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ATLAS Corneal Topography

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Model 9000, System Software Version 3.0

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Page 1 ATLAS Corneal Topography System Model 9000, System Software Version 3.0 Documentation...
Page 3 Content User Manual ATLAS Corneal Topography System Model 9000 and ATLAS Review Software 3.0 [2660021135270 B] User Manual Supplement: ATLAS Model 9000 [2660021136504 A] Release Notes: ATLAS Software Version 3.00 [2660021134283 B] Version 3.0 Installation Instructions [2660021135267 B] ATLAS Review Installation Instructions [2660021142711a] Release Notes: ATLAS Review-Software, Version 3.0.1...
Page 5 Content User Manual ATLAS Corneal Topography System Model 9000 and ATLAS Review Software 3.0 [2660021135270 B] 266002-1134-240-Inhalt1-GB...
Page 7 ATLAS Corneal Topography System ■ Model 9000 Instrument and ATLAS Review Software (System Software Version 3.0) User Manual...
Page 8: Document Applicability
Trademarks ATLAS, Cone of Focus, MasterFit, OcuLign, PathFinder, and SmartCapture are either registered trademarks or trademarks of Carl Zeiss Meditec, Inc. in the United States and/or other countries. Windows and Windows Vista are either registered trademarks or trademarks of Microsoft Corporation in the United States and/or other countries.
Page 9 Contents Contents (1) Introduction ................1-1 •Intended Use ..................1-1 •Indications for Use ................1-1 •Purpose of This User Manual............1-2 •ATLAS System Instrument User Manual ..........1-2 •Organization of the Manual ..............1-2 •ATLAS Technology................1-3 •System Hardware................1-4 •Projection Head Assembly and Joystick..........1-5 •Chin Rest Assembly ................
Page 10: Table Of Contents
Contents •Initial System Setup.................2-9 •The admin User Account..............2-9 •Create User Accounts (admin only)............2-9 •Archive/Synchronize Preferences ............2-11 •Create Institution Name (admin only)..........2-12 •Operational Modes and Windows ..........2-12 •Status Bar Information ..............2-13 •Auto Archive State................2-13 •Auto Synchronize State ..............2-13 •Current User ..................
Page 11 Contents •Image Quality .................3-17 (4) Image Analysis ..............4-1 •Chapter Overview ................4-1 •Analyze Images ................4-1 •Find an Existing Patient ............... 4-1 •View Today’s Patients Tab ..............4-2 •Analysis Screen................4-3 •Cursor Location Point................4-4 •Analysis Screen Toolbar................4-5 •Selecting Exams and Views ..............4-9 •Display Options ...................4-9 (5) Displays ................
Page 12 •PathFinder II (Optional) ..............6-30 (7) View Editor................7-1 •Chapter Overview ................7-1 •View Editor Tabs ................7-1 •General ....................7-1 •Color....................7-5 •Overlay....................7-6 •Data....................7-7 •Wavefront ..................7-14 (8) Parameter Sets ..............8-1 •Chapter Overview ................8-1 •Editing Parameter Sets ..............8-1 •Default Parameter Sets ................8-2 •Setting the Current Parameter Set ............8-3 •Setting a Parameter Set to Default Settings ..........8-3...
Page 13 •Categorize Patients................ 9-13 •Create, Edit and Delete Categories (admin only) ......... 9-13 •Apply Categories to Patients: Add or Remove ........9-15 •Change Database / Create New Database (admin only) ....9-16 •Change Database ................9-17 •Create New Database ................ 9-19 •Back Up/Restore Configuration Files (admin only)......9-20 •Back Up Configuration Files ...............9-20 •Restore Configuration Files ..............
Page 14 •Import ................... 11-3 •Importing from ATLAS 9000 Series Export Media........ 11-3 •Importing from ATLAS 900 Series Instrument Databases ..... 11-5 •Importing from ATLAS 900 Series Export Media......... 11-19 •Use Extrapolated Data for ATLAS 900 Series Exams ......11-20 •Importing from Worklists (Instrument Only) ........11-20 •Export...................11-21...
Page 15 •Data Table ..................B-8 •Display Preferences................B-9 •Lens Design Thumbnails ..............B-11 •Lens Design Parameters..............B-11 •Add a New Lens Design..............B-12 •Rename..................... B-12 •Delete ....................B-12 •Design Lens ................... B-13 •Change Lens ..................B-13 • LENS PARAMETERS ..................B-14 •Map View ..................B-15 •Change Rx ..................
Page 16 •Network Broker Configuration Tool Steps........C-10 •Step 1: Select Configuration Type............C-10 •Step 2: Device Selection..............C-11 •Step 3: DICOM Application Entity Title ..........C-12 •Step 4: DICOM Modality Worklist Provider Setup ........ C-13 •Step 5: DICOM Storage Provider Setup..........C-15 •Step 6: CZM-XML Application Entity Title..........C-17 •Step 7: Instrument Setup..............
Page 17 (G) Data Transfer Using Optical Disks........G-1 •Overview..................G-1 •Compatible Media Formats .............G-1 •Compatible Data Transfer Functions..........G-1 •ATLAS Data Transfer Instructions............ G-2 •Proper Disk Care................G-2 •Disk Formatting ................G-2 •Roxio Drag-to-Disc Software Configuration........G-5 (H) Routine Maintenance............H-1 •Chapter Overview ................H-1 •Fuse Replacement................H-1 •Calibration Check ................
Page 18 ATLAS User Manual 2660021135270 B...
Page 19: Intended Use
Introduction (1) Introduction The ZEISS ATLAS™ Model 9000 Corneal Topography System (ATLAS System) is a diagnostic instrument that measures the curvature of the cornea of the eye, and produces a topographical image. This image can be viewed on a computer and printed in color. The information can be used for contact lens fitting, corneal pathology detection and management, and laser vision correction screening/planning/management.
Page 20: Organization Of The Manual
Introduction Purpose of This User Manual Carl Zeiss Meditec designed this User Manual to serve as a training, usage and reference guide. We assume that users are clinicians or technicians with professional training or experience in the use of ophthalmic imaging equipment, and in diagnostic interpretation of the images generated.
Page 21 Introduction Text Conventions • This manual means “left-click” when it says, “click,” except where “right-click” is specified. • Chains of menu items are indicated with the use of the “>” symbol between items. For example, “File > Exit” directs you to select Exit in the File menu. Access Menu Options To access the options offered through each menu, click on the menu headings.
Page 22: System Hardware
With the exception of the keyboard and printer, the ATLAS System integrates all hardware components in a unit, which includes the image acquisition optics, the system computer and flat panel display screen. Carl Zeiss Meditec offers an optional motorized power table (Figure 1-5...
Page 23: Chin Rest Assembly
Introduction Projection Head Assembly and Joystick The projection head houses the illumination source, Placido disk, and video camera that project and capture an image. The joystick moves the base of the unit from side to side and back and forth for positioning.
Page 24: Keyboard And Touchpad
Introduction The left chin rest is positioned at an angle for the right eye, and the right chin rest is angled for the left eye. The chin rest (from the patient’s perspective) is labeled with arrows to indicate the chin location, and therefore the head orientation while capturing images for the right (blue arrow) and left (white arrow) eye.
Page 25: Data Storage
Introduction ATLAS Instrument Software Carl Zeiss Meditec pre-installs all software necessary to operate the ATLAS System instrument. Software updates with installation instructions may be provided on CD or on our website. Data Storage Storage of ATLAS exam data is designed to occur in a network environment. We recommend archiving data to a network file server or an network attached storage device (also known as a network hard drive), which operates just as a network file server.
Page 26: External Device Equipment
Introduction External Device Equipment WARNING: To maintain patient safety, an isolation transformer is required when connecting externally powered peripheral devices (i.e., printer, USB drive, etc.) within 1.5 meters (4.9 feet) from the patient. In addition, an isolation transformer is required for all externally powered peripheral devices outside this distance unless these devices are (1) connected to the ATLAS using an Unshielded Twisted Pair (UTP) network cable (CZMI recommends using a least a CAT 5 UTP network cable), (2) plugged into a different power...
Page 27 Introduction USB Drives (Flash and Hard Drives) ☞ Do not install any optional software. Drive must be formatted in NTFS format. ATLAS data is compatible only with NTFS. Using an External Monitor on the ATLAS Instrument You can connect an external monitor to the VGA Video port of the ATLAS instrument (i.e., for presentations, larger monitor).
Page 28 Introduction 1-10 Review Software and Instrument Differences ATLAS Review Software has the following differences compared to the ATLAS instrument: • Capture Image is not shown on the P (Find Existing Patient, ATIENT ELECTION CREEN page 3-2). • Always use current Parameter Set for acquisition option in Options > Preferences on General tab is not displayed (Figure 3-1, page 3-2).
Page 29: Instrument Installation
Introduction 1-11 Approved Software Use of software supplied or approved by Carl Zeiss Meditec for the ATLAS System is authorized. Please refer to the ATLAS System Technical Support section of our website (www.meditec.zeiss.com/atlas) for the current list of approved software.
Page 30: Care In Handling
Note: Users are not authorized to dismantle or modify the ATLAS System hardware. To transport the instrument outside the office, you must consult with a Carl Zeiss Meditec service technician. Failure to do so voids all warranties offered with the ATLAS System.
Page 31: Product Compliance
• With the exception of the main power fuses and keyboard, there are no user-replaceable parts in the instrument. For the replacement of any component, accessory, or peripheral, except fuses or the keyboard, call Carl Zeiss Meditec customer service: In the U.S., call 800-341-6968. Outside the U.S., contact your local CZM distributor.
Page 32 WARNING: Do not reconfigure system components on the table, nor add non-system devices or components to the table, nor replace original system components with substitutes not approved by Carl Zeiss Meditec. Such actions could result in failure of the table height adjustment mechanism, instability of the table, tipping and damage to the instrument, and injury to operator and patient.
Page 33: Electromagnetic Compatibility (Emc)
Introduction 1-15 Electromagnetic Compatibility (EMC) • EN 60601-1-2 ☞ Note: The ATLAS System needs special precautions regarding EMC and needs to be installed and put into service according to the EMC information provided herein. ☞ Note: Portable and mobile RF communications equipment can affect medical electrical equipment.
Page 34: Guidance And Manufacturer's Declaration - Electromagnetic Immunity
Introduction 1-16 Guidance and manufacturer’s declaration – electromagnetic immunity The ATLAS System is intended for use in the electromagnetic environment specified below. The customer or user of the ATLAS System should assure that it is used in such an environment. Immunity Test IEC 60601 test level Compliance level...
Page 35 Introduction 1-17 Guidance and manufacturer’s declaration – electromagnetic immunity The ATLAS System is intended for use in the electromagnetic environment specified below. The customer or user of the ATLAS System should assure that it is used in such an environment. Immunity Test IEC 60601 test level Compliance level...
Page 36 Introduction 1-18 Recommended separation distances between portable and mobile RF communications equipment and the ATLAS System The ATLAS System is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the ATLAS System can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the ATLAS System as recommended below, according to the maximum output power of the communications equipment.
Page 37: Symbols And Labels
Introduction 1-19 Symbols and Labels Caution, consult accompanying documents. Note: There are important operating and maintenance instructions found in the manual. Presence of electrical shock hazard. Note: Indicates risk of electrical shock due to the presence of uninsulated high voltage inside the instrument. Do not remove the instrument cover or parts.
Page 38: Protective Packing Symbols
Introduction 1-20 Protective Packing Symbols The protective packing symbols specify the handling requirements and the transport and storage conditions. Handling Requirements Fragile, Handle with Care Keep Dry This end up Transport and Storage Conditions Relative Humidity (10% to 100%, including condensation) Temperature (-40 to +70 deg.
Page 39: Product Labels And Serial Number Location
Introduction 1-21 Product Labels and Serial Number Location On the right side above the connectors and on the bottom of the instrument is the product label: Figure 1-7 Product Label on Exterior, Right Side On the right side to the left of the connectors is the label showing the serial number: Figure 1-8 Product Label with Blank Serial Number Another label above the connectors and on the bottom of the instrument identifies the manufacturer and authorized EC representative:...
Page 40: Instrument Disposition
1-22 Instrument Disposition When it comes time to upgrade the ATLAS System, please contact Carl Zeiss Meditec to inquire about trade-in or upgrade values we may offer. Should you not wish to trade in the instrument, please see the Disposal section below.
Page 41 Introduction 1-23 Install the Power Table Place the instrument on the power table so that the monitor faces the operator side. See Figure 1-5 for a photo example. Patient side of table Operator side of table Table up/down switch Instrument power under here cord plugs in under table here Power input label...
Page 42 Introduction 1-24 Power the Instrument Through the Table The instrument power cord must be plugged into the power table under the left side, as shown in Figure 1-12 Figure 1-13. The table power cord plugs into the table at its base as indicated in Figure 1-12.
Page 43: Operational Overview
To start ATLAS Review Software on a PC, double-click the ATLAS Review Software icon (shown on the left) on your computer desktop. Alternatively, you can select Start > All Programs > Carl Zeiss Meditec > ATLAS Review Software. ATLAS User Manual...
Page 44 Operational Overview ☞ Note: Only one instance of the ATLAS Review Software can be running at the same time on the same computer. If you have more than one Windows User Account, you disable must “Fast User Switching” to ensure a successful database connection. In Windows XP, select Start >...
Page 45 If it fails, the system check will remain on screen. If this occurs, call Carl Zeiss Meditec customer service: In the U.S., call 800-341-6968. Outside the U.S., contact your local CZM distributor. Be prepared to communicate the system check details, which are accessible by clicking the Details button.
Page 46: User Login
Operational Overview User Login ATLAS optionally requires users to log in to access the ATLAS System functions. To require user login, select Require User Identification (Login) in the General tab of the Preferences dialog on the Options Menu (Figure 2-3). Figure 2-3 Preferences –...
Page 47 Operational Overview Patient Selection Window When you log in successfully upon system start, the P appears ATIENT ELECTION INDOW with the default Find Existing Patient tab selected as shown in Figure 2-6. Figure 2-6 ATLAS Instrument Patient Selection Window – Find Existing Patient Identify a Patient on page to use the P...
Page 48: Change Language
Operational Overview Change Language To change the language for the ATLAS instrument you need to change the Windows regional (date and time format, number format, etc.) setting and language (operating system text) setting (see ATLAS Instrument Windows Regional and Language Settings on page 2-6), and the ATLAS application language (ATLAS specific text) (see ATLAS Language Setting (admin only)
Page 49 Operational Overview On the Regional Options tab, select your country from the drop-down menu in the Standards and formats “ ” section (Figure 2-7). Figure 2-8 Regional and Language Options Window – Languages Tab On the Languages tab, select your country from the drop-down menu in the “ Languages used in menus and dialogs ”...
Page 50 Operational Overview To choose your language, select Options > Language... to display the Choose Language dialog (Figure 2-3). Figure 2-9 Choose Language Dialog Select your language by clicking on it and then click the OK button to change the language, or click the Cancel button to keep the current language. If you click OK, a message will be displayed telling you that you must exit and restart the ATLAS application for the new language to take effect (Figure...
Page 51: Initial System Setup
Operational Overview Initial System Setup Upon initial system start, one item requires your attention. 1. Create user accounts (strongly recommended): We also strongly recommend that you create password-protected user accounts to prevent unauthorized access. Several other initial setup items are optional but also are worthy of consideration, and are explained in this section.
Page 52 Operational Overview 2-10 Register (Create) Staff (admin only) ☞ To access the Staff function, you must be logged in as the admin user (See admin User on page 9-1). 1. Click Options > Staff..The Staff Registration dialog appears. 2. In the Staff Registration dialog, click New. The New Staff dialog opens. Figure 2-11 New Staff Dialog 3.
Page 53: Archive/Synchronize Preferences
Operational Overview 2-11 Archive/Synchronize Preferences Select Options > Preferences... and then click the Archive/Synchronize tab. Figure 2-12 Preferences – Archive/Synchronize Tab To have ATLAS automatically archive new and imported exams, select Auto in the Archive section. ATLAS will check every 10 seconds for new completed and imported exams. Once a new or imported exam is detected it will be automatically archived in the background—...
Page 54: Create Institution Name (Admin Only)
Operational Overview 2-12 Create Institution Name (admin only) ☞ To access the Institution function, you must be logged in as the admin user (See The admin User on page 9-1). Use the Institution Edit dialog to customize your system with the name of your institution.
Page 55: Status Bar Information
Operational Overview 2-13 Patient selection mode is the default mode when you log in to ATLAS. It is the launch point for the clinical functions of ATLAS: image acquisition and analysis. You must identify a patient before you can either acquire or analyze exam data; and when you finish image acquisition you can go to analysis, or return to patient selection mode.
Page 56: Camera Status Indicator (Instrument Only)
Operational Overview 2-14 Camera Status Indicator (Instrument Only) The first signal light on the left indicates whether or not the camera is ready to acquire new images. • The red circle with a white “X” indicates the camera is not available. •...
Page 57: Synchronize Status Indicator
Operational Overview 2-15 Synchronize Status Indicator The Synchronize indicator reports synchronization status in terms of connectivity as shown below. Mouse over the indicator for details. • The red circle with a white “X” indicates that no synchronization volumes are enabled. •...
Page 58: Menu Items
ELECTION INDOW Imports patient data & exams from the following media: • Import > • From ATLAS 9000 Series Export Media... • From ATLAS 900 Series... • Export > Exports patient data & exams to the following media: • To ATLAS 9000 Series Export Media...
Page 59 Operational Overview 2-17 Menu Items Description Tools Menu When logged in as admin, enables you back up ATLAS • Back Up Configuration Files Configuration Files to an archive location. When logged in as admin user, enables you retrieve • Retrieve Configuration Files ATLAS Configuration Files from an archive location.
Page 60: Analysis Screen Toolbar
Operational Overview 2-18 Analysis Screen Toolbar Figure 2-17 Analysis Screen Toolbar The Analysis Screen Toolbar is only available on the A . Its buttons have the NALYSIS CREEN following functions: Button Name and Function More (F2): Displays additional windows on the A which allow you to NALYSIS CREEN...
