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Eli Ezer EPR-2600 Operation Manual

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Summary of Contents for Eli Ezer EPR-2600

  • Page 2 Preface Dear Users: Thank you very much for choosing EPR-2600 automatic computer perimeter manufactured by us. For your security and benefit, please read the <Operation Instruction> as well as all the datum of the instrument carefully before using it. If you do not operate the instrument according to the Operation Instruction, we shall not take any responsibility.

  • Page 3: Table Of Contents

    Content ………………………………………………………… 4 Chapter 1 Summarize ………………………………………………… 7 Chapter 2 Technical parameter …………………………………………………………12 Chapter 3 Installation ……………………………………………………25 Chapter 4 Software Function …………………………………………………………47 Chapter 5 Mantainance ………………………………………………………… 48 Chapter 6 Declaration...

  • Page 4: Chapter 1 Summarize

    Chapter 1 Summarize 1. Brief Introduction Projection perimeter，adopt the advantage of international advanced model, projection working mode，with wide testing range 0-90°.It has the characteristics of full-function, high precision and speed. Besides the above characteristics, the whole system also has the characteristic of high dependability and steady performance.
  • Page 5 Do not let the liquid or any other small objects run into the instrument, otherwise these objects may make the inner parts of the instrument short-circuit, and even make the users get an electric shock or even cause a fire hazard. 6. Manual Effective for model： EPR-2600 7. Product features Fusing parts: T2AL 250V...
  • Page 6 Security type：It belongs to B type instrument The instrument is intermittent working form Symbolic interpretation： Notes！Look through the manual Power on Power off Earth wire B type instrument Alternating current Connected（Responder） Disconnected（Responder） USB Port...

  • Page 7: Chapter 2 Technical Parameter

    Chapter 2 Technical Parameter 2.1 Technical Index 2.1.1 Background light Background light：white， intensity 10 cd/m 。 2.1.2 Stimulus testing, the allowance under limitation listed in Table 1. Table 1: Stimulus Parameter Content Allowance Background light， +25%，-20% Contrast， +25%，-20% 0°～10°：≤0.5° Stimulus location 10°～30°：≤1°...
  • Page 8 40° >0.6 7.20E-05 15° >0.7 6.50E-05 315° 40° >0.6 9.20E-05 Table 3-1 Stimulus contrast ratio（White stimulus-White background）  Stimulus Intensity Luminance Contrast 3421.0 3431.0 342.10 2898.5 2908.5 289.85 2160.5 2170.5 216.05 1653.7 1663.7 165.37 1367.2 1377.2 136.72 1075.2 1085.2 107.52 854.73 864.73 85.47...
  • Page 9 2.00 12.00 0.20 1.60 11.60 0.16 1.27 11.27 0.13 1.00 11.00 0.10 0.80 10.80 0.08 0.64 10.64 0.06 0.50 10.50 0.05 0.40 10.40 0.04 2.1.3 Spectral distribution of Background light and stimulus (white) 2.1.3.1 White background spectrum, white stimulus spectrum White background spectrum, white stimulus spectrum...
  • Page 10 2.1.4 Stimulus range: full field 90°， testing stimulus minus eccentric angle conform to the requirement in table 4. Table 4 Content minus eccentric angle ф Nasal 45° Bitamporal 70° Upper 45° Under 60° While testing，Nasal testing should be proceeded under Nasal step screening test mode. Botamporal testing should be proceeded under FF135 Screening test mode.
  • Page 11 1).If no response from patient, stimulus interval default as 1000ms; 2).If patient response，the system will adjust the stimulus interval according to the weighted average of last 5 patient respond speed，if patient respond slow then the stimulus interval will be automatically prolong. If patient respond fast then the stimulus interval will shorten automatically 2.1.6 The distance between patient eye and the fixation：300 mm±10 mm。...

