robotic retinal imaging system. This guide includes a theoretical section followed by a practical part. During the theoretical part, explanations are accompanied with illustrations. During the practical part the subject who underwent the training performs the operations of normal use of the Nexy device.

  • Page 3: Table Of Contents

    Table of contents UNPACK AND INSTALL YOUR NEXY NEXY POWER ON ACCESS PROCEDURE TABLET POWER ON USE OF TABLET PERFORM AN EXAM NEXY ACCOUNTS IMAGE PRINTING NEXY AND TABLET POWER OFF NEXY WEB FEATURES TELEMEDICINE Nexy user guide 2018-11-08 Rev. 02...
  • Page 4 EMAIL SENDING FUNCTIONALITY FUNCTIONALITY OF SHARING IMAGES FOR THIRD-PARTY A.I. SOFTWARE OPTIONAL FUNCTIONALITY OF TEAMVIEWER FOR REMOTE SUPPORT NEXY ADAPTER – OPTIONAL ACCESSORY (NOT AVAILABLE FOR US) 45 LANGUAGE CHANGE ON THE TABLET KEYWORD SHARED FOLDER Nexy user guide 2018-11-08 Rev. 02...

  • Page 5: Unpack And Install Your Nexy

    UNPACK AND INSTALL YOUR NEXY This is how the Nexy and all the components are packed Nexy + AC/DC adaptor User Tablet Manual Nexy user guide 2018-11-08 Rev. 02...
  • Page 6 PLEASE FOLLOW STEP BY STEP THE PROCEDURE HEREAFTER: 2. Remove the Tablet box and 1. Open the box Accessories box 3. Remove the 1st center 4. Device in the right upper foam position Nexy user guide 2018-11-08 Rev. 02...
  • Page 7 5. Hold the device at its base and pull it up carefully 7. Please make sure all material and 6. Keep the box and all components are on flat surface foam parts in a safe and dry place Nexy user guide 2018-11-08 Rev. 02...

  • Page 8: Nexy Power On

    USB socket Power ON/OFF button The ethernet socket is used only in case of technical assistance from Next Sight personnel. The USB socket next to the power button Ethernet socket is used to charge the tablet. After 30 seconds from switching on, Nexy's head will move automatically.

  • Page 9: St Access Procedure

    ACCESS PROCEDURE Before delivering the Nexy, Next Sight provides to the Customer the credentials to use for the 1st access. Credentials are: • Username: generated automatically by Next Sight • Temporary Password: password IMPORTANT The USER must run the 1 access on the Reserved Ares of Next Sight website - https://web.nextsight.info/#/login...
  • Page 10 Please save the PUK in a safe place. Insert the PUK Now the procedure is done, you can enter with your credential directly from the Tablet. IMPORTANT For the 1st time access the Tablet must be connected to internet. Nexy user guide 2018-11-08 Rev. 02...

  • Page 11: Tablet Power On

    Charger and micro USB cable. After switching on, a screen like this will appear. Click on the orange NEXY icon and enter the login and password assigned to you in on the screen below: Nexy user guide 2018-11-08 Rev. 02...

  • Page 12: Use Of Tablet

    USE OF THE TABLET HOME SCREEN After entering with your login and password the home screen will appear: • MACHINE: indicates if the Nexy is on or off. • DEVICE IN RANGE: indicates if the Bluetooth communication between tablet and device is active (if OFF, enable the Tablet's Bluetooth communication and / or bring the tablet closer to the device).
  • Page 13 From here select and click on ENTER NEW PATIENT Quick Entry Procedure • Choose: Quick Entry • Enter following information: • Year of birth • Sex • Race CREATE Once patient details are completed click on Nexy user guide 2018-11-08 Rev. 02...
  • Page 14 Full Entry Procedure • Choose: Full Entry • Enter the patient’s information into corresponding fields. Once patient details are completed click on CREATE • Both in quick and full entry procedure you can add Patient’s anamnesis. Nexy user guide 2018-11-08 Rev. 02...