Page 61: Power Down The System
Operational Overview 2-19 Button Name and Function The Display (F4) pop-up menu displays a list of available Displays. Can be activated by pressing the F4 key on the keyboard. Power Down the System You can power down the ATLAS System Instrument through either hardware or software. In either case, the system goes through a soft shutdown sequence.
Page 62 Operational Overview 2-20 ATLAS User Manual 2660021135270 B...
Page 63: Acquire Images (Instrument Only)
Acquire Images (Instrument Only) (3) Acquire Images (Instrument Only) Chapter Overview This chapter explains in detail how to acquire ATLAS images. It covers the following areas: • Prepare the Patient, page • Identify a Patient, page • Image Parameters Screen, page •...
Page 64: Find Existing Patient
Acquire Images (Instrument Only) ☞ Note: If you have checked Always use current Parameter Set for acquisition (Instrument Only) on the General tab of the Preferences dialog (Figure 3-1), then you will go directly to the E using the current Parameter Set, and will not CQUISITION CREEN be able to select a Parameter Set.
Page 65: Add New Patient (Instrument Only)
Acquire Images (Instrument Only) To search the patient list: • To search for patients by Name or Patient ID, type in the corresponding fields and click Search. You can search using partial information, and you can use one or both fields. •...
Page 66: View Today's Patients
How the Today’s Patients List is Populated Today’s patients list is populated automatically with new patients added today (manually, imported from ATLAS 9000/ATLAS 900 Series data, or imported by worklist if you have licensed the optional DICOM Gateway software (see...
Page 67: Image Parameters Screen
Acquire Images (Instrument Only) Click to select the desired patient and then click Capture Image (or double-click the patient). The I appears. Proceed to the Image Parameters MAGE ARAMETERS CREEN Screen on page 3-5. ☞ Note: If you have checked Always use current Parameter Set for acquisition (Instrument Only) on the General tab of the Preferences dialog (Figure 3-1), then you...
Page 68: Exam Acquisition Screen
Acquire Images (Instrument Only) To acquire the image, click on one of the ten Parameter Set buttons, or click on the Use [Parameter Set] button in the lower right to use the currently selected Parameter Set. The appears. Proceed to the Exam Acquisition Screen below.
Page 69: Align The Projection Head And Focus The Image
Acquire Images (Instrument Only) 1. Seat the patient facing the projection head. Position the patient’s chin on the chinrest. Use the vertical adjustment knobs to move the chin rest up or down to fit the patient. The patient’s mouth should be closed and the eyes should be in line with the canthus marks just below the forehead rest.
Page 70 Acquire Images (Instrument Only) Figure 3-7 shows an image out of alignment. Note that the crosshairs are not centered inside the smallest white circle. Figure 3-7 Exam Acquisition Screen – Out of Alignment Figure 3-8 shows an image out of focus and alignment. The image is out focus—all the white rings are not clear.
Page 71: Capture The Image
Acquire Images (Instrument Only) Capture the Image The ATLAS SmartCapture Image Analysis technology captures images at a rate of 15 images per second before you actually press the joystick button/spacebar. When the joystick/spacebar is pressed, the ATLAS System stops collecting images. If the Use SmartCapture™...
Page 72 Acquire Images (Instrument Only) 3-10 Patient Name, ID & Date of Birth Image Acquisition Date & TIme, Eye (OD or OS) Enter exam remarks in this field for the image you are saving. Click Save to display the green checkmark for the image(s) you want to save/view.
Page 73: Data Parameters Table (Exam Preview Screen Only)
Acquire Images (Instrument Only) 3-11 Data Parameters Table (Exam Preview Screen only) A Data Parameters Table displays the Image Quality and a PathFinder II Eligible field. See Exam Quality below. Parameter values for Eccentricity, Shape Factor, Flat and Steep Sim K’s, HVID, and Pupil Diameter are shown for each image.
Page 74: View Image/Views
Acquire Images (Instrument Only) 3-12 View Image/Views Rings / Rings Image On the E elect Rings image to view the captured Rings image (Figure REVIEW CREEN 3-9). On the E elect Rings to view the captured Rings image (Figure ESULTS CREEN 3-10).
Page 75 Acquire Images (Instrument Only) 3-13 Scotopic Pupil Select Scotopic Pupil (if captured) to view the Scotopic Pupil image (no light) (Figure 3-12). Figure 3-12 Exam Results Screen – Scotopic Pupil Image Axial / Tangential / Elevation (Exam Preview Screen only) Axial Select Axial to view the captured images with the Axial Curvature View (see Curvature...
Page 76: Doctor
Acquire Images (Instrument Only) 3-14 Doctor The Doctor pop-up menu displays a list of previously defined doctors where you can select one to be associated with this exam. A default doctor’s name can be set for the current Parameter Set and will be displayed here.
Page 77: Views
Acquire Images (Instrument Only) 3-15 If you have Auto print after acquisition checked in the Printing / DICOM Export Options dialog of your current Parameter Set (see Printing / DICOM Export Options on page 8-11), then the selected reports and Views (in the Printing / DICOM Export Options dialog) will be printed for each eye when you select Done.
Page 78: Edit Pupil And Limbus-Exam Edit Screen
Acquire Images (Instrument Only) 3-16 Edit Pupil and Limbus—Exam Edit Screen ☞ Note: Once an exam is saved, you will not be able to edit the pupil and limbus diameters. Selecting the Edit Pupil and Limbus button will display the E (Figure CREEN 3-14).
Page 79: Image Quality
Acquire Images (Instrument Only) 3-17 Select Delete to delete the contour. Select Normal to display the original displayed contour determined at image acquisition. When your finished, click OK to save your changes and return to the E ESULTS CREEN The Rings Image will reflect your changes. Click Cancel to return to the E ESULTS without making any changes.
Page 80 Acquire Images (Instrument Only) 3-18 ATLAS User Manual 2660021135270 B...
Page 81: Image Analysis
Image Analysis (4) Image Analysis Chapter Overview This chapter discusses the ways you can analyze previously acquired ATLAS images. Topics covered in this chapter include: • Analyze Images, page • Find an Existing Patient, page • View Today’s Patients Tab, page •...
Page 82: View Today's Patients Tab
Image Analysis • To search for a patient by first or last Name or Patient ID, type in the corresponding fields and click Search. You can search using partial information, and you can use one or both search fields. The patient list will return all matching patients, sorted alphabetically.
Page 83: Analysis Screen
CREEN appears. Institution Name Patient Name, Display ID & Date of Birth Color Palette Instrument & Color Scale if not ATLAS 9000 Click on Color Data Scale to select Table another scale Scale increment Image Doctor, Operator Remarks Analysis Screen Toolbar...
Page 84: Cursor Location Point
• The institution, doctor and operator name • Remarks entered during image acquisition • Exam date and time • Instrument (if not ATLAS 9000) • OcuLign® Not OK Cursor Location Point You can move the mouse pointer arrow to any part of the cornea display and click the left mouse button.
Page 85: Analysis Screen Toolbar
Image Analysis Analysis Screen Toolbar The A Toolbar (see Analysis Screen Toolbar on page 2-18) displays the NALYSIS CREEN following buttons: More (F2) Checking the More (F2) checkbox (or pressing the F2 function key on the keyboard) will display additional windows (Figure 4-5) which allow you to customize the display, select different exams and alternate views, and edit Parameter Sets.
Page 86 Image Analysis If you have selected reports on the Printing / DICOM Export Options dialog of the current Parameter Set, selecting Print > Print report will print Reports and Views for the currently selected exam(s). See Printing / DICOM Export Options on page 8-11 Report...
Page 87 Image Analysis All exams for the patient can be selected. However, for some Displays, the list will show only exams for one eye. Select the Switch Eye button on the bottom of the Exams list to display exams for the other eye. For the Trend with Time and Trend Analysis Displays, a pop-up S window will be ELECT...
Page 88 Image Analysis View (F3) Pop-Up Menu Clicking the View (F3) pop-up menu button (or pressing the F3 function key on the keyboard) displays a list of Views. See (6) Views for a description of each View. Display (F4) Pop-Up Menu Clicking the Display (F4) pop-up menu button (or pressing the F4 function key on the keyboard) displays a list of Displays.
Page 89: Selecting Exams And Views
Image Analysis Selecting Exams and Views The E window allows you to select the exam(s) and View for the A XAMS IEWS NALYSIS CREEN display when the More (F2) checkbox on the A is selected. NALYSIS CREEN Exams Clicking the Exams tab on the E window allows you to select the exam(s) to XAMS IEWS...
Page 90 Image Analysis 4-10 button to save the current parameters and settings to the current set. Click the Edit Parameter Sets button to display the E to change, create, or edit ARAMETERS CREEN Parameter Sets. See (8) Parameter Sets for more information on Parameter Sets. ☞...
Page 91: Displays
Displays (5) Displays Chapter Overview The ATLAS Software lets you select different types of displays for the exam data captured by the instrument. You can select a single-image display or compare more than one exam—or more than one view of the same exam or different exams—on the same display. •...
Page 92: Overview
Displays Overview same exam The Overview Display shows four different Views of the for the selected patient. You can select the exam and Views for the Overview Display in two ways: 1. Select an exam from the Exams pop-up list (see Exams List on page 4-6).
Page 93: Single View
Displays Single View The Single View Display shows a single View of a single exam for the selected patient. You can select the exam and View for the Single View Display in two ways: 1. From the View (F3) and Exams pop-ups (see View (F3) Pop-Up Menu on page Exams List...
Page 94: Od/Os Compare
Displays OD/OS Compare The OD/OS Compare Display shows two different Views of left and right eye exams for the same patient on the same display. Two Views on the left side of the display are for the right eye (OD) exam, and the same Views for the left eye (OS) are on the right side. ATLAS automatically selects the closest other eye (based on exam date).
Page 95 Displays Figure 5-3 shows an OD/OS Compare Display with the Bottom View selected (green border). Figure 5-3 OD/OS Compare Display (Bottom View Selected – Green Border) ATLAS User Manual 2660021135270 B...
Page 96: 2-Difference
Displays 2-Difference The 2-Difference Display shows two exams for the same eye and the difference between them. The top exam (Exam 1) is subtracted from the bottom exam (Exam 2). You can select the exams to include in the 2-Difference Display in two ways: 1.
Page 97 Displays Figure 5-4 shows a 2-Difference Display with Exam 1 selected (green border). Note that a location point has been clicked on the top exam and the difference value at that location point is displayed on the right. Figure 5-4 2-Difference Display (Exam 1 Selected – Green Border) ☞...
Page 98: 3-Difference
Displays 3-Difference The 3-Difference five-map Display provides information regarding changes between multiple exams; for example, to monitor the surgical and healing changes that take place on the eye after corneal surgery. It is also useful to follow contact lens induced change over time, to determine the effect that the lens is having on the cornea.
Page 99 Displays Figure 5-5 shows a 3-Difference Display with Exam 1 selected (green border). Note that a location point has been clicked on the top exams and the difference values at that location point are displayed on the bottom exams. Figure 5-5 3-Difference Display (Exam 1 Selected – Green Border) ☞...
Page 100: Trend With Time
Displays 5-10 Trend with Time The Trend with Time Display shows the currently active exam and up to three previous exams for the same eye. The exams are always displayed in chronological order (left to right, top to bottom). You can select the exams to include in the Trend with Time Display in two ways: Exams List 1.
Page 101 Displays 5-11 Figure 5-6 shows a Trend with Time Display with View 1 selected (green border). Figure 5-6 Trend with Time Display (View 1 Selected – Green Border) ATLAS User Manual 2660021135270 B...
Page 102: Trend Analysis
Displays 5-12 Trend Analysis The Trend Analysis Display (Figure 5-7) shows up to four exams for the same eye, along with a table of data analysis parameters. By default, only the current day’s exams for the same eye are displayed, if possible. However, you can select any four exams to include in the Trend Analysis Display by selecting them from the Exams pop-up S window ELECT...
Page 103: Display Options
Displays 5-13 Apical radius (Ro) Apical radius of curvature, also known as Ro, or apical curvature, is the radius of curvature of the unique ellipse calculated along a certain meridian (see Figure 5-8). Figure 5-8 Trend Analysis Data Diagram Sagittal height The Sagittal height (micrometers) is the height of the cornea measured from the geometric center of the cornea to the specified chord along the selected meridian (see Figure...
Page 104: Custom
Displays 5-14 Custom The Custom Display can show four different Views for the selected patient. Any exams combination of and Views can be selected. This differs from the Overview Display same exam where all Views are for the You can select the exams and Views for the Custom Display in two ways: 1.
Page 105 Displays 5-15 Figure 5-9 shows a Custom Display with View 4 selected (green border). Figure 5-9 Custom Display (View 4 Selected – Green Border) ATLAS User Manual 2660021135270 B...
Page 106: Pathfinder Ii (Optional)
PathFinder II software. ☞ Note: PathFinder II corneal analysis is only available for ATLAS 9000 exams. PathFinder II will be greyed out and not selectable for ATLAS 900 Series exams. MasterFit II (Optional) MasterFit II is an optional software feature for the ATLAS System that incorporates contact lens fitting capabilities.
Page 107: Views
Views (6) Views Chapter Overview ATLAS supports thirteen different types of Views of the exam image. Views can be customized by using the View Editor on the bottom of the A (see (7) View NALYSIS CREEN Editor). Default View Editor parameters for each View are set in the current Parameter Set (see Editing Parameter Sets on page 8-1).
Page 108: Axial Curvature
Views Axial Curvature The Axial View (Figure 6-2) displays the axial curvature of the cornea as a topographical view, using 23 colors to represent dioptric power or mm radius. The Axial View is a simple way of describing the overall shape of the cornea, and even though the values can be displayed as diopters, the Axial View is actually a calculation of curvature, instead of “true”...
Page 109 Views Figure 6-2 Axial View – Color View All parameters for the Axial View Editor are discussed in (7) View Editor. ATLAS User Manual 2660021135270 B...
Page 110: Tangential Curvature
Views Tangential Curvature The Tangential View (Figure 6-4) displays the cornea as a topographical view, but bases the calculation on the local curvature of a given meridian, and thus shows more detail than the Axial View. The Tangential View bases its calculation on a different mathematical approach or algorithm and is also known as instantaneous or local curvature.
Page 111 Views Figure 6-4 Tangential View – Color View All parameters for the Tangential View Editor are discussed in (7) View Editor. ATLAS User Manual 2660021135270 B...
Page 112: Elevation
Views Elevation The Elevation View (Figure 6-5) displays the difference in height or elevation of the cornea, in micrometers (μm), from a reference sphere. ATLAS then fits, or superimposes, this reference sphere onto the corneal surface, measuring the difference between the reference and the real corneal surface.
Page 113 Views The Elevation View can also be viewed as a Surface (Figure 6-6) or Zernike table (Figure 6-7) by selecting those views in the View As... section on the General tab. Figure 6-6 Elevation View Editor – Surface View Figure 6-7 Elevation View Editor – Zernike Table View The Zernike table view displays the names (up to order 4) and values of the Zernike coefficients, along with horizontal bar graphs of the Zernike coefficients values (note that bars for orders 1 and 2 are graphed on a larger scale than the other order coefficients).
Page 114 Views Data The Data tab on the Elevation View Editor (Figure 6-8) contains one surface data parameter that can be displayed: RMS fit Checking this will display the RMS fit parameter value. The Root Mean Square (RMS) fit value, measured in micrometers, determines how much the actual corneal surface varies from the smooth-fitted spherical surface.
Page 115: Irregularity
Views Irregularity The Irregularity View takes the best-fit surface methodology of the Elevation View further by using non-spherical surfaces as the reference object. The Irregularity View shows the amount of surface irregularity on the cornea—which areas are divots or depressions and which areas are elevations or islands.
Page 116 Views 6-10 Principal Meridians Intra-Ocular Lens General Ellipsoid Corneal Surface Apical Axis Figure 6-11 3-D Model with General Ellipsoid as Corneal Surface The Irregularity View can also be viewed as a Surface (Figure 6-6) by selecting it in the View As... section on the General tab. Figure 6-12 Irregularity View Editor –...
Page 117 Views 6-11 Data The Data tab on the Irregularity View Editor (Figure 6-13) contains one surface data parameter that can be displayed: RMS fit Checking this will display the RMS fit parameter value. The Root Mean Square (RMS) fit values, measured in micrometers, determines how much the actual corneal surface varies from the smooth-fitted non-spherical surface.
Page 118 Views 6-12 Surface Fit Type The Surface Fit Type selects the surface used in the Irregularity View. Select General Ellipsoid (Quadric) to select this ellipsoid, or Zernike for a Zernike polynomial expansion. If you select Surface fit on the Data tab for the General Ellipsoid, ellipsoid parameters will be displayed (see Table 6-1 below).
Page 119: Rings Image
Views 6-13 Rings Image The Rings Image View (Figure 6-15) or “Photokeratoscoptic Image” displays the actual captured image of the eye with the reflected rings. Captured Scotopic (no light, large pupil) and Photopic (with light, small pupil) images may also be displayed if captured. Figure 6-15 Rings Image View –...
Page 120 Views 6-14 Figure 6-17 Rings View Editor – Photopic Pupil View The View Editor tabs for the Rings Image View are shown below. General Figure 6-18 Rings Image View Editor – General Tab In addition to the Rings image, the Rings Image View can also display a Scotopic pupil or Photopic pupil image if you have taken those images at image acquisition.
Page 121 Zoom rings image – Check this to display a zoomed in rings image to 10mm. Only available for ATLAS 9000 exam. Does not work for Photopic, Scotopic, or low quality image. Figure 6-20 Rings Image View – Rings Image (Zoomed In, with Rings) Limbus contour –...
Page 122: Keratometry
Views 6-16 Keratometry The Keratometry View (Figure 6-22) provides information simulating the data obtained using a Keratometer. This view also provides readings for each semi-meridian in three zones: • Central (0-3 mm) • Midperiphery (3-6 mm) • Periphery (6-9 mm) The steepest semi-meridians in each zone are displayed in red diopter values;...
Page 123: Refractive Power
Views 6-17 Refractive Power The Refractive Power View (Figure 6-24) shows the power of the eye in its refractive state, measured only in diopters. Sometimes called a “Snell’s Law Map”, this view measures the refraction of light rays, using Snell’s Law, as they pass through the corneal surface.