  • Page 12: Chapter 3 Installation

    Chapter 3 Installation 1. Hardware EPR-2600 projection perimeter have already been inspected and tested before leaving factory. Please check if all accessories listed on list provided or not,any question, please contact with seller immediately. Please check accessories on list. Stimulator...
  • Page 13 ▲ The Front Picture of the Stimulator Forehead Rest Chin Rest ▲ The Back Picture of the Stimulator Power On/Off USB Port Power Supply 2. Working Environment Environment temperature：5℃-40℃ Relative humidity：≤85% Atmospheric pressure range：760 hPa～1060 hPa Power： a.c.100~240V； Frequency：50Hz Inputting power： 300VA 3.
  • Page 14 4.Hardware setup 4.1 Connect Perimeter and Computer with the new USB Serial Port Wires we provide. USB connecting Power on/off Power supply port 4.2 Connect the Power of the Perimeter. 4.3 Take out the fixed foam inside the Perimeter. Fix the Responder into the connector. 4.4 Connect the USB cable to computer, and install computer and printer accordingly.
  • Page 15 procedure and on software, or other unpredictable error will be occur. Please use relevant system we recommended. Please note the software will be default installed in folder C automatically. 5.2 Hardware Requirements Before you install PERIMETER V-2.0, make sure your computer meets the following minimum requirements: *CPU Mainboard: Intel chipset...
  • Page 16 (2) Click at [Computer Management], And select [Imaging devices] in the right window. (3) Right click at [USB Driver] and Click at“Update Driver”as followed pic.
  • Page 17 (4) A window will pop-up, select [Yes this time only],and continue by clicking [Next]. (5) A window [Hardware Update Wizard] will pop-up, select {Install the software automatically [Recommended]},then click [Next]...
  • Page 18 (6) A window pop-up like bellow, select [Continue Anyway] (7) Click [Finish] to end the installation...
  • Page 19 (8) Image shows like below means the driver installed successfully. B: If you run Win7 system, please install the capture card driver as followed steps: (1) Open the profile [Driver] (2) Double click at profile to open it and double click at to start installation...
  • Page 20 (3) Click [Next] to continue, (4).Click [Finish] icon, restart the computer. 5.4.2 Open the file of perimeter software and double click on icon to start the...
  • Page 21 installation process.
  • Page 22 Relocate the file path, recommend Disc D:/ for patient data security.
  • Page 23 5.5、Database backup Once the software running and have patient to be checked, there will be patient database generate automatically. For database safety, or while upgrading software or reinstalling the Windows system needed,all patient database should be backup up as followed steps: Find perimeter program installation directory which as proceeded in 5.4.2, find the location of...
  • Page 24 [Perimeter] file and open it,copy the file [dbfs] which is the database file and backup it safety. Operator can recover the data by copy and paste this file back to [Perimeter] file and overwrite. 5.6 After the software installed, you rarely need to maintain it, if there is new software for update, all you need to do is install the new software again.