  • Page 15: Perform An Exam

    Ensure the cleats are disinfected before eye exam. Use appropriate tissues. • Position the patient comfortably in front of the Nexy. Adjust the table height and chair height so the patient feel at ease placing his front and his cheekbones on the orange cleats.
  • Page 16 Make sure the front lens cap has been removed. Click on START EXAM select the eye (Left or Right) and the type of fixation desired. At this point a screen appears to choose the fields available Nexy user guide 2018-11-08 Rev. 02...
  • Page 17 Nota: For a better picture quality, we suggest running the exam on the right eye first, wait 1 minute to allow the patient's pupil to naturally dilate and then repeat the procedure on the left eye. Nexy allows using 7 different fixations The machine will move by itself.
  • Page 18 Select the Superonasal fields for the right eye and the left eye as illustrated and click the START button Select the Superotemporal fields for the right eye and the left eye as illustrated and click the START button Nexy user guide 2018-11-08 Rev. 02...
  • Page 19 Select the Temporal fields for the right eye and the left eye as illustrated and click the START button Select the Inferior fields for the right eye and the left eye as illustrated and click the START button Nexy user guide 2018-11-08 Rev. 02...
  • Page 20 Select the All fields for the right eye and the left eye as illustrated and click the START button Capture all 7 fixations is useful to have a widefield view of the retina, however the process should take a long time and each eye must be flashed 7 times. Nexy user guide 2018-11-08 Rev. 02...
  • Page 21 Warning messages If the pupil diameter is too small, you’ll get this message If the patient is not well positioned (too high or too low) you’ll get this messag Nexy user guide 2018-11-08 Rev. 02...
  • Page 22 Bluetooth to the tablet and will be shown on the tablet as in the figure below and you will be asked to confirm the image or, if you reject, you will be asked to retry the exam. In the case of the image is rejected this screen will appear Nexy user guide 2018-11-08 Rev. 02...
  • Page 23 In case the image is accepted, this screen will appear You can proceed to acquire the next eye. The procedure will be the same. Nexy user guide 2018-11-08 Rev. 02...
  • Page 24 •If you want to consult the data of patient already checked please proceed in the following way: Search the patient’s name in patients’ list and click on it Choose the images you want to consult Nexy user guide 2018-11-08 Rev. 02...
  • Page 25 There is a Red Free and Deep Layer Filter features, which if enabled, produces the following result. Another useful feature is the Compare Images. You can tap on one of the images in that vertical list and you will see a comparison between 2 image Nexy user guide 2018-11-08 Rev. 02...
  • Page 26 Mosaic You can use the Mosaic feature in order to have a single retina image with a larger field of view. Select Mosaic on the Action menu This screen will appear Nexy user guide 2018-11-08 Rev. 02...
  • Page 27 The mosaic could be done with 2 or more images. images will automatically fill the grid. Click on Create Mosaic At this point you can decide if accept or reject mosaic image Nexy user guide 2018-11-08 Rev. 02...
  • Page 28 Wait while mosaic images is being saved Mosaic image saved Nexy user guide 2018-11-08 Rev. 02...

  • Page 29: Nexy Accounts

    NEXY ACCOUNTS Nexy System allows the creation of 3 different types of account according on the requests of the Ditridutor or of the end user. It is not possible to turn an account from a type to another. A-Type Account – allowed to take retina images.

  • Page 30: Image Printing

    Drag and drop the retinas on the central part of the screen and press Print If there is an Android compatible printer connected on the same network of the Tablet, the report will be printed Nexy user guide 2018-11-08 Rev. 02...

  • Page 31: Nexy And Tablet Power Off

    NEXY AND TABLET POWER OFF To switch off the Nexy proceed like this and press here Then choose SHUTDOWN and wait 10 seconds. Nexy will switch off automatically. Switch off the Tablet pressing the button on the left side. Nexy user guide 2018-11-08 Rev. 02...

  • Page 32: Nexy Web Features

    Using your credentials You can enter on the reserved area of our website and see all the activities done with your Nexy. You can not perform exams from the website. NEXY WEB FEATURES – A Type Account Enter your credentials https://web.nextsight.info/#/login On this screen you can: •...
  • Page 33 • Download the image by clicking this botton NEXY WEB FEATURES – B Type Account In B Type account you will find all the features of A Type account and, in addition, you can make direct evaluations on images Once you open the patient’s folder and you see the image, you will find a list of pathologies on the right.

  • Page 34: Telemedicine

    NEXY WEB FEATURES – C Type Account Nexy provides its own Telemedicine platform. You can set up a network made of several Nexy units and one Eye Doctor which remotely makes the referrals on images taken with Nexy. C Type account is a web based account linked to A Type accounts.
  • Page 35 Each A Type account is provided with a Next Sight code – e.g. OPER_F8836 Each patient is provided with a Next Sight code – e.g. T36 Personal data are encrypted, C Type accounts have no access on them, neither access to A Type account personal data nor the personal data of the patients .
  • Page 36 C Type account. If the referral is done the icons on the right turn from grey to green. This is the Tablet screen of A Type account after the same evaluation Nexy user guide 2018-11-08 Rev. 02...