Page 124 Views 6-18 Figure 6-24 Refractive Power View – Color View All parameters for the Refractive Power View Editor are discussed in (7) View Editor. ATLAS User Manual 2660021135270 B...
Page 125: Mean Curvature
Views 6-19 Mean Curvature The Mean View (Figure 6-25) is the average curvature of the two principal curvatures for any given point on the cornea. Whereas Axial and Tangential Views are defined along individual meridians (or slices of the cornea), the Mean View contains curvature information along both the radial and azimuthal directions of every single data point.
Page 126 Views 6-20 independent of a reference axis, unlike the Axial Curvature View, which is meridian specific and whose reference is the vertex, or center of the map. Figure 6-26 OD/OS Comparison of Axial and Mean Curvature Views Compared to the Axial Curvature View, the Mean Curvature View is not dependent on the location of a central axis, less sensitive to patient fixation, suppresses some non-pathological features (such as corneal astigmatism), and is a more faithful description of a three-dimensional shape.
Page 127: Corneal Wavefront
Views 6-21 Corneal Wavefront The Corneal Wavefront View (Figure 6-27) displays corneal wavefront aberrations. Corneal wavefront is the part of the total aberrations of the eye contributed by the cornea. Corneal Wavefront (CW)= Ocular Wavefront (OW) - Internal Wavefront (IW) The corneal wavefront is calculated from corneal topography by using an algorithm that incorporates the shape of the cornea using ray tracing technology to trace light rays from the fovea out of the eye.
Page 128 Views 6-22 If you check Stiles-Crawford effect, SC Weight will display Yes. If any Wavefront coefficients are masked in the View Editor, Coeff edit will display Yes. Figure 6-27 Corneal Wavefront View – Color View The Corneal Wavefront View can also be viewed as a Surface (Figure 6-28) or Zernike table...
Page 129 Views 6-23 Figure 6-29 Corneal Wavefront View Editor – Zernike Table View The Zernike table view displays the names (up to order 4) and values of the Zernike coefficients, along with horizontal bar graphs of the Zernike coefficients values (note that bars for orders 1 and 2 are graphed on a larger scale than the other order coefficients).
Page 130: Image Simulation
Views 6-24 Image Simulation The Image Simulation View displays a corneal focal plane image simulation based upon the corneal PSF (Point Spread Function). Images available for use in the simulation include an “E” image (Figure 6-30), an eye chart (Figure 6-32), and a beach scene image (Figure 6-33).
Page 131 Views 6-25 Other parameters for the Image Simulation View Editor are discussed in (7) View Editor. Figure 6-32 Image Simulation View – Eye Chart Image Figure 6-33 Image Simulation View – Beach Scene Image ATLAS User Manual 2660021135270 B...
Page 132: Psf (Point Spread Function)
Views 6-26 PSF (Point Spread Function) The PSF (Point Spread Function) View is a monochrome display representing the point spread function arising from the Corneal Wavefront. The PSF shows the distribution of light on the focal plane of the anterior cornea, not including the effects of diffraction. The PSF (Point Spread Function) View –...
Page 133 Views 6-27 Figure 6-36 PSF View Editor – Profile View Overlays Figure 6-37 PSF View Editor – Overlay Tab Scale graphic – Check this button to display a 20.0 arcmin graphic scale (Figure 6-34). Airy Disk – Check this to turn on the display of the Airy disk. Other parameters for the PSF View Editor are discussed in (7) View Editor.
Page 134: Mtf (Modulation Transfer Function)
Views 6-28 MTF (Modulation Transfer Function) The MTF (Modulation Transfer Function) View is a monochrome display representing the modulation transfer function arising from the Corneal Wavefront. The MTF (Modulation Transfer) View – Profile view is shown in Figure 6-38 below. Figure 6-38 MTF (Modulation Transfer) View –...
Page 135 Views 6-29 Graphic Scale enabled (cpd = cycles per degree) Figure 6-40 MTF View Editor – Image View Overlays Figure 6-41 MTF View Editor – Overlay Tab Scale graphic – Check this button to display a 20.0 cpd (cycles per degree) graphic scale (Figure 6-38).
Page 136: Pathfinder Ii (Optional)
PathFinder II can be selected as a View in Single View and multi-View Displays. Only the Probability View will be displayed for multi-View Displays. ☞ Note: PathFinder II Corneal Analysis is only available for ATLAS 9000 exams. PathFinder II will be greyed out and not selectable for ATLAS 900 Series exams. ATLAS User Manual...
Page 137: View Editor
View Editor (7) View Editor Chapter Overview The V window on the A allows you to edit some parameters of the DITOR NALYSIS CREEN selected View. Default View Editor parameters for each View are set in the current Parameter Set (see (8) Parameter Sets).
Page 138 View Editor Units Units can be displayed in either millimeters (mm) or Diopters. This option will effect all scale and measurement values shown on the active view of the display. ☞ Note: Diopters and millimeters are numerically inverse-related—higher diopter values correspond to lower millimeter values and vice-versa. ☞...
Page 139 View Editor Profile – The Profile view mode (Figure 7-3) graphs data values across two full meridians of the cornea and the difference between them. In the top portion of the screen, the Profile view plots the curvature of the cornea (diopters or mm) for two meridians along the corneal surface (distance from corneal apex in mm).
Page 140 View Editor Rendering When the Color view is displayed, select Contour on the Rendering radio button to see contours on the color map (See Figure 7-4). Figure 7-4 Color View with Contour Rendering When the Color view is displayed, select Smooth on the Rendering radio button to see a smooth gradation in color on the map (See Figure 7-5).
Page 141: Color
View Editor Color The Color tab (Figure 7-6) allows you to select the Color Scale and Color Palette used in the display. Figure 7-6 View Editor – Color Tab Color Scale When you change the scale, the display changes to show the new diopter/mm values. The Color Scale can also be selected by clicking (left or right click) on the scale on the A NALYSIS CREEN...
Page 142: Overlay
View Editor orange, and yellow are “hot” colors and show the steeper areas of the cornea. Green is an “intermediate” color. Light and dark blue are “cool” colors and show the flattest areas. You can select from two color palettes: Standard (ANSI Z80.23) –...
Page 143: Data
View Editor Angle overlay Displays a 360 degree angle overlay. Sim K values Displays a crosshair enclosed in a circle and the Sim K values on the corneal view. Data The Data tab (Figure 7-8) on the View Editor allows you to select what data is displayed in the data table (Figure 7-9) to the right of the corneal view on the A...
Page 144 View Editor are other descriptors such as Shape Factor (SF), p-value (p), and Q that also describe a conic section (see Table 7-1 Table 7-2). A conic section can be a circle, and ellipse, a parabola, or a hyperbola (Figure 7-10).
Page 145 View Editor Eccentricity Eccentricity is a measure determined by the shape of the cornea. The eccentricity indicates the departure of the peripheral curvature from the apical radius and so defines the degree of asphericity. Shape Factor (SF) Shape Factor is a measure of the asphericity of the cornea. Shape Factor gives a measure of the flattening or steepening of the cornea along its flattest meridian.
Page 146 View Editor 7-10 based on Multi-Center Clinical Study),” on page A-2) for Shape Factor range values. Shape Factor Figure 7-11 Shape Factor Probability Distribution (Normal Eyes, PathFinder II Clinical Study) Q is a measure of the shape of the cornea. It is defined as the inverse (or negative) of the Shape Factor (see Shape Factor (SF) on page 7-9).
Page 147 View Editor 7-11 best matching, perfect model ellipsoidal toric cornea. The area covered by the fourteen rings (approximately 50 degrees) has proven to provide excellent corneal coverage while neglecting the expected “non-normal” transition zone from cornea to limbus. The difference between the perfect model and the actual cornea is measured in micrometers and the standard deviation is taken.
Page 148 View Editor 7-12 TKM (Toric Keratometric Mean) is the average corneal curvature at the apex. The apical position is the intersection of the “symmetry axis” of the best-fit ellipsoidal toric with the cornea. Two principal curvatures are calculated at the apex for the flattest and steepest meridian and their mean is determined.
Page 149: Wavefront
View Editor 7-13 HVID (ATLAS 9000 data only) The HVID (Horizontal Visible Iris Diameter) value in mm can be displayed. This is the same as the Horizontal limbus diameter or white-to-white diameter. This is only measured on an ATLAS 9000 instrument.
Page 150 View Editor 7-14 Select the Ring radio button for the average curvature in diopter or millimeter values for up to 8 circular rings on the cornea. Only data taken along the ring points is used to calculate the average. Then select any or all of the mm buttons from 0 mm to 8 mm (diameter of ring, centered on corneal vertex) for the ring(s) you want values displayed.
Page 151 View Editor 7-15 Select Automatic (All data) to let the software automatically set the aperture. To manually set the value, select Custom diameter and then select the value (mm) in the pop-up menu. Select coefficients to mask Each Zernike coefficient represents a specific wavefront error, or optical aberration, and these are used to describe both lower and higher order aberrations of the eye.
Page 152 View Editor 7-16 Table 7-4 Common Names of Zernike Polynomial Functions Zernike Function Common Name Z (5, –1) Secondary vertical coma Z (5, 1) Secondary horizontal coma ATLAS User Manual 2660021135270 B...
Page 153: Parameter Sets
Parameter Sets (8) Parameter Sets Chapter Overview You can customize exam acquisition, printing preferences, and the way data is displayed using Parameter Sets. ATLAS Software allows you to create up to ten different Parameter Sets for customized exam acquisition, analysis, and reporting options. The following topics are discussed in this chapter: •...
Page 154: Default Parameter Sets
Parameter Sets Default Parameter Sets ATLAS ships with six default parameter sets. Table 8-1, “Default Parameter Sets,” shows these default parameter sets and some of their parameter settings. Table 8-1 Default Parameter Sets Parameter Sets Pathology Cataracts Contact Lens Fitting Refractive Surgery Screening Screening...
Page 155: Setting The Current Parameter Set
Parameter Sets Setting the Current Parameter Set To set the current Parameter Set, click the Current Parameter Set drop-down menu to select the Parameter Set you want to make current, and then click the OK button on the bottom of the E screen.
Page 156: Creating A New Parameter Set
Parameter Sets Creating a New Parameter Set To create a new Parameter Set, click the New button. Figure 8-4 Creating a New Parameter Set Select a Parameter Set in the drop-down menu to set the initial parameter values. Type in a new name for the Parameter Set and then press Enter or click the OK button.
Page 157: Displays
Parameter Sets Displays Default Views The Default Views dialog (Figure 8-7) sets default views for the selected Parameter Set. This function allows you to select the default Display when the A is first NALYSIS CREEN displayed for a patient. In addition, default Views for the Displays can also be specified. When a Display is selected, the default View set here will be displayed.
Page 158: Display Text
Parameter Sets Display Text The Display Text dialog (Figure 8-8) allows you to set the default display of text items on the A for the selected Parameter Set. NALYSIS CREEN Figure 8-8 Display Text Dialog The text items checked will be shown on the A .
Page 159: Views
Parameter Sets Institution Name Patient Name, ID & Birthday Eye (OD/OS) Exam date & time Nasal/Temporal Exam Doctor, Operator comment Names Figure 8-9 Display Text Items Shown on the Analysis Screen Views The Views menu on the E allows you to set default parameters for all ARAMETERS CREEN Views for the selected Parameter Set.
Page 160 Parameter Sets For example, Figure 8-10 shows the Axial dialog which allows you to set default View Editor parameters for the Axial View. Figure 8-10 Views – Axial Dialog Click the OK button to save your changes. Click Cancel to keep the previous setting. ATLAS User Manual 2660021135270 B...
Page 161: Exams
Check this to enable OcuLign® mode. This mode enables capturing an image that is compatible with the Carl Zeiss Meditec CRS-Master Software. This feature is used when capturing the photopic image so you can use the exam for corneal guided ablation with the CRS-Master Software.
Page 162 Parameter Sets 8-10 When OcuLign® mode is enabled, an OcuLign column is displayed in the patient exam list of the Find Existing Patient tab and View Today’s Patients tab (Figure 8-13). Figure 8-13 OcuLign® Column in Patient’s Exam List On the ATLAS instrument, if OcuLign® mode is enabled at the time of exam acquisition, the OcuLign®...
Page 163: Printing / Dicom Export Options
Parameter Sets 8-11 Default doctor’s name (Instrument Only) Select a default doctor from the drop-down menu. This name will appear on the E REVIEW or E . See the Exam Preview/Exam Results Screen on page 3-9. ESULTS CREEN Default operator’s name (Instrument Only) Select a default operator from the drop-down menu.
Page 164: Report Options
Parameter Sets 8-12 ☞ Note: For the OD/OS Display and Reports, the software automatically selects the closest other eye (based on exam date). If Auto print after acquisition is checked (ATLAS instrument only), then the selected reports and Views will be printed automatically at the end of image acquisition (when you click the Done button).
Page 165 Parameter Sets 8-13 Figure 8-16 Report Options – OD/OS Reports Six Views are included per Overview report (see Figure 8-17 for an example Overview report), and three Views for each OD/OS report (see Figure 8-18 for an example OD/OS report). Select the Views you want from the drop-down or pop-up menus by clicking on it. (6) Views for more information.
Page 166 Parameter Sets 8-14 Click the OK button to save your changes. Click Cancel to keep the previous setting. Figure 8-17 Example Overview Report ATLAS User Manual 2660021135270 B...
Page 167 Parameter Sets 8-15 Figure 8-18 Example OD/OS Report ATLAS User Manual 2660021135270 B...
Page 168 Parameter Sets 8-16 ATLAS User Manual 2660021135270 B...
Page 169: Data Management
Data Management (9) Data Management Chapter Overview This chapter explains how to manage data with the ATLAS System. Topics covered in this chapter include: • The admin User, page • Create Institution Name (admin only), page • Staff Registration (admin only), page •...
Page 170: Create Institution Name (Admin Only)
Data Management Only the admin user can access the Language, Change Database, Institution, Staff, and Category Registration dialogs on the Options menu. Also, only the admin user can access the Back Up/Retrieve Configuration Files dialogs on the Tools menu. Create Institution Name (admin only) Use the Institution Edit dialog to customize your system with your institution’s name.
Page 171 Data Management Select Options > Staff..The Staff Registration dialog opens. Figure 9-2 Staff Registration Dialog All registered staff appear in the list, sorted alphabetically by last name. None is selected by default. Register (Create) Staff 1. In the Staff Registration dialog, click New. The New Staff dialog opens. Figure 9-3 New Staff Dialog 2.
Page 172 Data Management ☞ Note: If the password field is left blank, that user must leave the password field blank to log in. User names are not case-sensitive, but passwords are. ☞ Note: Once logged in, any user can change his or her own password by selecting Options >...
Page 173: Patient Search
Data Management Patient Search Search functionality is incorporated into several dialogs within the ATLAS System software. In each instance, the software provides basic search functionality on the dialog itself and an Advanced Search link. With advanced search, you can search using all possible parameters.
Page 174: Advanced Search
Data Management 2. Click Search to return all patients in the index database. To search for patients by first or last Name or Patient ID, type in the corresponding fields and click Search. • You can search using partial information, and you can use one or both fields. •...
Page 175 Data Management 3. The Search Preview dialog returns all matching patients, sorted alphabetically by last name. Figure 9-8 Search Preview Dialog ☞ Note: The search returns only the patients that match all search parameters used. If your search does not return all patients desired, you may want to broaden your search by using fewer parameters or partial information.
Page 176: Create, Edit And Delete Patients
Data Management Create, Edit and Delete Patients To manage patients, start in the P , which appears automatically ATIENT ELECTION INDOW after login. From other modes, select File > Find Existing Patient or click the Find Existing Patient button to return to the P ATIENT ELECTION INDOW...
Page 177: Edit Patient
ATIENT ELECTION INDOW Obscured Patients Patient information can be hidden (as for a clinical trial) when exporting ATLAS 9000 Series data. To hide patient information so that they are obscured, see Patient Identifier Omit Options on page 11-22. If the patient identifying data is obscured, you will not be able to edit patient information.
Page 178: Delete Patient
Data Management 9-10 Delete Patient To delete a patient: 1. Select a patient from the Find Existing Patient (see page 3-2) tab or from the View Today’s Patients (see page 3-4) tab of the P . If ATIENT ELECTION INDOW necessary, perform a Patient Search (see page 9-5) to access the desired patient.
Page 179: Merge Patients
Search. You can also click Advanced Search to search with more parameters. ☞ Note: Patients imported with omitted patient identifiers cannot be merged and will not be displayed in the Patient Merge dialog. See Exporting to ATLAS 9000 Series Media on page 11-21. ATLAS User Manual...
Page 180 Data Management 9-12 1. Select the two patients you wish to merge. You must hold down the Ctrl key while clicking (Ctrl-click) the second patient. The Merge Patients button will not be active unless exactly two patients are selected (Figure 9-12).
Page 181: Categorize Patients
Data Management 9-13 3. A dialog prompts you to select the correct patient, that is, the patient whose information you wish to retain for the newly merged record. Select the desired patient and click Merge Patients. Figure 9-14 Patient Merge – Select the Correct Patient ☞...
Page 182 Data Management 9-14 To access the Category Registration dialog: 1. Select Options > Category Registration..The Category Registration dialog opens. Figure 9-16 Category Registration Dialog All registered categories appear in the list, sorted alphabetically. None is selected by default. Create (Register) Categories 1.
Page 183: Apply Categories To Patients: Add Or Remove
Data Management 9-15 Delete Categories 1. In the Category Registration dialog, select a category and click Delete. A dialog will ask you to confirm your choice. 2. Click OK to confirm deletion, or click Cancel to cancel deletion. ☞ Note: Categories cannot be deleted if they are associated with at least one patient. Apply Categories to Patients: Add or Remove You can apply categories to new patients when you add a new patient by selecting a category from the list (see...
Page 184: Change Database / Create New Database (Admin Only)
☞ Note: An ATLAS 9000 Version 1.0 database will undergo a conversion upon loading. If any patients exist without a Patient ID, a Patient ID will be created for them using the first and last name (e.g. Patient ID = johnadams).