  • Page 25: Chapter 4 Software Function

    Chapter 4 Function of software 1. Main function of software： （1）Visual Checking The main functions of this module are for: visual checking, statistic analysis of the checking result, storing the data and printing; （2）2 File Management The main functions are: file searching, report comparison and printing, document deleting; 2.
  • Page 26 Interface Bar: Back to Home interface, Back to Examination interface, User-define test interface, Printing, System setting and About us Patient info area: Recheck (the same eye of same patient) , Edit, Delete(Selected patient data), All patient list, Last record Waiting area: Register new patient, Start check, Edit, Delete Monitoring Window Chin Rest...
  • Page 27 Start test Stop the test Save the test result Setting the parameter Select test program Test another eye Diagnosis inputting System setting interface Double Name: For EU, USA and AUS. etc market which need the first name and family name inputting.
  • Page 28 User-defined test interface Firstly please click the bottom left in the interface to set up a new programme, then input the programme name, and click to save the defined programme as following The second step is:There are four method to choose the dot position for user defined programme Method One: Stationing the test dots as with circular, Click to input the inner circle and external circle scope and the space between dots, the unit will be the centrifugal degree, after...
  • Page 29 following: Method Three: Input the coordinate degree inside of the X and Y coordinate bar directly, the unit will be the centrifugal degree, after input the coordinate degree click as following: Method Four: Click , setting “test scope” first and then the centrifugal degree of “test scope”...
  • Page 30 (2)Several important programs and parameters of visual testing First choose a Testing Program (threshold test, screen test, special, custom). Once the program is selected, go to the Parameter to choose a Strategy (full threshold, auto threshold, fast auto threshold) accordingly. 4.
  • Page 31 system error and do not enter into testing procedure while self-checking in processing, the system will not run correctly. Enter the testing only after self-checking finished. 5.2 Input the patient’s information; 5.3 Operator should inform patient the examination process before the examination: 1) The patient should be familiar with the responder: demonstrate him the right way of responding, the way of clicking the responder, and make him relax as soon as possible.
  • Page 32 Patient with myopia, hyperopia and astigmatism will need to correct their diopter before starting the testing,we perimeter set trial lens holder for this function. Click on the icon of [ ] and inputting patient’s real refractive diopter, then click on the [Auto Calc] to get the corrected lens you need to put on perimeter trial lens holder.
  • Page 33 you want to use as following image. Or, if you want to change the strategy, click at and choose as below Notes: The program and strategy will automatically resume to default value once currently testing finished. System will not memory your last program and strategy setting. Operator need to proceed this process if default value needed to be changed.
  • Page 34 6.6 Click at the , choose the test report you need and preview. There are Single, 3in1, and Overview test report optional. 6.7 If your patient have come to you and test for several times, you should use the Overview report to see the progressing of patient.
  • Page 35 6.7 Test report reliability Number of testing dots means the total number of testing dots of the perimeter (1). False Negative Errors (False NEG Errors): False Negative errors occur when the patient does not respond to a suprathreshold stimulus in an area where the threshold has already been measured.
  • Page 36 (8). Glaucoma Hemifield Test (GHT): It is for automated evaluation of single static threshold visual field test results in glaucoma. It is also constructed to detect field loss that is symmetric around the horizontal meridian. Outside normal limits. The GHT is described as “outside normal limits” when differences ...
  • Page 37 6.8 Introduction of test parameter 6.8.1. Threshold test program: （1）30-2（recommend） Main applications：Common test, glaucoma, optic nerve disease, retinal disease Test Range：0°～30° Test points：76 dots （2）24-2 Main applications：Common test, glaucoma, optic nerve disease Test Range：0°～24° Test points：54 dots...
  • Page 38 （3）10-2 Main applications：Macular disease, retinal disease, optic nerve disease, advanced glaucoma Test Range：0°～10° Test points：68 dots （4）60-4 Main applications：Retinal disease, glaucoma Test Range：30°～60° Test points：60 dots...
  • Page 39 (5) Macula program: Main applications：Macular disease Test Range：0°～5° Test points：16 dots (6) Nasal step program： Main applications：Glaucoma Test Range：30°～50° Test points：14 dots...
  • Page 40 6.8.2. Screening test program (1) C-40 Main applications：Common test Test Range：0°～30° Test points：40 dots (2) C-76 Main applications：Common test, glaucoma, optic nerve disease Test Range：0°～30° Test points: 76 dots...
  • Page 41 (3) FF-81 Main applications:Full-field screening test, retinal disease, glaucoma, optic nerve disease Test Range：0°～60° Test points：81 dots (4) FF-120 Main applications：Full-field screening test, retinal disease, glaucoma, optic nerve disease Test Range：0°～60° Test points：120 dots...
  • Page 42 (5)FF-135 Main applications：Full-field screening test Test Range：0°～55°，Temporal side 87° Test points：135 dots 6.8.3. Specialty test program （1）Esterman monocular Main applications：Driver test for single eye Test Range：0°～60°， Temporal side 75° Test points：100 dots...
  • Page 43 (2) Esterman binocular Main applications：Driver test for double eyes Test Range：Double temporal side 150° Test points：120 dots (3) Superior 36 Main applications：Screening upper visual field Main applications： upper visual field 60° Test points：36 dots...
  • Page 44 6.8.4 Test Strategy 1. Threshold Strategy (1) Full Threshold Strategy: It adopt 4-2 as standard for response (2) Auto Threshold Strategy (recommend): Calculate and correct the stimulate value in the whole process of testing. Based on the response (3)Fast Auto Threshold Strategy: Calculate and correct the stimulate value in the whole process of testing, variation range will be 50% faster than auto threshold strategy, Based on the response 2．Screening Strategy (4) Zone 2: Stimulate with superior threshold value, Responded treat as normally...
  • Page 45 Tetarfanopia Depression: Its also named quadrantanopia, the two board line of the defect is one vertical diameter line and one horizontal diameter line, the defect area occupied a whole quadrant Hemoanopia：There are vertical and horizontal hemoanopia two types. For vertical, the board line is central vertical, for horizontal the board line is horizontal diameter line Macular Sparing: Its mainly appeared in the vertical hempanopia, which will retain about 5degree visual at the center area, the macular sparing is remind the defect location is at visual pay-off...
  • Page 46 localized depression, its shown as visual isopter localized depression which is different to scotoma, the scotoma are surrounded by relatively normal vision field, but at least one direction of the localized depression without clearly board line(Normally its telecentric direction ). Nasal step, bitamporal visual isopter and wedge-shape depression are the typical localized depression Generalized Depression: Light sensitivity of entire visual field consistency decline.

  • Page 47: Chapter 5 Mantainance

    Chapter 5 Maintenance 5.1 Common Problems Breakdown Cause Treating methods Failed to setup USB device Re-set USB device Voltage isn’t enough or too Replace power high Can’t start system or Memory lost or damaged Insert again or replace the system doesn’t work computer memory card Infect virus Use anti-virus software to...

  • Page 48: Chapter 6 Declaration

    Model of fuse: φ5×20mm, T2A L250V Replace the fuse: Screw off the cover of fuse, replace it with a new good fuse, then cover again (see the picture of the perimeter) Chapter 6 Declarations We can provide you with the information of those parts need maintained. 1.