  • Page 37: Email Sending Functionality

    EMAIL SENDING FUNCTIONALITY To send images by e-mail, proceed as follows: Step 1: setting the Front End of the Nexy system, by connecting to the reserved area on the site www.nextsight.info 1. Log using your front-end credentials of the Nexy system via the browser 2.
  • Page 38 Step 2: setting Nexy App side: after logging in using your credentials, select "Settings", then the "Retina Sharing" section will appear with the "Send Email" field; from here you can edit the subject and text of the e-mail by clicking (once you have made the changes) "UPDATE", as shown in the figures below.
  • Page 39 5MB, click on "write email". In this phase, as shown in the figure below, it is possible to edit the fields: e-mail, phone, subject and email text. Nexy user guide 2018-11-08 Rev. 02...
  • Page 40 "SEND" on the tablet) and then click "Send" The images obtained are then shown as follows; clicking on them you can download them on your PC. Nexy user guide 2018-05-31 Rev. 0...

  • Page 41: Functionality Of Sharing Images For Third-Party

    To perform the correct setting in order to transfer the images on a user PC to be processed by a third-parties software (not supplied by Next Sight), proceed as follows: Select "Settings" and then "Shared folder on PC" Set the shared folder on PC as it happens for the shared folder functionality (described above), inserting...
  • Page 42 The following will appear on your PC folder: on the shared folder (set as shared folder) the AI folder will automatically be created with the images of the selected patients. These images may be processed by third-parties software applications not provided by Next Sight. Nexy user guide 2018-05-31 Rev. 0...

  • Page 43: Optional Functionality Of Teamviewer For Remote Support

    OPTIONAL FUNCTIONALITY OF TEAMVIEWER FOR REMOTE SUPPORT This feature is used by both Next Sight service personnel and the distributor in case it has been authorized by Next Sight to perform remote support from a tablet. In the event that the distributor takes care of the remote support, he must have purchased the license of TeamViewer necessary to provide this type of support to its customers.
  • Page 44 The notification will appear on the tablet that is active sharing the screen between the user and the service staff. The service staff is now able to find the problems encountered by the user. Nexy user guide 2018-11-08 Rev. 02...

  • Page 45: Nexy Adapter - Optional Accessory (Not Available For Us)

    40,000 images. The images are transferred as soon as they are acquired by Nexy, if the tablet and the adapter are within range. If they are too far apart, the images will be put on hold until the two devices are approached; when this happens, the transfer will start automatically.
  • Page 46 (step 5.A) Image transfer The presence of Nexy Adapter does not change the way Nexy is normally used. Each accepted image will be transferred to the adapter and will be displayed in the USB folder. Nexy user guide 2018-11-08 Rev. 02...
  • Page 47 When the selection is complete, touch the small orange triangle (step 8) and select "Send to Nexy Adapter" (step 9). If the Nexy Adapter is within range, the transfer will begin immediately. Wait until transfer is complete. Nexy user guide 2018-11-08 Rev. 02...
  • Page 48 PC Side As soon as the image transfer is started, the Nexy Adapter is viewed from the PC as a USB key. The icon to access the images is shown after the images have been transferred. Depending on the Windows autorun settings, the related window may open automatically;...

  • Page 49: Language Change On The Tablet Keyword

    At login, click either in the username field or in the password field, so that the keyboard is shown Holding the icon on the keyboard, the following window will appear At the window that appears, then click on "ADD KEYBOARD" Nexy user guide 2018-11-08 Rev. 02...
  • Page 50 Then select the chosen language The chosen language will then appear in the list; then click on the icon to return to the Nexy App screen Click on the icon on the keyboard and the desired language will be set In all the screens in which a text field is inserted, the chosen language will be retained.

  • Page 51: Shared Folder

    Go to “Control Panel -> Programs and Features -> Windows Features” and check the item “SMB 1.0 / CIFS File Sharing Support” (see figure below). Nexy user guide 2018-11-08 Rev. 02...
  • Page 52 7. Tap on the Settings icon on the lower left corner (see the figure below) and choose what kind of sharing you need: either .jpg images with the patient’s info in the file name, or a combination of .jpg and .json files, the latter holding the patient’s info. Nexy user guide 2018-11-08 Rev. 02...
  • Page 53 9.2) The FOLDER NAME refers to the name of the shared folder (i.e. FolderName or “Shared” in the image above). 10. Tap on UPDATE and then log out and then log in using your credentials. Nexy user guide 2018-11-08 Rev. 02...
  • Page 54 “SEND TO SHARED FOLDER”. The selected patients should appear as a set of .jpg and/or .json files on the shared folder. Then wait for the transfer to take place. Nexy user guide 2018-11-08 Rev. 02...
  • Page 55 Nexy user guide 2018-11-08 Rev. 02...

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