Page 185: Change Database
Data Management 9-17 Change Database To change the database to another database file, follow these steps. 1. Click Options > Change Database..The Database Path dialog appears with the Change Database tab selected (Figure 9-19). Figure 9-19 Change Database – Change Database Tab 2.
Page 186 Data Management 9-18 A Select ATLAS database file dialog (Figure 9-20) appears, enabling you to browse to the new database file. Figure 9-20 Select ATLAS Database File Dialog 3. When you have selected the new database file, click Open to enter the path into the Select ATLAS database file dialog box.
Page 187: Create New Database
Data Management 9-19 Create New Database To create a new database file, follow these steps. 1. Click Options > Change Database..The Database Path dialog appears with the Change Database tab selected. Click the Create new database tab (Figure 9-22). Figure 9-22 Change Database –...
Page 188: Back Up/Restore Configuration Files (Admin Only)
Data Management 9-20 3. In the New database name field, type in a name for the new database. 4. Click Create new blank database to create the new database. The system notifies you when the new database has been created. 5.
Page 189: Restore Configuration Files
Data Management 9-21 Figure 9-25 Browse for Folder Dialog 4. When you have selected or created the new archive folder, click OK to enter the path into the Back Up Configuration Files dialog box. Click OK to proceed with the back up.
Page 190 Data Management 9-22 3. In the Path field, you can type in the exact path to the restore folder, if you know it, or click the Path button (...) to find the restore folder. A Browse for Folder dialog appears, enabling you to browse anywhere in a local or network path that is accessible.
Page 191: (10) Archive Management
Archive Management 10-1 (10) Archive Management Chapter Overview ATLAS provides the archive function to preserve your exam data, and the retrieve function to access archived exam data, or restore it in case of computer malfunction. This chapter explains how to perform these functions. Topics covered include: •...
Page 192: Data Maintenance Requirements
Archive Management 10-2 Data Maintenance Requirements The complete index database always remains on the ATLAS System computer hard drive (unless you delete individual patient data). Exam data, because it includes image files, eventually must be cleared from the system hard drive to make space to save new images. Two actions must occur to protect your data against loss in case of computer malfunction: Backup Archive...
Page 193: Clear Exam Data
Archive Management 10-3 Clear Exam Data Data maintenance eventually requires the clearance (deletion) of exam data on the ATLAS System that has previously been archived. ☞ Note: ATLAS never clears unarchived exam data. Only when the hard drive gets too full must you clear enough hard disk space to allow you to save more exams.
Page 194: Archive/Synchronize Recommendations
Instructions for network administrators to set up network archive are found in (D) Network Configuration Guide. Users are responsible for network setup, backup, and maintenance. Carl Zeiss Meditec Technical Support is limited to testing network connectivity of the ATLAS System. Technical Support cannot troubleshoot or repair problems with network connectivity.
Page 195: Preferences: Archive/Synchronize
Archive Management 10-5 Advantages of Network Archiving Archiving to a network location offers the following advantages: • Protects your high value exam data: Server hardware and software are engineered for better long-term data security and preservation. • Ease of use: Plug the ATLAS System into your existing office network (or plug a network attached storage device into the instrument), create an archive location, and you are ready to archive with little or no ongoing intervention.
Page 196 Archive Management 10-6 ☞ IMPORTANT: The ATLAS System will archive exams only to the current archive location. (For details, see Set Current Archive on page 10-20.) If no current archive is selected, the system will not automatically archive. ☞ Note: If you have a large database of unarchived exams, it is recommended to manually archive (Archive >...
Page 197 Archive Management 10-7 Automatic Synchronization You can enable ATLAS to automatically synchronize networked archive databases by selecting Auto in the Synchronize section. ATLAS will check every 10 seconds for databases that are not synchronized. Once detected, synchronization will be performed automatically in the background—no progress dialogs will be displayed.
Page 198: Archive/Synchronize Management
Archive Management 10-8 Archive/Synchronize Management Archive locations or volumes are directories on a network server, network attached storage device (NAS device), or connected USB hard drive (see Figure 10-6 Figure 10-7). Figure 10-6 Archive Network Diagram Figure 10-7 USB Hard Drive Archive Diagram When you create a new archive or add a pre-existing archive, it is registered on your ATLAS System, which can then access the archive location.
Page 199: Create A New Archive Location
Archive Management 10-9 Archive/Synchronize management includes the following functions: • Create a New Archive Location, page 10-9 • Synchronizing Databases on ATLAS Instruments/Computers, page 10-11 • Add Network Archive(s) for Synchronization, p. 10-15 • Disable/Enable an Archive Location for Synchronization, p. 10-16 Delete an Archive Location for Synchronization, p.
Page 200 Archive Management 10-10 To create a new archive location: 1. In the Archive Locations dialog, click New. The New Archive Location dialog appears. Figure 10-9 New Archive Location Dialog The Label field is generated automatically and will be unique. You cannot edit it. This field is composed of the model number, serial number and archive sequence number.
Page 201: Synchronizing Databases On Atlas Instruments/Computers
Save, the archive will appear in the list of Archive Locations. Synchronizing Databases on ATLAS Instruments/Computers It is possible to synchronize databases from multiple ATLAS 9000 instruments or Review Stations with each other—either automatically or manually. If archive volumes created on...
Page 202 Review Station computers. The ATLAS 9000 is configured to auto import ATLAS 993/995 exams (see Importing from ATLAS 900 Series Instrument Databases page 11-5). The ATLAS 9000 creates an archive folder on the Network Server that the Review Stations can synchronize from. ATLAS User Manual...
Page 203 Archive Management 10-13 Figure 10-13 shows a synchronization diagram for one ATLAS 993/995, and four Review Station computers. A Review Station is configured to auto import ATLAS 993/995 exams (see Importing from ATLAS 900 Series Instrument Databases on page 11-5). The Review Station creates an archive folder on the Network Server that the other Review Stations can synchronize from.
Page 204 Figure 10-14 shows a synchronization diagram for two ATLAS 9000 instruments and three Review Station computers. Each ATLAS 9000 creates its own archive folder on the Network Server that the Review Stations can synchronize from. Figure 10-14 Synchronization Diagram for Two ATLAS 9000s The first archiving that is performed will archive the entire database from an ATLAS instrument hard disk to its archive volume.
Page 205: Add Network Archive(S) For Synchronization
Station PC has exams done on all three instruments in one day—10 patients on ATLAS #1, 12 patients on ATLAS #2, and 8 patients on ATLAS #3. If the three ATLAS 9000 instrument archive volumes are registered on the Review Station PC (see...
Page 206: Disable/Enable An Archive Location For Synchronization
Archive Management 10-16 2. Only archive volume files (Archive.xml) on the network file server can be selected in the dialog. Find and select the desired archive volume. Click Open. 3. A dialog will be displayed asking if you want to register (add) the archive volume (Figure 10-17).
Page 207: Delete An Archive Location For Synchronization
Archive Management 10-17 2. Select the desired archive and click the Disable or Enable button. Figure 10-19 Disable Archive Location for Synchronization 3. If you selected the Disable button, it will change to an Enable button. If you selected the Enable button, it will change to a Disable button. 4.
Page 208: Synchronization
Archive Management 10-18 Synchronization Once you have registered the desired network archives on your ATLAS Instrument or ATLAS Review Computer (see Add Network Archive(s) for Synchronization on page 10-15), you can access the images saved in those archives, after you synchronize. The process of synchronization copies patient index data from registered enabled synchronization archive volumes to the local ATLAS database.
Page 209: Edit An Archive Location
Archive Management 10-19 ☞ Note: ATLAS 9000 Version 1.0 data will undergo a conversion upon synchronization. If any patients exist without a Patient ID, a Patient ID will be created for them. Edit an Archive Location Among the things you can do while editing an archive location are: •...
Page 210: Set Current Archive
Archive Management 10-20 Set Current Archive The current archive is the one to which new images will be archived (assuming the archive location is accessible), and is marked with a green checkmark to the left of the label. ☞ Note: If no current archive is selected, the system cannot archive the database. If you wish to change the network archive location to which new images will be archived, follow these instructions: 1.
Page 211: Manual Archive
Archive Management 10-21 Manual Archive You can archive exam data manually at any time. ☞ Note: It does not affect the instrument or its performance to leave it running overnight while archiving. ☞ IMPORTANT: The ATLAS System will archive exams only to the current archive location.
Page 212: Archive Behavior
Archive Management 10-22 Archive Behavior • All unarchived exams will be archived, unless you click Stop. If you click Stop, archiving will stop after the system completes archiving all data of the current patient. Data already archived will not be erased from the archive location. •...
Page 213 Archive Management 10-23 2. While in patient selection mode, click Archive > Retrieve Archived Exams. The Retrieve dialog appears. Use this dialog to search for and then retrieve the exams you want. Figure 10-27 The Retrieve Dialog 3. Enter search parameters in the fields provided and click Search, or click Advanced Search to use additional search parameters (see Advanced Search on page...
Page 214 Archive Management 10-24 5. When you have made your selections, click Retrieve (Figure 10-28). Figure 10-28 The Retrieve Dialog with Selected Patients 6. The software checks in which archive location(s) the matching exams are stored, and starts the retrieval process one archive at a time (Figure 10-29).
Page 215: Database Recovery Tool
When logged in as admin user, the Database Recovery Tool (Tools > Database Recovery Tool) enables you to synchronize from a system’s own database archive for database recovery. The Database Recovery Tool should only be used with assistance from a Carl Zeiss Meditec authorized technical support technician. Please call Carl Zeiss Meditec customer service for assistance: In the U.S., call 800-341-6968.
Page 216 Archive Management 10-26 ATLAS User Manual 2660021135270 B...
Page 217: (11) Export And Import
Privacy and Data Integrity Features, page 11-1 • Importing/Exporting Patient Data and Exams, page 11-2 • Importing from ATLAS 9000 Series Export Media, page 11-3 • Importing from ATLAS 900 Series Instrument Databases, page 11-5 Importing from ATLAS 900 Series Export...
Page 218: Data Integrity
Data that is imported with identifying patient information can be edited without restriction. Updating ATLAS 9000 Series Imported Patients For all ATLAS 9000 imported patients, it is possible to import new image data and update patient data. In the case of patients imported without patient identifying information, the Patient ID enables updating of the patient.
Page 219: Import
If you are importing from an optical disk, insert the optical disk containing the export data into its drive. 2. While in patient selection mode, click File > Import > From ATLAS 9000 Series Export Media..An Import dialog appears 11-1).
Page 220 Export and Import 11-4 8. A progress dialog appears (Figure 11-3) and importation begins. Figure 11-3 Import Progress Dialog The progress dialog box shows import progress. It can take several seconds to several minutes for the software to finish importing to the hard drive, depending on the number of exams in the export database.
Page 221: Importing From Atlas 900 Series Instrument Databases
Export and Import 11-5 Importing from ATLAS 900 Series Instrument Databases WARNING/CAUTION: Initial import of ATLAS 900 series databases could take several hours depending on the size of the database. Do not use the ATLAS 9000/Review Station during that time. To enable importing of ATLAS 900 series instrument databases you must first: •...
Page 222 Export and Import 11-6 4. To enable file sharing, select File and Print Sharing... from the Configuration tab (Figure 11-4). Select File and Print Sharing... to enable file sharing Figure 11-4 Windows 98 Network Control Panel 5. Check I want to be able to give others access to my files and then select OK (Figure 11-5).
Page 223 Export and Import 11-7 7. The default exams database resides in the C:\EXAMS directory. Double-Click My Computer, Right-Click on the Exams directory and select Sharing (Figure 11-6). Figure 11-6 Windows 98 Exams Folder Properties 8. Select Full as the Access Type. 9.
Page 224 11-7). Figure 11-7 ATLAS 900 Series Importer Dialog The current ATLAS 9000 Series database is selected in the Destination field. Select the Match data from patients with same name without birth date or ID based upon name only checkbox to match patients without ID or birth date as same patient if their names match.
Page 225 Export and Import 11-9 2. Click the Database button to display the Select ATLAS 900 Series Database dialog (Figure 11-8). Figure 11-8 Select ATLAS 900 Series Database Dialog ATLAS User Manual 2660021135270 B...
Page 226 Export and Import 11-10 3. You can add up to 5 different ATLAS 900 Series databases. To add an ATLAS 900 Series Instrument database, click an Add button to display the Add / Edit ATLAS 900 Series Database dialog (Figure 11-9).
Page 227 Export and Import 11-11 8. After clicking Add, the Select ATLAS 900 Series Database dialog will be displayed showing the database you have just added (Figure 11-10). Double-click the database to edit it and return to the Add / Edit ATLAS 900 Series Database dialog.
Page 228 Export and Import 11-12 12.To select only certain exams to import, click Exam Selection. The Select Exams dialog (Figure 11-11) will be displayed showing a list of all exams from the database(s). Initially, all exams are highlighted in light blue and are selected for import. A light blue exam and a checkmark in the exam’s Selected checkbox means it is selected for import.
Page 229 Export and Import 11-13 Begin Exam Import 14.If you clicked the Import Selected button or the Start Import button, the exam import process begins and the Import Exam Status dialog will be displayed (Figure 11-12). The progress bar at the bottom of the screen indicates the importation progress.
Page 230 Export and Import 11-14 unchecked If you have left the Skip Archived checkbox , and the archive volume is not connected or cannot be found, a Search Archive dialog will be displayed during the import process (Figure 11-13). Figure 11-13 Search Archive Dialog ☞...
Page 231 If there is already a file with the same name in the folder, the existing file will be renamed by adding its creation date to the file name. These log files are located in “ C:\Documents and Settings\All Users\Application Data\Carl Zeiss Meditec\ATLAS\Log C:\Program ”...
Page 232 Export and Import 11-16 Table 11-1 Exam Import Error Codes Category Code Description Impact on Import Incomplete Rings image is missing Exam is still imported but Rings image is not found. Exam imported Duplicate Duplicate exam found Exam already exists in target database. Exam skipped Error Duplicate patient ID found...
Page 233 Export and Import 11-17 To turn on automatic importing: 1. While in patient selection mode, click Options > Auto ATLAS 900 Series Importer Setting. The Auto ATLAS 900 Series Importer Setting dialog appears (Figure 11-15). Figure 11-15 Auto 900 Series Importer Setting Dialog 2.
Page 234 Export and Import 11-18 The auto import will create a summary log file at the end of import. You can select the View Today’s Patients tab on the P to view today’s ATIENT ELECTION WINDOW automatically imported patients. 6. You can perform a manual import at any time by using the ATLAS 900 Series Importer (see Begin Exam Import on page 11-13) or selecting File >...
Page 235: Importing From Atlas 900 Series Export Media
11-19). Figure 11-19 ATLAS 900 Series Importer Dialog The current ATLAS 9000 Series database is selected in the Destination field. Select the Match data from patients with same name without birth date or ID based upon name only checkbox to match patients without ID or birth date as same patient if their names match.
Page 236: Use Extrapolated Data For Atlas 900 Series Exams
Export and Import 11-20 Use Extrapolated Data for ATLAS 900 Series Exams After importing ATLAS 900 series exams with ATLAS Importer, either by database or export media, you can choose to view ATLAS 900 series exams with extrapolated data. When this option is turned on, ATLAS tries to fill in missing data by extrapolation.
Page 237: Export
Exporting to ATLAS 9000 Series Media To export data to ATLAS 9000 Series formatted media, follow these steps. 1. While in patient selection mode, click File > Export > To Atlas 9000 Series Export Media..The Export Options dialog appears (Figure 11-21).
Page 238 Label of the export volume. You do not need to uncompress the Zip file before importing—just select the Zip file for import and all data will be imported (see Importing from ATLAS 9000 Series Export Media on page 11-3).
Page 239 Export and Import 11-23 6. Select the desired patients in the Results list: Click to select one patient; Ctrl-click to select multiple patients (Figure 11-22); Shift-click on two patients to select all intervening patients; Ctrl-Shift-click to select all intervening patients plus those already selected;...
Page 240 Export and Import 11-24 8. When you have made your selections, click Export to begin the export process. A Progress dialog appears on the bottom of the Export Options dialog (Figure 11-24). Figure 11-24 Export Options Dialog During Export • At any time, you can click Stop to stop export. If you do, the system completes exporting all data from the same patient being exported when you clicked Stop.
Page 241: Exporting Data To Dicom Systems
Export and Import 11-25 • If the cleared data is on a removable drive or flash drive, you will be prompted to insert the archive by its label. If you do not have the required drive, you can skip it and continue exporting.
Page 242 Export and Import 11-26 After enabling and configuring DICOM Data Export (see Enable and Configure DICOM Data Export and Worklist Import on page 11-26), a DICOM data export can be performed in four ways: 1. Export report on the Analysis Screen (see Export Current Screen or Report to DICOM on page 11-27).
Page 243 Export and Import 11-27 DICOM Gateway is a an optional software feature that manages the communication between the ATLAS instrument and a DICOM System. The Configure DICOM Gateway and Restart DICOM Gateway buttons can be used to configure and restart the DICOM Gateway software, respectively (Note: These buttons are not displayed on Windows Vista Review Stations).
Page 244 Export and Import 11-28 3. A DICOM Export Progress dialog will be displayed showing the export progress (Figure 11-27). Figure 11-27 DICOM Export Progress Dialog 4. After completing the export, the DICOM Export Progress dialog will close. Export Data for All Exams of Patient(s) to DICOM To export data from all exams of one or more patients to a DICOM system, follow these steps: 1.
Page 245: Exporting For Research
Export and Import 11-29 3. Select OK on the Search Preview screen to begin the export process. A DICOM Export Progress dialog will be displayed showing the export progress (Figure 11-29). Figure 11-29 DICOM Export Progress Dialog 4. After completing the export, the DICOM Export Progress dialog will close. Select Cancel to cancel the export before completion.
Page 246 Export and Import 11-30 2. In the Output Folder field, you can type in the exact path to the export folder, if you know it, or click the Browse button to find and select (or make) the new export folder. A Browse for Folder dialog appears, enabling you to browse anywhere in a local or network path that is accessible.
Page 247: (A) Pathfinder Ii Corneal Analysis (Optional
You may also contact Carl Zeiss Meditec: In the U.S.: Call Carl Zeiss Meditec at 1-800-341-6968. Outside the U.S.: Contact your local Carl Zeiss Meditec distributor. E-mail: z.customersupport@meditec.zeiss.com. You can activate a Trial or Full license using the procedure that is provided in (I) License Registration.
Page 248 PathFinder II Corneal Analysis (Optional) The clinical data makes it possible to compare findings in an individual patient to expected findings from different populations of individuals with eyes that have various known conditions or pathologies. Using a trained Support Vector Machine (SVM) algorithm, PathFinder II displays the probability (from 0 to 99%) that the corneal topography matches each of the categories established in the PathFinder II clinical study database.
Page 249: Accessing Pathfinder Ii
Convexity were converted back to the original scale. Due to extreme skewness, the Convexity percentiles were derived using a non-parametric approach based on an empirical distribution. ☞ Note: PathFinder II Corneal Analysis is only available for ATLAS 9000 exams. Accessing PathFinder II PathFinder II performs data analysis on a single patient exam. From the A...
Page 250: Using Pathfinder Ii
PathFinder II Corneal Analysis (Optional) After selecting PathFinder II from the Display (F4) pop-up menu, or from the View (F3) pop-up menu in the Single View Display, the full PathFinder II display will be displayed (Figure A-2). User-Selectable Probability View (Axial is View default View) Mean Curvature...
Page 251: User-Selectable View
PathFinder II Corneal Analysis (Optional) User-Selectable View You can select the exam and View for the PathFinder II display in two ways: 1. Select an exam from the Exams pop-up list (see Exams List on page 4-6). 2. Select a View from the View (F3) pop-up (see View (F3) Pop-Up Menu on page 4-8).
Page 252: Probability View
PathFinder II Corneal Analysis (Optional) Cursor Tracking A cursor location and cross hair can be set on the User-Selectable and Mean Curvature Views by left-clicking the mouse. Both Views can be set to the same cursor location by turning on the Track Views option. See Track Views on the Options tab of the A NALYSIS...
Page 253 PathFinder II Corneal Analysis (Optional) KCN Pattern This PathFinder II clinical database for the KCN Pattern category includes established keratoconus, suspect keratoconus (sub-clinical keratoconus), and pellucid marginal degeneration. Keratoconus is defined as the true pathological condition, which causes thinning and wrinkling of the cornea, along with a cone-like protrusion of the cornea in its later stages.
Page 254: Parameters View
PathFinder II Corneal Analysis (Optional) PathFinder II's clinical database for pellucid marginal degeneration includes corneas with the following: • Topographic pattern of inferior corneal steepening radiating in from the inferior oblique meridians with an area of flattening down the center of the cornea. •...
Page 255 PathFinder II Corneal Analysis (Optional) II’s clinical study, and a short explanation of the parameter, including the parameter’s 90% range for normal corneas from the PathFinder clinical study. This window remains the same for every patient. It can be used as a reference to the user to show where a particular patient falls in the normal population distribution.
Page 256: Mean Curvature View
PathFinder II Corneal Analysis (Optional) A-10 Mean Curvature View PathFinder II software includes a special Mean Curvature View (shown in Figure A-2) with nine new parameters. You cannot change the Mean Curvature View to another View. You can change some View Editor parameters when the Mean Curvature View is selected (green border);...
Page 257 PathFinder II Corneal Analysis (Optional) A-11 Mean I-S Difference between an Inferior (I) and Superior (S) region of mean curvature data (Mean Curvature Inferior minus Superior). See Figure A-7. The average value in the region is taken, where the region in each area is 1.5 mm wide x 1.5 mm high, centered radially 2 mm away from the corneal vertex at 270 and 90 degrees.
Page 258: Pathfinder Ii Examples
PathFinder II Corneal Analysis (Optional) A-12 PathFinder II Examples There are five different Probability View categories that can be displayed when using PathFinder II software (see Probability View on page A-6). The following examples show these five categories. Normal Example Figure A-8 shows a PathFinder II display showing a 83% probability to the Normal category.
Page 259: Clinically Diagnosed Keratoconus Example
PathFinder II Corneal Analysis (Optional) A-13 Clinically Diagnosed Keratoconus Example Figure A-9 shows a diagnosed Keratoconus patient’s PathFinder II display showing a 84% probability to the KCN Pattern category. Figure A-9 PathFinder II KCN Pattern Category – Diagnosed KCN ATLAS User Manual 2660021135270 B...
Page 260: Diagnosed Suspect Keratoconus Example
PathFinder II Corneal Analysis (Optional) A-14 Diagnosed Suspect Keratoconus Example Figure A-10 shows a diagnosed suspect Keratoconus patient’s PathFinder II display showing a 90% probability to the KCN Pattern category. Figure A-10 PathFinder II KCN Pattern Category – Diagnosed Suspect KCN ATLAS User Manual 2660021135270 B...
Page 261: Irregular Astigmatism/Forme Fruste (2 Category) Example
PathFinder II Corneal Analysis (Optional) A-15 Irregular Astigmatism/Forme Fruste (2 Category) Example Figure A-11 shows a PathFinder II display showing a 85% probability to the KCN Pattern category, and a 11% probability to the Other category, with a Threshold of 10%. Figure A-11 PathFinder II KCN Pattern and Other Category ATLAS User Manual 2660021135270 B...
Page 262: Myopic Lasik Example
PathFinder II Corneal Analysis (Optional) A-16 Myopic LASIK Example Figure A-12 shows a PathFinder II display showing a 87% probability to the Myopic LVC category. Figure A-12 PathFinder II Myopic Category ATLAS User Manual 2660021135270 B...
Page 263: Hyperopic Lasik Example
PathFinder II Corneal Analysis (Optional) A-17 Hyperopic LASIK Example Figure A-13 shows a PathFinder II display showing a 75% probability to the Hyperopic LVC category. Figure A-13 PathFinder II Hyperopic Category ATLAS User Manual 2660021135270 B...
Page 264: Other Category Example
PathFinder II Corneal Analysis (Optional) A-18 Other Category Example Figure A-14 shows a Penetrating Keratoplasty patient’s PathFinder II display showing a 95% probability to the Other category. Figure A-14 PathFinder II Other Category ATLAS User Manual 2660021135270 B...
Page 265: (B) Masterfit Ii (Optional
You may also contact Carl Zeiss Meditec: In the U.S.: Call Carl Zeiss Meditec at 1-800-341-6968. Outside the U.S.: Contact your local Carl Zeiss Meditec distributor. E-mail: z.customersupport@meditec.zeiss.com. You can activate a Trial or Full license using the procedure that is provided in (I) License Registration.
Page 266: Accessing Masterfit Ii
MasterFit II (Optional) Accessing MasterFit II MasterFit II can be selected from the Display pop-up menu on the A for a NALYSIS CREEN selected patient (see Display (F4) pop-up menu on page 5-1). Patient Refraction If the selected patient doesn’t have any saved lens designs, the P ATIENT EFRACTION CREEN...
Page 267: Masterfit Ii Display
MasterFit II (Optional) MasterFit II Display The MasterFit II Display contains the Fluorescein Map, Contact Lens Design thumbnails, Tear Film Thickness Profile Graphs, Data Table, Lens Parameters, Design/Map View, Change Rx button, Change Lens button, Option button, Order button, and Toolbar as shown in Figure B-2 below.
Page 268: The Toolbar
MasterFit II (Optional) The Toolbar Print Selecting Print will open a standard Windows Print dialog where you can select print B-3). options and print a MasterFit II report for the selected patient (Figure Figure B-3 MasterFit II Report ATLAS User Manual 2660021135270 B...
Page 269: Export
MasterFit II (Optional) Export Export (or Export > Export current screen to file) will open a save dialog where you can save the MasterFit II Display in various file formats (BMP, JPG, TIFF, and PDF). The file format you select will be saved for subsequent exports. If you have enabled DICOM Data Export (see Enable and Configure DICOM Data Export and Worklist Import...
Page 270: Display (F4) Pop-Up Menu
Figure B-6 Fluorescein Map (Sim Ks Displayed) ☞ Note: For some non-ATLAS 9000 exams the Rings Image will not be displayed. ☞ Note: For certain irregular corneas, the Fluorescein Map cannot be generated, and the message “Unable to display” will be displayed.
Page 271: Thickness Mouse Tracking
MasterFit II (Optional) ☞ Note: A highly irregular cornea may result in a poor simulation fit. The clinician may observe the tear film profile trending by changing the lens type, the lens parameters, and the lens position. It may be impossible to avoid large tear film thickness due to large disparities between the corneal shape and the contact lens.
Page 272: Data Table
7-9. HVID (ATLAS 9000 data only) The HVID (Horizontal Visible Iris Diameter) value (mm) is the same as the Horizontal limbus diameter or white-to-white diameter. This is only measured on an ATLAS 9000 instrument. ATLAS User Manual 2660021135270 B...
Page 273 MasterFit II (Optional) Display Preferences Display preferences for the Fluorescein Map View can be set by selecting the Options button in the lower left of the MasterFit II Display. On the Options screen select the Display Preferences tab (Figure B-9). Some display options can also be set by right-clicking on the Fluorescein Map Display to pop up Display Options menus (as shown on the left).
Page 274 MasterFit II (Optional) B-10 Opacity Select the opacity of the Fluorescein Map: 100% is completely opaque and covers up the Rings Image, while 0% is completely transparent. Setting to something in between allows display of the green Fluorescein Map and the Rings Image. Width Select the width of image to display in millimeters.
Page 275: Lens Design Thumbnails
MasterFit II (Optional) B-11 Lens Design Thumbnails MasterFit II allows you to have up to six lens designs for each eye. The left of the MasterFit II Display (Figure B-2) contains thumbnail buttons (shown on the left) where you can add and edit up to five user lens designs.
Page 276: Add A New Lens Design
MasterFit II (Optional) B-12 Add a New Lens Design To add a new lens design, click on the empty thumbnail labeled “Click here to add new design.” A new lens design thumbnail will be created and selected with the currently selected thumbnail’s design parameters.
Page 277: Design Lens
MasterFit II (Optional) B-13 Design Lens The Design tab (Figure B-12) displays the recommended lens parameters. Figure B-12 Design Tab The software determines a Fitting Method, Lens Type, and other lens parameters based upon acquired eye image information, refractive data (see Change Rx on page B-16), Fitting Rules...
Page 278: Lens Parameters
MasterFit II (Optional) B-14 • Aspheric – The back surface of this lens has a continuous elliptic or parabolic shape that is steeper in the center and flattens toward the periphery; it is used to match the anterior surface of an aspheric cornea with a Shape Factor between 0.50 and 0.70. Figure B-13 Lens Browser Screen ☞...
Page 279: Map View
MasterFit II (Optional) B-15 Peripheral Curves (Custom Lens only) For Custom lens, checking Peripheral Curves adds Secondary and Third Curve Radius and Width to edit. Peripheral Curves, which typically encompass the outer 15 to 25% of the lens, surround the optical zone of the lens. See Figure B-10.
Page 280: Change Rx
MasterFit II (Optional) B-16 Change Rx The Change Rx button displays the C (Figure B-16) which allows you to HANGE CREEN enter and edit the patient’s refraction data. Figure B-16 Change Rx Screen Vertex Distance (mm) – Select the corneal vertex distance (mm) from the drop-down menu. Use trial lens –...
Page 281: Options
MasterFit II (Optional) B-17 Options The Options button on the lower left of the MasterFit II Display displays the O PTIONS CREEN which allows you to select and edit your preferred lenses, define lens fitting rules, and set your display preferences for the Fluorescein Map View. In addition, a Lens Material list can be defined and edited.
Page 282 MasterFit II (Optional) B-18 Fit Type • If the Use Topographic Fit radio button is checked, MasterFit II's topography-based fitting rules is used to determine the recommended contact lens type. See Topographic on page B-19 for the Topographic Fitting Rules. •...
Page 283: Topographic
MasterFit II (Optional) B-19 Topographic Selecting the Options button and then selecting the Topographic tab displays the Options – Topographic dialog (Figure B-18). Figure B-18 Options – Topographic Tab If the Use Topographic Fit Fit Type radio button is checked in the Fitting Rules tab (Figure B-17), MasterFit II's topography-based fitting optimizes the tear film clearance using the following methodology:...
Page 284: Keratometric
MasterFit II (Optional) B-20 Keratometric Selecting the Options button and then selecting the Keratometric tab displays the Options – Keratometric dialog (Figure B-19). Figure B-19 Options – Keratometric Tab If the Use Keratometric Fit Fit Type radio button is checked in the Fitting Rules tab (Figure B-17), then the software determines the recommended contact lens type using the Keratometric Fitting Rules.
Page 285 MasterFit II (Optional) B-21 • Subtract (mm) from Flat K (Delta K > 0.75 D (0.15 mm) and Delta K < 1.75 D (0.35 mm)) – Enter the mm value to subtract from the initial base curve value when the Delta K value is greater than 0.75 Diopters (0.15 mm) but less than 1.75 Diopters (0.35 mm).
Page 286: Lenses
MasterFit II (Optional) B-22 Lenses Selecting the Options button and then selecting the Lenses tab displays the Option – Lenses dialog (Figure B-20). Figure B-20 Options – Lenses Tab ATLAS User Manual 2660021135270 B...
Page 287 The List of selected catalogs table shows the current list of contact lens catalogs. MasterFit II comes with two catalogs: a North American Contact Lens catalog (NA_CONTACT_LENS.CAT) and a European Union Catalog (EU_CONTACT_LENS.CAT) C:\Documents and Settings\All Users\Application Data\Carl Zeiss which are located in “ Meditec\ATLAS\contactlens C:\Program ”...
Page 288: Display Preferences
MasterFit II (Optional) B-24 Click the corresponding Browse button for each lens type to select a preferred lens from the Contact Lens Select Form (Figure B-21). Figure B-21 Contact Lens Select Form Select a lens and then select OK to return to the Option – Lenses dialog. Display Preferences Selecting the Options button and then selecting the Display Preferences tab displays the Options –...
Page 289: Lens Material
MasterFit II (Optional) B-25 Lens Material Selecting the Options button and then selecting the Lens Material tab displays the Options – Lens Material dialog (Figure B-17). Figure B-22 Options – Lens Material Tab The Lens Material dialog displays a list of lens materials. You can select a lens material to be used on the Contact Lens order form (see Order on page...
Page 290: Order
27. A sample order form named “DefaultOrderForm.rtf” is the C:\Documents and Settings\All default Order Template form and is located in “ Users\Application Data\Carl Zeiss Meditec\ATLAS\contactlens ” for Windows XP; for C:\Program Data\Carl Zeiss Meditec\ATLAS\contactlens Windows Vista the path is “...
Page 291 MasterFit II (Optional) B-27 Table B-1 Order Template Form Tags and Values Value #Date Current date #Time Current time #Institution Institution name #Doctor Doctor name #PatientName Patient name #PatientDOB Patient birth date #PatientID Patient ID #Eye Exam eye #Manufacturer Lens manufacture name #LensName Lens name #LensType...
Page 292: Lens Material
MasterFit II (Optional) B-28 Table B-1 Order Template Form Tags and Values Value #OS_BVP2 Steep back vertex power (Toric) (OS) #OD_BVP2 Steep back vertex power (Toric) (OD) #BVP2 Steep back vertex power (Toric) #OZD Optic zone diameter (current eye) #OS_OZD Optic zone diameter (OS) #OD_OZD Optic zone diameter (OD)
Page 293: Save To File
MasterFit II (Optional) B-29 Save to file Click this button to save the Order Form as an RTF or text file. This will open a standard Save as dialog where you can save the Order Form with a name, type, and location of your choice.
Page 294 MasterFit II (Optional) B-30 ATLAS User Manual 2660021135270 B...
Page 295: (C) Dicom Gateway (Optional
You may also contact Carl Zeiss Meditec: In the U.S.: Call Carl Zeiss Meditec at 1-800-341-6968. Outside the U.S.: Contact your local Carl Zeiss Meditec distributor. E-mail: z.customersupport@meditec.zeiss.com. You can activate a license using the procedure that is provided in (I) License Registration.
Page 296: Network Broker Service
DICOM Gateway (Optional) Network Broker Service The main software component of the DICOM Gateway that runs on the ATLAS is called the Network Broker service. The software acts as an intermediary between your ATLAS and your DICOM Storage and Worklist Servers (Figure C-1).
Page 297: Network Broker Installation
DICOM Gateway (Optional) 7. Use DICOM on your ATLAS: Query your worklist server for requested exams, perform these exams and export the desired ATLAS reports to the patient record. See Importing from Worklists (Instrument Only) on page 11-20, and Exporting Data to DICOM Systems on page 11-25.
Page 298 DICOM Gateway (Optional) 7. After preparatory steps complete, the I window appears: NSTALL HIELD IZARD ELCOME Figure C-2 InstallShield Wizard Welcome Window 8. Click Next to begin installation.The I window is NSTALL HIELD IZARD ESTINATION OLDER displayed: Figure C-3 InstallShield Wizard Destination Folder Window C:\Program Files\CZM\Network Broker To install into the default folder, , click Next.
Page 299 DICOM Gateway (Optional) 9. An I window is displayed: NSTALL HIELD IZARD EADY TO NSTALL Figure C-4 InstallShield Wizard Ready to Install Window Click Install to begin the installation. 10.An I window tracks progress of the installation: NSTALL HIELD IZARD TATUS Figure C-5 InstallShield Wizard Status Window ATLAS User Manual...
Page 300: Network Broker Configuration
DICOM Gateway (Optional) 11.A window is displayed when installation is NSTALL HIELD IZARD OMPLETED complete: Figure C-6 InstallShield Wizard Completed Window 12.Click Finish to end the installation. Network Broker Configuration The Network Broker Configuration Tool helps you to configure the Network Broker. This section describes how to configure the Network Broker Configuration Tool for use with VISUPAC™...
Page 301: Launching The Configuration Tool
DICOM Gateway (Optional) Launching the Configuration Tool To launch the Network Broker Configuration Tool, select Options > Preferences > DICOM Export Configuration > Configure Network Broker in the ATLAS software (except Windows Vista Review Stations), or select the Windows key on the keyboard to see the Windows Task Bar, and then select Start >...
Page 302: General Information
DICOM Gateway (Optional) The Java(TM) Platform SE binary program will then be displayed on the Exceptions tab (Figure C-8) of Windows Firewall (Start > Control Panel > Windows Firewall > Exceptions). Figure C-9 Windows Firewall Exceptions Tab General Information Configuration is done in a series of wizard steps. To navigate between configuration steps, click the Continue and Back buttons.
Page 303: Configuration Tool Language Selection
DICOM Gateway (Optional) Configuration Tool Language Selection The language for the Network Broker Configuration Tool is selected on the W ELCOME CREEN (Figure C-7) by selecting the language from the pop-up menu. This setting is for the Configuration Tool only and does not affect the language used by the Network Broker. The default language depends on the current system locale.
Page 304: Network Broker Configuration Tool Steps
DICOM Gateway (Optional) C-10 Network Broker Configuration Tool Steps ☞ IMPORTANT!: The Network Broker Configuration Steps below describe how to configure each step for VISUPAC and a non-specific DICOM System. All screenshots show the VISUPAC Configuration, but callouts (marked with a ) show where you would enter your DICOM specific configuration information.
Page 305: Step 2: Device Selection
DICOM Gateway (Optional) C-11 Step 2: Device Selection Clicking Continue on the S (Figure C-11) will display the S CREEN (Figure C-12). CREEN Figure C-12 Step 2 – Device Selection On the S , a preset device can be selected. The Preset drop-down menu CREEN (Figure C-13) lists all the instruments that can be configured using the Configuration Tool.
Page 306: Step 3: Dicom Application Entity Title
DICOM Gateway (Optional) C-12 Step 3: DICOM Application Entity Title Clicking Continue on the S (Figure C-12) will display the S CREEN (Figure C-12). CREEN Figure C-14 Step 3 – DICOM Application Entity Title In the DICOM Application Entity Title field, enter NB_1—the name of the Network Broker in the DICOM environment.
Page 307: Step 4: Dicom Modality Worklist Provider Setup
DICOM Gateway (Optional) C-13 Step 4: DICOM Modality Worklist Provider Setup Clicking Continue on the S (Figure C-14) will display the S CREEN (Figure C-15). CREEN For a DICOM system, enter the AET Title, Host/IP address, and Port for the DICOM Modality Worklist Provider.
Page 308 DICOM Gateway (Optional) C-14 Connection Test After entering the Host/IP and Port number, the connection to this Host can be tested. Ensure that you are physically connected to the host and that the application will not be blocked by a firewall. To carry out the test, click the Connection test button. This will open a new window, displaying the status of the connection test.
Page 309: Step 5: Dicom Storage Provider Setup
DICOM Gateway (Optional) C-15 Step 5: DICOM Storage Provider Setup Clicking Continue on the S (Figure C-15) will display the S CREEN (Figure C-18). CREEN For a DICOM system, enter the AET Title, Host/IP address, and Port for the DICOM Storage Provider.
Page 310 DICOM Gateway (Optional) C-16 For VISUPAC, select Multi-frame True Color Secondary Capture, No compression, and leave the Activate SC scaling factor unchecked. Connection Test After entering the Host/IP and Port number, you can now test the connection to this Host. Ensure that you are physically connected to the host and that the application will not be blocked by a firewall.
Page 311: Step 6: Czm-Xml Application Entity Title
DICOM Gateway (Optional) C-17 Step 6: CZM-XML Application Entity Title Clicking Continue on the S (Figure C-18) will display the S CREEN (Figure C-21). CREEN Figure C-21 Step 6 – CZM-XML Application Entity Title Enter NB in the CZM-XML Application Entity Title field. It will be addressed by the connected instrument using this name via CZM-XML.
Page 312: Step 7: Instrument Setup
DICOM Gateway (Optional) C-18 Step 7: Instrument Setup Clicking Continue on the S (Figure C-21) will display the S CREEN (Figure C-22). CREEN Figure C-22 Step 7 – HFA FEP Communication In the FEP folder field, enter or select the path to the ATLAS DICOM Export Folder. The default path to the ATLAS DICOM Export Folder is C:\CZM\ATLAS\FEP.
Page 313: Step 8: Hotkey Setup
DICOM Gateway (Optional) C-19 Step 8: Hotkey Setup Clicking Continue on the S (Figure C-22) will display the S CREEN (Figure C-23). CREEN Figure C-23 Step 8 – Keyboard Shortcut Key Setup (Default: F12) Select the keyboard shortcut key for activating the Network Broker window by pressing a key or function key (or any key combination;...
Page 314: Step 9: Language Selection
DICOM Gateway (Optional) C-20 Step 9: Language Selection Clicking Continue on the S (Figure C-23) will display the S CREEN (Figure C-24). CREEN Figure C-24 Step 9 – Language Selection Select the language for the Network Broker application from the Network Broker language drop-down list (Figure C-25).
Page 315: Step 10: Configuration Complete
DICOM Gateway (Optional) C-21 Step 10: Configuration Complete Clicking Continue on the S (Figure C-24) will display the S CREEN 10 S (Figure C-26). CREEN Figure C-26 Step 10 – Finish Configuration Click OK to save the configuration settings to the configuration file. If the configuration has been completed correctly, the Network Broker Configuration Tool will report a successful configuration and save your settings (Figure...
Page 316 DICOM Gateway (Optional) C-22 ATLAS User Manual 2660021135270 B...
Page 317: (D) Network Configuration Guide
☞ Note: Users are responsible for network setup and maintenance, including installation and configuration of all necessary hardware and software. Carl Zeiss Meditec Technical Support is limited to testing network connectivity of the ATLAS System. Technical Support cannot troubleshoot or repair problems with network connectivity.
Page 318: Security Recommendations
Network Configuration Guide WARNING: When networking the ATLAS System, use only network cables with an unshielded RJ-45 connector. Use of a shielded network connector in the ATLAS System could result in electrical shock to the patient and/or examiner. Security Recommendations If the ATLAS System is connected to the Internet, we recommend you use the Windows high-priority Automatic Update feature to install all...
Page 319 Network Configuration Guide 4. When new updates become available, click on the text prompt shown below or later on the yellow shield icon ( ) in the Windows Taskbar to choose the updates to download. 5. Review the updates shown in the A window and unselect any driver UTOMATIC PDATES...
Page 320: Anti-Virus Software
ATLAS System pre-installed. We recommend that you disable automatic scanning, because it may interfere with instrument operation. Please refer to the ATLAS System section of our website (www.meditec.zeiss.com/atlas) for the current list of approved anti-virus software.
Page 321: Approved Third Party Hardware And Software
Repairs necessitated by the attempt to use a non-approved device are not covered under warranty. ☞ Note: Carl Zeiss Meditec does not provide technical support for the use of unapproved third party hardware or software. Prohibited Activities The following activities are prohibited using the ATLAS System instrument.
Page 322: Network File Server System Requirements
Network Configuration Guide Network File Server System Requirements Operating System • Windows 2003 Server® • Windows 2003 Small Business Server System Requirements If you plan to use a network file server it must meet the following minimum requirements: • Processor: 800MHz processor or faster •...
Page 323: Install The Network Cable
Note: Do not edit nor delete the Tech Support account, which is to be used only by Carl Zeiss Meditec technical support personnel. If you change or delete this account, CZM technical support may be unable to restore access to your system, in case you lose the password for the Administrator account.
Page 324 Network Configuration Guide Create a shared folder on a Windows XP Review Station 1. Create a local folder on the Review Station for exported data. The new folder can be created in any available path on the hard disk drive. In the example below, the new folder was created by right-clicking on the Windows desktop, and then selecting New >...
Page 325 Network Configuration Guide 3. If you have Simple File Sharing enabled, the following Netshare Properties dialog opens to the Sharing tab (Figure D-7). Figure D-7 Netshare Properties (Simple File Sharing ON) If you have Simple File Sharing disabled, the following Netshare Properties dialog opens to the Sharing tab (Figure D-8).
Page 326 Network Configuration Guide D-10 4. If you see the Netshare Properties dialog from Figure D-7, select Share this folder on the network and Allow network users to change my files as shown in Figure D-7. 5. If you see the Netshare Properties dialog from Figure D-8, select the Permissions button.
Page 327 Network Configuration Guide D-11 Create a shared folder on a Windows Vista Review Station 1. Create a local folder on the Review Station for exported data. The new folder can be created in any available path on the hard disk drive. In the example below, the new folder was created by right-clicking on the Windows desktop, and then selecting New >...
Page 328 Network Configuration Guide D-12 2. Right click on the new folder, and then select Properties as in Figure D-12. Select the Sharing tab on the Netshare Properties dialog (Figure D-13). Figure D-13 Netshare Properties – Sharing Tab 3. Select the Advanced Sharing... button. If you have User Account Control enabled you will see a User Account Control –...
Page 329 Network Configuration Guide D-13 4. Select the Permissions button. The Permissions for Netshare dialog opens (Figure D-15). Figure D-15 Permissions for Netshare Dialog 5. Select the Allow checkbox for Full Control as shown in Figure D-15 so that all checkboxes for Allow are checked. 6.
Page 330 The following instructions describe how to map a drive letter to a shared folder in Windows XP. This could be used to map a drive letter on an ATLAS 9000 to a Review Station PC shared folder for data export, or to map a drive letter on a Review Station PC to an ATLAS 993/995 shared database folder for data import.
Page 331 Network Configuration Guide D-15 3. In the Folder field, enter the computer name and shared folder name. Use the format “\\computer name\shared folder name” as shown below (Figure D-19). In this example, the computer name is station1 and the shared folder name is netshare.
Page 332 The following instructions describe how to map a drive letter to a shared folder in Windows Vista. This could be used to map a drive letter on an ATLAS 9000 to a Review Station PC shared folder for data export, or to map a drive letter on a Review Station PC to an ATLAS 993/995 shared database folder for data import.
Page 333 Network Configuration Guide D-17 2. Click the down-arrow next to the Drive field, and select an unused drive letter from the list. 3. In the Folder field, enter the computer name and shared folder name. Use the format “\\computer name\shared folder name” as shown below (Figure D-22).
Page 334 Using the Mapped Drive for Import and Export If you mapped a Review Station shared folder to an ATLAS 9000, the new drive letter will now be available during the export process on the ATLAS instrument. In the example in Figure D-19, the drive letter Y: was mapped to the shared folder on the Review Station.
Page 335: Configuration For Direct Network Connection
Network Configuration Guide D-19 Configuration for Direct Network Connection This section explains how to configure a direct network connection between the ATLAS and a PC running ATLAS Review Software. If you do not have a preexisting networking infrastructure, this option provides an alternative. To do this, the sending and receiving platforms must be connected by an unshielded RJ-45 crossover cable (or network switch and network cable) between their respective Ethernet ports.
Page 336 Network Configuration Guide D-20 ATLAS User Manual 2660021135270 B...
Page 337: (E) Network Storage Device Configuration
NAS device. WARNING: We strongly recommend you use peripheral devices supplied or approved by Carl Zeiss Meditec, when available, because they will have been tested to work with the instrument. If you do use a peripheral device that...
Page 338: Nas Device Requirements
Network Storage Device Configuration WARNING: Do not use the NAS device or the instrument with an extension cord or a power strip (multiple portable socket outlet). For additional safety, do not plug the NAS device and the instrument into the same wall outlet. Failure to observe this warning could result in electrical shock to the patient and/or examiner.
Page 339: Install And Configure The Nas Device
Network Storage Device Configuration Install and Configure the NAS Device You can attach the NAS device directly to one of the ATLAS System Ethernet ports, or you can connect it via your office network (local area network or LAN). These instructions apply to both scenarios.
Page 340 Network Storage Device Configuration On ATLAS, Map a Network Drive to the NAS Device In some cases, the configuration software of the NAS device automatically maps the correct folder of the NAS device to a drive letter on the ATLAS System. When this is the case, configuration is complete and the NAS device is ready to use.
Page 341: Cleaning The Nas Device
Network Storage Device Configuration 3. Now you must map a drive on the ATLAS System to the NAS device folder that is accessible to all users for storage. In the example above, the folder named Public is the correct folder. The folder name for your NAS device may be similarly indicative that it is intended for use as the storage folder.
Page 342 Network Storage Device Configuration ATLAS User Manual 2660021135270 B...
Page 343: (F) Printer Configuration
• Ability to print on 8.5 x 11 paper in the US or appropriate paper size outside the US. WARNINGS: We strongly recommend you use peripheral devices supplied or approved by Carl Zeiss Meditec, when available, because they will have been tested to work with the instrument. Installation of any unapproved software,...
Page 344: Printer Safety Warnings
Printer Configuration Printer Safety Warnings WARNING: To maintain patient safety, an isolation transformer is required when connecting externally powered peripheral devices (i.e., printer, USB drive, etc.) within 1.5 meters (4.9 feet) from the patient. In addition, an isolation transformer is required for all externally powered peripheral devices outside this distance unless these devices are (1) connected to the ATLAS using an Unshielded Twisted Pair (UTP) network cable (CZMI recommends using a least a CAT 5 UTP network cable), (2) plugged into a different power...
Page 345: Network Configuration
(line 6). This is the usual sequence of steps, but follow any additional instructions provided with the printer or from Carl Zeiss Meditec. Using Network Cable(s) to Connect ATLAS System and Printer...
Page 346: Printer Configuration
Printer Configuration ATLAS User Manual 2660021135270 B...
Page 347: (G) Data Transfer Using Optical Disks
Data Transfer Using Optical Disks (G) Data Transfer Using Optical Disks Overview You can transfer data between ATLAS instruments, and computers running ATLAS Review ® Software with an optical drive and Roxio Drag-to-Disc™ software installed. This appendix explains the features and limitations of ATLAS data transfer using optical disks, and provides instructions for data transfer.
Page 348: Atlas Data Transfer Instructions
Data Transfer Using Optical Disks Export and Import You can copy ATLAS 9000 Export Media data to an optical disk for transfer to another ATLAS instrument or to a personal computer (PC) running the ATLAS Review Software. ☞ Note: On a PC, it may be possible to view and analyze ATLAS data using third party software.
Page 349: General Steps
Data Transfer Using Optical Disks General Steps 1. Install the optical disk into the ATLAS optical drive. Wait approximately 30 seconds for the drive to recognize the media type. If you attempt the next step before the drive is ready, you will get an error message, “There is no disk.” 2.
Page 350 Data Transfer Using Optical Disks CD–RW and DVD±RW Format Options For a new, blank CD–RW or DVD±RW, you have only the option to perform a full format (Figure G-2). Figure G-2 Disk Full Format Option A full format requires 18-29 minutes (Figure G-3.
Page 351: Roxio Drag-To-Disc Software Configuration
Data Transfer Using Optical Disks If the CD–RW or DVD±RW was previously formatted, you can perform a quick (Figure G-4) or full format Figure G-4 Disk Quick Format Option ☞ Note: Both quick and full formatting effectively erase any data currently on the disk. Use these options with care to prevent loss of patient data.
Page 352 Data Transfer Using Optical Disks change the configuration of the Roxio Drag-to-Disc software, particularly the eject settings. The correct eject settings are seen in Figure G-5 below. Figure G-5 CD-R and DVD±R Drag-to-Disc Eject Options CD-RW or DVD±RW Optical Disks To successfully import ATLAS data from a CD-RW or DVD±RW rewriteable optical disk to a Review Station PC, Roxio Drag-to-Disc will prepare the disk to be read on any other computer upon disk ejection, as shown in...
Page 353 Data Transfer Using Optical Disks When preparation is completed, the disk will be ejected with a dialog displayed as shown in Figure G-7. Figure G-7 CD-RW and DVD±RW Disk Ejection Dialog When you insert the disk into another computer that doesn’t have Roxio Drag-to-Disc software installed, a dialog will be displayed as shown in Figure G-8.
Page 354 Data Transfer Using Optical Disks Select Install to continue the installation as shown in Figure G-10. Figure G-10 Roxio Setup Wizard Dialog – Install When installation completes, select YES to reboot your system as shown in Figure G-11. Figure G-11 Roxio Setup Wizard Dialog – Reboot After computer reboot, the disk should now be readable for ATLAS import functions.
Page 355: (H) Routine Maintenance
(H) Routine Maintenance Chapter Overview Carl Zeiss Meditec designed the ATLAS System (and the optional power table) to require very little user maintenance. Most maintenance activities covered here are required only occasionally, except for the calibration check and routine cleaning between patients. This chapter covers the following topics: •...
Page 356: Routine Maintenance
Routine Maintenance • If so, proceed to step 2. Is the instrument power cord plugged in at both ends? • If not, plug in the cord and try to power up the instrument. • If so, check the instrument fuses and replace them if necessary. See Check and Replace Instrument Fuses on page...
Page 357 Routine Maintenance 2. Using a narrow-bladed screwdriver, gently pry open the fuse holder, from the side, to expose and remove the fuse holder. With screwdriver, pry open fuse holder from the side. Remove fuse holder with fingers. Figure H-1 Opening instrument fuse assembly and removing fuse holder Information about the proper replacement fuses is found adjacent to the fuse holder.
Page 358: Calibration Check
Routine Maintenance Check and Replace Table Fuses Two fuses are located just below the table power cord inlet, near the floor. Carefully follow these instructions to safely check and replace fuses. 1. Power down the instrument. Unplug the table power cord at both ends, for safety and easy access.
Page 359 Routine Maintenance Follow these steps to perform a calibration check: 1. Place the calibration bar in the two slots provided on the chin rest. Be sure the spheres are facing the projection head (Figure H-3). Figure H-3 Calibration Bar Inserted into Chin Rest Assembly 2.
Page 360 Routine Maintenance 4. Align the projection head by centering the crosshairs in the smallest ring of the image displayed. 5. When the image is aligned and focused, press the button on the joystick to capture the image. ☞ Note: If the calibration test fails, first clean the front surface of the spheres with a soft cloth and repeat the calibration test before calling Technical Support.
Page 361: Handling Error Messages
Carl Zeiss Meditec customer service. In the U.S., call 800-341-6968. Outside the U.S., contact your local Carl Zeiss Meditec distributor.
Page 362: Routine Cleaning
Routine Maintenance Routine Cleaning The forehead and chin rests, and to a lesser extent the imaging aperture, are the only parts that require routine cleaning. Instructions are included below for occasional cleaning of the instrument covers and optional power table. Forehead and Chin Rests The instrument parts that routinely contact the patient—the forehead and chin rests—...
Page 363: List Of User Replacement Accessories
Fuse T3.15 A 250 V (For 100-120 V and 220-240 V Systems) 2660021134314 ATLAS 3.0 Upgrade Kit/User Documentation CD 2660021135270 ATLAS 3.0 User Manual_ENG To order: In the U.S., call 800-341-6968. Outside the U.S., contact your local Carl Zeiss Meditec distributor. ATLAS User Manual 2660021135270 B...
Page 364 Routine Maintenance H-10 ATLAS User Manual 2660021135270 B...
Page 365: (I) License Registration
Note: ATLAS Review Software includes one or more software Certificate serial numbers for your license or licenses. Each Certificate serial number you receive must be registered separately. Additional licenses may be obtained from Carl Zeiss Meditec at 1-800-341-6968. Outside the United States, please contact your local Carl Zeiss Meditec distributor.
Page 366: License Registration
License Registration Registering Optional Software Features You can also register the optional software features at any time the software is running by selecting View Licenses... on the Help menu. The L window will be displayed ICENSE (Figure I-1). If the software is not running, start the software by double-clicking the icon on the desktop.
Page 367: Registering A Full License
License Registration 4. You have 30 days from the date of registering to continue using the software. The number of days left in your Trial license is shown on the L window (Figure ICENSE I-3). Each day during the Trial period you will be notified at application startup with a dialog such as shown in Figure I-4 below:...
Page 368 CD case, including the alphabetic prefix and the intervening dash before the number. 5. To obtain a License Key and Security Code, go to the Carl Zeiss Meditec website: www.meditec.zeiss.com/register. If your language is other than English, select your language under the “Other Languages:”...
Page 369 License Registration 8. Enter your Node ID and personal information and click the Submit button to generate your License Key and Security Code. 9. Write down your License Key and Security Code, or print out and save the entire web page for reference.
Page 370 License Registration ☞ Note: If you get an error message, verify that you have entered the correct values for your license information and try again. ATLAS User Manual 2660021135270 B...
Page 371: (J) Glossary
Glossary (J) Glossary 2 -Difference Display A display that shows the currently selected exam, the previous exam for the same eye, and the power differences between the two. 3-Difference Display A five-map display providing information on the surgical and healing changes that take place on the eye after corneal surgery.
Page 372 The corneal vertex defines the center of all maps and is equal to the point on the cornea where the instrument optical axis is perpendicular to the corneal surface (the center of the innermost ring). Carl Zeiss Meditec. Database A complete record of all patient and exam information in the instrument. The database is stored on the instrument’s hard disk.
Page 373 Glossary Export Process of copying exams from the hard drive to a CD or network location; typically used to transfer exams from one instrument to another. Field A portion of a screen display that contains information such as a patient’s name or date of examination.
Page 374 Glossary Keratometry View Data display that provides information similar to data obtained using a Keratometer; shows dioptric values for three optical zones: central, intermediate, and peripheral. LASIK Laser in situ keratomileusis. A method of surgically correcting refractive errors by using a microkeratome to create a corneal flap and then ablating tissue in the stromal bed of the cornea using an excimer laser.
Page 375: Overview Display
Glossary Orientation The way that images are printed, either across the narrow axis of a sheet of paper (portrait orientation) or across the wide axis (landscape orientation). Overview Display A Display that shows four separate data views of an exam; the views that appear in this Display can be by set in a Parameter Set.
Page 376: Portrait Orientation
OcuLign® Mode This mode enables capturing an image that is compatible with the Carl Zeiss Meditec CRS-Master Software. This feature is used when capturing the photopic image so you can use the exam for corneal guided ablation with the CRS-Master Software.
Page 377 Glossary Rings Image View Data display that shows the actual image of the eye as captured by the ATLAS system while Placido rings are projected onto it. Root Mean Square (abbreviated RMS or rms), also known as the quadratic mean, is a statistical measure of the magnitude of a varying quantity.
Page 378: Trend Display
Glossary Trend Display A multi-exam display that shows the currently selected exam and up to three previous exams for the same eye. Zernike Polynomial An orthogonal set of polynomials that are used to describe the aberrations of the cornea or lens from an ideal spherical shape.
Page 379: (K) Specifications
Specifications (K) Specifications ATLAS Model 9000 Instrument Field of view • 17 mm X 14.5 mm Number of Placido Rings • 22 (18 superiorly) Display Range • 15 to 95 D (3.5 to 22.5 mm) Accuracy/Repeatability • Complies with ANSI Z80.23-2008, American National Standard for Ophthalmics – Corneal Topography Systems –...
Page 380: Specifications
Specifications Placido Ring Illumination • Infrared LED (950 nm) Optics • Digital CMOS camera with 1280 x 1024 pixel resolution Computer • Windows XP Professional • Internal storage: Up to 35,000 exams • Writable Optical Drive • 3 Ethernet ports, 2 USB 2.0 ports •...
Page 381: Atlas Review Software
Specifications ATLAS Review Software Operating System • Microsoft® Windows XP Professional with Service Pack 2 or 3 • Microsoft Windows Vista® Business with Service Pack 1 • 32 Bit systems System Requirements The system running ATLAS Review Software must meet the following minimum requirements: •...
Page 382: Instrument Table (Optional
Warning: Do not reconfigure system components on the table, nor add non-system devices or components to the table, nor replace original system components with substitutes not approved by Carl Zeiss Meditec. Such actions could result in failure of the table height adjustment mechanism, instability of the table, tipping and damage to the instrument, and injury to operator and patient.
Page 383: (L) Legal Notices
You bear the entire risk as to the quality and performance of the software. ZEISS does not warrant that the software will meet Your requirements, that the operation of the software will be uninterrupted or error-free, or that all software errors will be corrected.
Page 384: Legal Notices
ZEISS. Should such software prove defective following its purchase, You (and not ZEISS) assume the entire cost of all necessary service, repair, or correction. ZEISS has no liability or responsibility to any person or entity with respect to any claim, loss, liability, or damage caused or alleged to be caused directly or indirectly by any software supplied with the ATLAS or by ZEISS.
Page 385: Software Copyright
Software License Agreement This Software license agreement (“License”) is a legal contract between the Purchaser (“You”, “Your” “Licensee”) and ZEISS governing Your use of the Software. Opening the sealed package indicates Your acceptance of the terms and conditions of this License. If You have any questions concerning this License, contact Carl Zeiss Meditec, Attention Customer Service, 5160 Hacienda Drive, Dublin, CA 94568.
Page 386: License Agreement
Meditec, Inc., Attention Customer Service, 5160 Hacienda Drive, Dublin, CA 94568. License Agreement This is a license agreement and not an agreement for sale. ZEISS continues to own the copy of the Software and the physical media contained in this package and any other copy that you are authorized to make pursuant to this Agreement.
Page 387 Software even if ZEISS has been advised of the possibility of such damages. For further warranty information, please contact the Carl Zeiss Meditec, Inc., Customer Service Department.
Page 388: Carl Zeiss Meditec, Inc., Limited Warranty For Software
This Agreement may only be modified in writing signed by an authorized officer of Carl Zeiss Meditec, Inc. This is the entire agreement between ZEISS and You relating to the Software and the...
Page 389 You (“Warranty Term”). Scope of Limited Warranty for Software: ZEISS warrants that (i) it has the right to license or sublicense the Software to You for the purposes and subject to the terms and conditions set forth in ZEISS’...
Page 390: Software Support Agreement
BY ANY ZEISS REPRESENTATIVE SHALL NOT MODIFY OR EXPAND THESE WARRANTIES. This Warranty May Be Transferred if: before You make the proposed transfer, You provide ZEISS with a written request and You receive written confirmation from ZEISS that it will accept the transfer.
Page 391: Index
Index Delete Archive for Synchronization 10-17 Index Enable/Disable Archives for Synchronization 10-16 Numerics Exams 10-1 2-Difference Display Management 10-8 Manual 10-21 3-Difference Display Menu 2-16 Moving 10-20 Aberrations Network Registration 10-9 Preferences 2-11 10-5 11-20 Corneal Wavefront View 6-21 Recommendations 10-4 Accounts Register 10-8 Admin 9-1...
Page 392 Index Automatic Synchronization Colors 10-7 Averages Changing 7-5 7-13 Comments Axial I-S 3-14 7-13 Computer Specifications Axial View Configuration Files Back Up/Restore 9-20 9-22 Back Up/Restore Configuration Files 9-20 9-22 Conic section Backup Database 10-1 Connectors Contour map Contours Calibration Check Editing 3-16 Camera Status Indicator 2-14...
Page 393 Index Database Doctor Creating 9-16 9-19 Selecting 3-14 Index 10-1 Doctor’s name Location of Sample Database 9-16 Default 8-11 Patient 10-1 Recovering 10-18 10-25 Eccentricity Database Recovery Tool 10-18 10-25 Edit an Archive Location Date Format 10-19 Edit Categories Default display 9-14 Edit Menu Default Doctor’s name...
Page 394 Function key Updating Imported Data 11-2 F1 1-3 Importing F2 4-5 From ATLAS 900 Series database 11-5 F3 4-8 From ATLAS 9000 Series Export Media 11-3 F4 4-8 Zip Format 11-3 Fuses Indicator Check and Replace H-2 Exam quality 3-11...
Page 395 Index Information Log in Status bar 2-13 Preferences 2-4 Institution Name Logout Creating 2-12 Logo 2-12 Manage Patients 9-13 Instrument Disposition 1-22 Manual Instrument Installation 1-11 F1 function key 1-3 Instrument Status Indicator 2-14 Organization 1-2 Internet Connectivity Risks PDF 1-3 Irregularity View Manual Archive 10-21...
Page 396 Index Menu Options Normal Class Menus Number Format 2-15 Merge Patients Number map 9-11 Meridians Plotting in Profile View 7-3 Obscured Patients Profile Meridians in MasterFit II B-7 OD/OS Compare Display MFT (Modulation Transfer) View 6-28 OD/OS Reports 8-12 Modulation Transfer View 6-28 Omit Patient Identifiers 11-22...
Page 397 Index PathFinder II Patient info Accessing A-3 Hiding 11-30 Category Display Threshold A-6 Show/hide 8-6 Classes A-6 Showing 4-10 Convexity A-10 Patient Management System (PMS) 11-20 11-25 Cursor Tracking A-6 Patient Refraction Data Indices View A-4 MasterFit II B-2 B-16 Diagnosed KCN Example A-13 Patient Selection Window Diagnosed Suspect KCN Example A-14...
Page 398 Index Profile Meridian Rings Image 3-12 Profile View Zoom In 6-15 Rings Image View Plotting Meridians 7-3 6-13 Prohibited Network Activities Rings overlay 6-15 Projection Head Assembly Risks, Networking Aligning 3-7 6-11 7-10 7-13 Prolate surface 7-10 RMS fit 6-11 Protective Packing Symbols 1-20 5-13...
Page 399 Index Shape Factor (SF) Synchronization 10-18 Show Rings Add Network Archives for Synchronization 10-15 3-12 Alerts 10-7 Show/hide patient info Automatic 2-11 10-7 Shutdown 2-19 Defined 10-11 Sim K Values 7-12 Delete Archive 10-17 Displaying 7-7 Enable/Disable Archives 10-16 Single View Display Synchronize SmartCapture technology Status Indicator 2-15...
Page 400 Elevation View 6-7 Menu on Edit Parameters Screen 8-7 Zip Format MFT (Modulation Transfer View 6-28 Exporting from ATLAS 9000 Series Export Media 11-22 Pathfinder II 6-30 Importing from ATLAS 9000 Series Export Media 11-3 Printing 4-6 Zoom rings image...
Page 402 Carl Zeiss Meditec, Inc. Carl Zeiss Meditec AG 0297 5160 Hacienda Drive Goeschwitzer Strasse 51-52 Dublin, CA 94568 07745 Jena Germany Toll Free: 1 800 341 6968 Phone: +49 36 41 22 03 33 Phone: + 1 925 557 4100...
Page 403 Content User Manual Supplement: ATLAS Model 9000 [2660021136504 A] 266002-1134-240-Inhalt2-GB...
Page 405 rëÉê=j~åì~ä=pìééäÉãÉåíW=^qi^p=jçÇÉä=VMMM ■ Acquisition and Review Techniques – Best Practices User Manual Supplement Supplément au guide de l'utilisateur Supplemento della Guida dell'utente Bedienungsanleitung Ergänzung Complemento del Manual del usuario...
Page 406 Trademarks ATLAS, SmartCapture, and Cone of Focus are either registered trademarks or trademarks of Carl Zeiss Meditec, Inc. in the United States and/or other countries. All other trademarks used in this document are the property of their respective owners. Document Applicability This document applies to the ATLAS Model 9000 Instrument and ATLAS Review Software.
Page 407 User Manual Supplement: ATLAS Model 9000 E^F=rëÉê=j~åì~ä=pìééäÉãÉåíW= ^qi^p=jçÇÉä=VMMM Introduction Proper image acquisition combined with careful exam review techniques facilitate good image quality and measurement results on the ATLAS™ Model 9000 instrument. Certain patient and alignment conditions should be taken under consideration for the best results.
Page 408 User Manual Supplement: ATLAS Model 9000 Excessive Patient Motion Excessive patient motion (saccade, nystagmus, neuro-motor dysfunction) may cause image quality issues. An example of excessive patient motion is shown in Figure A-1 where the ring image is characterized by an overall blurring effect, and the red ring detection lines are poorly fitted and broken.
Page 409 User Manual Supplement: ATLAS Model 9000 Patient Anatomy Obscuring Cornea Patient anatomy may obscure the cornea and cause poor image quality. Anatomy that affects corneal coverage area and may block the ring mires include eyelids, eyelashes, nose, and eyebrows. This is illustrated in the rings image example shown in Figure A-2.
Page 410 User Manual Supplement: ATLAS Model 9000 Figure A-3 Patient Anatomy Example – Axial Curvature View If this should occur, realign the patient in the chin rest and ask him/her to “open eyes wide” prior to a repeated acquisition. A speculum, or other method, may be used to improve corneal coverage.
Page 411 User Manual Supplement: ATLAS Model 9000 Tear Film Breakup Tear film breakup may be caused by Dry Eye or insufficient blinking. Tear film uniformity affects ring detection. In this example (Figure A-4, Figure A-5, and Figure A-6), there is Tear Film Artifact. Notice how the red ring detection lines break up and do not follow the white ring mires, due to tear film irregularity.
Page 412 User Manual Supplement: ATLAS Model 9000 Tear film affects white ring mires. Figure A-5 Tear Film Affecting White Ring Mires Tear film affects red ring detection. Figure A-6 Zoomed Image of Tear Film Breakup User Manual Supplement: ATLAS Model 9000 2660021136504 A...
Page 413 User Manual Supplement: ATLAS Model 9000 Pupil Contour Artifacts Pupil contour artifacts may be present around the iris/pupil boundary. In certain cases the artifact is readily observable. Confirm that the red rings match the white Placido rings and that color topography maps are not distorted or show artifacts. You can use the pupil contour as a guideline to reference distortions.
Page 414 User Manual Supplement: ATLAS Model 9000 Check Sim K Standard Deviation values. Figure A-8 Exam Preview Screen Showing High Standard Deviation of Sim K Values User Manual Supplement: ATLAS Model 9000 2660021136504 A...
Page 415 User Manual Supplement: ATLAS Model 9000 Detailed Analysis Review Some artifacts may be difficult to detect on the E or E screen. REVIEW ESULTS Choose the best data by conducting a detailed analysis review. Analysis can be performed on the ATLAS Review Software (Software Version 3.0 only). If problems are observed for any of the following methods, additional exams should be acquired.
Page 416 A-10 User Manual Supplement: ATLAS Model 9000 Significantly different color topography map than the other exams on this Display. Distortion artifacts around pupil contour. Significantly different Sim K values than the other exams on this Display. Figure A-10 Trend Analysis Display Revealing Outlier Exams User Manual Supplement: ATLAS Model 9000 2660021136504 A...
Page 418 Carl Zeiss Meditec, Inc. Carl Zeiss Meditec AG 0297 5160 Hacienda Drive Goeschwitzer Strasse 51-52 Dublin, CA 94568 07745 Jena Germany Toll Free: 1 800 341 6968 Phone: +49 36 41 22 03 33 Phone: + 1 925 557 4100...
Page 419 Content Release Notes: ATLAS Software Version 3.00 [2660021134283 B] 266002-1134-240-Inhalt3-GB...
Page 421: Software Version
Release Notes: ATLAS ■ Software Version 3.0 Release Notes Notes de version Note sulla versione Versionsinformationen Notas de la versión...
Page 422 All other trademarks used in this document are the property of their respective owners. Document Applicability This document applies to ATLAS Software Version 3.0 for the ATLAS 9000 Instrument and Review Software. Release Notes: ATLAS Software Version 3.0...
Page 423: New Features
Release Notes: ATLAS Software Version 3.0 Release Notes: ATLAS Software Version 3.0 • 1. New Features, page • 2. Maintenance Updates, page • 3. Corrected Anomalies, page • 4. Use Notes, page • 5. Known Anomalies, page 1. New Features Licensed features described in this section are optional and may not be activated on your instrument, either because the feature is not currently available in your market, or because you have not purchased the software license.
Page 424: Maintenance Updates
4. Rings Image Zoom. The Rings Image View now has an option to display a zoomed in rings image to 10mm. Only available for ATLAS 9000 exams. 5. RMS Data. The Corneal Wavefront, Image Simulation, PSF, and MTF Views can now display RMS data.
Page 425: Use Notes
You can mouse over the indicator for details. 8. Export Single Exams. When exporting ATLAS 9000 data, (File > Export > To Atlas 9000 Series Export Media), you can select a single exam or only certain exams for a patient, rather than all exams, by clicking the Select Exams button and then selecting the exams you want to export for each patient.
Page 426 9. Note: The initial archive of a database containing thousands of exams will take a long time. For example, on the ATLAS 9000 instrument it will take about 10 hours to complete archiving 1000 exams.
Page 427: Known Anomalies
Release Notes: ATLAS Software Version 3.0 15.Note: If you have Auto print after acquisition checked in the Printing Options dialog, or Enable Automatic End of Exam Export checked in the DICOM Configuration tab, the selected reports and Views at the end of exam acquisition are only printed or exported to DICOM for the last saved OD and OS exam.
Page 428 8. Anomaly: When you enter Exam Acquisition, the live video image may be black. This is more likely to occur if you leave the ATLAS 9000 on for many days. Work-Around: Exit out of Exam Acquisition and the ATLAS application. Reboot the ATLAS 9000 computer.
Page 430 Carl Zeiss Meditec, Inc. Carl Zeiss Meditec AG 0297 5160 Hacienda Drive Goeschwitzer Strasse 51-52 Dublin, CA 94568 07745 Jena Germany Toll Free: 1 800 341 6968 Phone: +49 36 41 22 03 33 Phone: + 1 925 557 4100...
Page 431 Content Version 3.0 Installation Instructions [2660021135267 B] 266002-1134-240-Inhalt4-GB...
Page 433 ATLAS Corneal Topography System ■ Model 9000 Instrument Software Version 3.0 Installation and Licensing Instructions Instructions d’installation et d’octroi de licence Installazione del software e informazioni sulla licenza Installations- und Lizenzierungsanweisungen Instrucciones de instalación y licencia...
Page 434 United States and/or other countries. All other trademarks used in this document are the property of their respective owners. Document Applicability This document applies to the ATLAS 9000 Instrument, System Software Version 3.0 or higher, unless superseded. ATLAS Model 9000 Software Version 3.0 Installation...
Page 435: Important Installation Notes
3.0 software have revised default parameter settings. To use the Version 3.0 default settings, select each Parameter Set and then select the Defaults button. 6. Carl Zeiss Meditec strongly recommends using Acronis to create a new hard drive image (called a new “archive” in Acronis) after completion of a successful software upgrade.
Page 436 10.To start ATLAS Software, double-click the ATLAS Software shortcut on your computer desktop. 11.(Optional) Carl Zeiss Meditec strongly recommends using Acronis to create a new hard drive image (called a new “archive” in Acronis) after completion of a successful software upgrade so later recovery may be to the most recent software version. See the CZM System Recovery Tool Instructions document on the User Documentation CD.
Page 437: Detailed Installation Instructions
Version 3.0 Installation Instructions Detailed Installation Instructions These detailed installation instructions include screenshots. They are intended for users unfamiliar with the process of installing new software, and users who encounter difficulties during installation. Detailed Install Steps 1. If the ATLAS Model 9000 software is running, exit the ATLAS software by selecting File >...
Page 438 Version 3.0 Installation Instructions 4. Click Install to install the Report Viewer application: Figure 2 Installing Microsoft Report Viewer ☞ Note: Microsoft Report Viewer is required for printing. You will not be able to print from ATLAS Software if it is not installed. It is shown in your list of currently installed Windows programs as Microsoft Report Viewer Redistributable 2005.
Page 439 Version 3.0 Installation Instructions 6. After preparatory steps complete the Welcome dialog appears. Figure 4 Welcome Dialog 7. Click Next. The License Agreement dialog appears. Figure 5 License Agreement Dialog ATLAS Model 9000 Software Version 3.0 Installation 2660021135267 B...
Page 440 Version 3.0 Installation Instructions 8. Read the license agreement and select the radio button next to I accept the terms of the license agreement (You must accept the license agreement to complete installation). Click Next. The Ready to Install the Program dialog appears. Figure 6 Ready to Install the Program Dialog 9.
Page 441 Version 3.0 installation CD from the optical drive. 12.To start ATLAS Software, double-click the ATLAS Software shortcut on your computer desktop. Alternatively, you can select Start > All Programs > Carl Zeiss Meditec > ATLAS Software. 13.If you are upgrading from Version 1.0.1.0, upon first time launch of ATLAS Software Version 3.0, your ATLAS Version 1.0 data will undergo a conversion to the new...
Page 442 ☞ Note: The ATLAS Model 9000 Version 3.0 upgrade kit may include one or more license certificates. If not, a license may be obtained by contacting Carl Zeiss Meditec by email at z.customersupport@meditec.zeiss.com. To reach us by phone, in the United States please call Carl Zeiss Meditec at 1-800-341-6968. Outside the United States, please contact your local Carl Zeiss Meditec distributor.
Page 443 Version 3.0 Installation Instructions Registering Optional Software Features The following licensed features are pre-installed in ATLAS Software Version 3.0, but will not be active until registered, unless they have been registered previously. • PathFinder II (30-day Trial available) • MasterFit II (30-day Trial available) •...
Page 444 A-10 Version 3.0 Installation Instructions 3. The L window will be displayed with Trial license registered (Figure 11). ICENSE Figure 11 License View Window – PathFinder II 30-Day Trial License Registered 4. Select OK to close the L window and begin using the software. ICENSE 5.
Page 445 CD case, including the alphabetic prefix and the intervening dash before the number. 5. To obtain a License Key and Security Code, go to the Carl Zeiss Meditec website: www.meditec.zeiss.com/register. If your language is other than English, select your language under the “Other Languages:”...
Page 446 Click “form” Figure 14: Carl Zeiss Meditec Software License Registration Page on the Internet 7. Enter your Certificate Serial Number and click the Submit button. 8. Enter your Node ID and personal information and click the Submit button to generate your License Key and Security Code.
Page 447 View Licenses... on the Help menu. ☞ Note: To purchase additional licensed features, contact Carl Zeiss Meditec at 1-800-341-6968 or by email at z.customersupport@meditec.zeiss.com. Outside the United States, please contact your local Carl Zeiss Meditec distributor.
Page 448 Carl Zeiss Meditec, Inc. Carl Zeiss Meditec AG 0297 5160 Hacienda Drive Goeschwitzer Strasse 51-52 Dublin, CA 94568 07745 Jena Germany Toll Free: 1 800 341 6968 Phone: +49 36 41 22 03 33 Phone: + 1 925 557 4100...
Page 449 Content ATLAS Review Installation Instructions [2660021142711a] 266002-1134-240-Inhalt5-GB...
Page 451 ^qi^p=`çêåÉ~ä=qçéçÖê~éÜó=póëíÉã ■ Review Software Installation and Licensing Instructions...
Page 452: Document Applicability
© 2011 Carl Zeiss Meditec, Inc. All rights reserved. Trademarks ATLAS, MasterFit, and PathFinder are registered trademarks or trademarks of Carl Zeiss Meditec, Inc. in the United States and/or other countries. Windows is either a registered trademark or trademark of Microsoft Corporation in the United States and/or other countries.
Page 453 ATLAS Review Installation Instructions ^qi^p=oÉîáÉï=fåëí~ää~íáçå=fåëíêìÅíáçåë Introduction This document provides instructions to install and license ATLAS® Review Software, and to license any optional software features you have purchased. Topics include: • Important Installation Notes, page • Review Software System Requirements, page •...
Page 454: System Requirements
NTFS. The user, and not Carl Zeiss Meditec, assumes all risks associated with converting the file system to NTFS. Before you convert to NTFS, we recommend you consult an information technology (IT) expert.
Page 455: Network File Server Recommendations
ATLAS Review Installation Instructions ☞ Note: It is the user’s responsibility to protect their exam data from loss by frequent backup of the network server. Backup media should be of archival quality, and the media should be stored in a secure, remote location. WARNING: Failure to backup the network file server may result in the loss of medical exam data.
Page 456 ATLAS Review Installation Instructions Brief Installation Instructions These brief installation instructions are not detailed and do not include screenshots. They are intended for users familiar with the process of installing new software, and users who do not encounter any difficulties during installation. Use the Detailed Installation Instructions, starting on page 5, if you are not familiar with installing software in general, or if you encounter difficulties with installation.
Page 457 ATLAS Review Installation Instructions Detailed Installation Instructions These detailed installation instructions include screenshots. They are intended for users unfamiliar with the process of installing new software, and users who encounter difficulties during installation. 1. Install the ATLAS Review Software installation disk into its drive. Close the drive and wait for the installation program to start automatically.
Page 458 ATLAS Review Installation Instructions 3. After completing installation of required software, you will see the installation splash screen and InstallShield Wizard dialog, as shown below. Figure 2 Splash Screen and InstallShield Wizard Dialog ATLAS Review Software Installation 2660021142711 A...
Page 459 ATLAS Review Installation Instructions 4. When preparatory steps complete, the I window appears: NSTALL HIELD ELCOME Figure 3 InstallShield Welcome Window 5. Click Next to begin installation. 6. After preparatory steps, the License Agreement window appears. Figure 4 License Agreement Window ATLAS Review Software Installation 2660021142711 A...
Page 460 ATLAS Review Installation Instructions 7. Read the license agreement and select the radio button next to I accept the terms of the license agreement. (You must accept the license agreement to complete installation.) 8. Click Next to continue. The C window is displayed: HOOSE ESTINATION...
Page 461 ATLAS Review Installation Instructions 9. The R window is displayed: EADY TO NSTALL THE ROGRAM Figure 6 Ready to Install the Program Window Click Install to begin the installation. If you want to review or change any of your installation settings, click Back. Click Cancel to exit the wizard and cancel the installation.
Page 462 ATLAS Review Installation Instructions 12.The A 8 - S window will be displayed: DOBE EADER ETUP Figure 7 Adobe Reader Setup Window 13.Click Next to install Adobe Reader in the default folder: Figure 8 Adobe Reader Destination Folder Window ATLAS Review Software Installation 2660021142711 A...
Page 463 ATLAS Review Installation Instructions 14.Click Install to begin the installation: Figure 9 Adobe Reader Ready to Install the Program Window 15.A window tracks progress of the installation: Figure 10 Adobe Reader Installing Adobe Reader 8 Window ATLAS Review Software Installation 2660021142711 A...
Page 464 ATLAS Review Installation Instructions 16.Uncheck Launch Adobe Reader 8. Click Finish to complete the installation of Adobe Reader 8: Figure 11 Adobe Reader Setup Completed Window Continuing Installation 17.The S window tracks progress of the installation: ETUP TATUS Figure 12 Setup Status Window ATLAS Review Software Installation 2660021142711 A...
Page 465 19.To start ATLAS Review Software, double-click the ATLAS Review Software shortcut (shown on the left) on your computer desktop. Alternatively, you can select Start > All Programs > Carl Zeiss Meditec > ATLAS Review Software. ☞ Note: On Windows 7 computers, you may need to right-click on the ATLAS Review Software shortcut, and select Run as Administrator.
Page 466 Note: ATLAS Review Software includes one or more Certificate serial numbers for your license or licenses. Each Certificate serial number you receive must be registered separately. Additional licenses may be obtained from Carl Zeiss Meditec. To activate, go to www.meditec.zeiss.com/register.
Page 467 ATLAS Review Installation Instructions Registering Optional Software Features The following licensed features are pre-installed in ATLAS Review Software 3.0.1, but will not be active until registered, unless they have been registered previously. • PathFinder II (30-day Trial available, Windows XP only) •...
Page 468 ATLAS Review Installation Instructions 2. Click Yes to start your 30-Day Trial license. The L window will be displayed ICENSE with Trial license registered (Figure 16). Figure 16 License View Window – PathFinder II 30-Day Trial License Registered 3. Select OK to close the L window and begin using the software.
Page 469 CD case, including the alphabetic prefix and the intervening dash before the number. 5. To obtain a License Key and Security Code, go to the Carl Zeiss Meditec website: www.meditec.zeiss.com/register. If your language is other than English, select your language under the “Other Languages:”...
Page 470 Note: If you have questions regarding software registration, please contact Carl Zeiss Meditec at z.customersupport@meditec.zeiss.com. To reach us by phone, in the United States please call Carl Zeiss Meditec at 1-800-341-6968. Outside the United States, please contact your local Carl Zeiss Meditec distributor.
Page 471 View Licenses... on the Help menu. ☞ Note: To purchase additional licensed features, contact Carl Zeiss Meditec Software Licensing at 1-800-341-6968 or by email at z.customersupport@meditec.zeiss.com. Outside the United States, please contact your local Carl Zeiss Meditec distributor. ATLAS Review Software Installation 2660021142711 A...
Page 472 ATLAS Model 9000 archive through a networked connection (see Figure 22). 1. An alternate method is to manually import from ATLAS 9000 Series Export Media. This can be used in a non-networked environment. ATLAS Review Software Installation...
Page 473 ATLAS Review Installation Instructions Figure 22 Synchronization Diagram 1. You must connect the ATLAS 9000 instrument and Review Station to a network. Configure ATLAS Instrument 2. Configure the ATLAS instrument and a network file server/NAS drive to communicate. 3. If no current archive exists on the ATLAS instrument, click Archive > Archive Management and create a new archive location on the network file server and make it the current archive.
Page 474 9. Select View Today’s Patients to select the imported patients. Configure Automatic ATLAS 9000/ATLAS Review Station Connection 10.On the ATLAS 9000 select Auto in the Options > Preferences > Archive/Synchronize > Archive section to have the ATLAS instrument automatically archive new and imported exams.
Page 475 ATLAS Review Installation Instructions 2. Configure your ATLAS instrument for networking and ATLAS file sharing. You must share the folder where the ATLAS 993/995 database is located. The default exams database resides in the C:\EXAMS folder. On the ATLAS Review Station, you can map a drive letter to the ATLAS 993/995 database folder.
Page 476 ATLAS Review Installation Instructions ATLAS Review Software Installation 2660021142711 A...
Page 478 Carl Zeiss Meditec, Inc. Carl Zeiss Meditec AG 5160 Hacienda Drive Goeschwitzer Strasse 51-52 Dublin, CA 94568 07745 Jena Germany Toll Free: 1 800 341 6968 Phone: +49 36 41 22 03 33 Phone: +1 925 557 4100 Fax: +49 36 41 22 01 12...
Page 479 Content Release Notes: ATLAS Review-Software, Version 3.0.1 [2660021142620a] 266002-1134-240-Inhalt6-GB...
Page 481 oÉäÉ~ëÉ=kçíÉëW=^qi^p=oÉîáÉï=pçÑíï~êÉ ■ Software Version 3.0.1 Release Notes...
Page 482 © 2011 Carl Zeiss Meditec, Inc. All rights reserved. Trademarks ATLAS and MasterFit are either registered trademarks or trademarks of Carl Zeiss Meditec, Inc. in the United States and/or other countries. Windows and Windows Vista are either registered trademarks or trademarks of Microsoft Corporation in the United States and/or other countries.
Page 483 Release Notes: ATLAS Review Software Version 3.0.1 oÉäÉ~ëÉ=kçíÉëW=^qi^p=oÉîáÉï= pçÑíï~êÉ=sÉêëáçå=PKMKN • 1. New Features, page • 2. Maintenance Updates, page • 3. User Profile, page • 4. Use Notes, page • 5. Corrected Anomalies, page • 6. Known Anomalies, page 1. New Features Licensed features described in this section are optional and may not be activated, either because the feature is not currently available in your market, or because you have not purchased the software license.
Page 484 (C) DICOM Gateway (Optional) > DICOM Gateway Configuration Steps should be read as follows for Windows 7: Start > All Programs > Carl Zeiss Meditec > Network Broker > Network Broker. • The path to launch the Network Broker Configuration Tool from the Windows (C) DICOM Gateway (Optional) >...
Page 485: User Profile
You can mouse over the indicator for details. 9. Export Single Exams. When exporting ATLAS 9000 data, (File > Export > To Atlas 9000 Series Export Media), you can select a single exam or only certain exams for a patient, rather than all exams, by clicking the Select Exams button and then selecting the exams you want to export for each patient.
Page 486: Job Requirements
Release Notes: ATLAS Review Software Version 3.0.1 • Find and modify patient identifying data • Select exams and generate an analysis report • Review the analysis report for completeness • Print or export an analysis report • Power off the computer Data Interpretation Demographic The user should be one of the following:...
Page 487 9. Use Note: The contact lens can only be moved on the simulated fluorescein map view for exams created on the ATLAS 9000 in MasterFit II. Action: Exams created on earlier ATLAS models can be viewed in MasterFit II but the contact lens cannot be moved.
Page 488 Release Notes: ATLAS Review Software Version 3.0.1 14.Use Note: Exporting all the patients in a large database to the DICOM Gateway can be very slow and is not recommended. Action: Do not attempt to export all patients at a single time to the DICOM Gateway from a large database.
Page 489 A single exam takes between 1 and 4 MB of space. 7. Anomaly: When exporting ATLAS 9000 data, if you select Export to Zip Format and the export folder already contains patients exported without using the Zip format, then the created Zip file will contain the currently selected patients and the previously exported patients.
Page 490 Release Notes: ATLAS Review Software Version 3.0.1 10.Anomaly: In Windows 7, the color map portion of the display in Trend Analysis is not fully refreshed when the operator removes one or more of the currently selected exams. The exam statistics are updated and all printouts and exports are correct. Work-Around: After removing one or more of the currently selected exams, click on either the exam statistics area or the color map area of the display to refresh the display.
Page 492 Carl Zeiss Meditec, Inc. Carl Zeiss Meditec AG 0297 5160 Hacienda Drive Goeschwitzer Strasse 51-52 Dublin, CA 94568 07745 Jena Germany Toll Free: 1 800 341 6968 Phone: +49 36 41 22 03 33 Phone: + 1 925 557 4100...
Page 493 Content ATLAS – HP 6988 Printer Configuration [2660021133636 B] 266002-1134-240-Inhalt7-GB...
Page 495 ATLAS Model 9000 ■ Configuration Instructions for HP 6988 Printer Configuration Instructions Instructions pour la configuration Istruzioni per la configurazione Konfigurationsanweisungen Instrucciones de configuración...
Page 496 © Carl Zeiss Meditec Inc. All rights reserved. Trademarks ATLAS is either a registered trademark or trademark of Carl Zeiss Meditec, Inc. in the United States and/or other countries. Windows is either a registered trademark or trademark of Microsoft Corporation in the United States and/or other countries.
Page 497 ATLAS – HP 6988 Printer Configuration ATLAS – HP 6988 Printer Configuration Introduction ® This document instructs you how to configure the HP 6988 printer for use with the ATLAS™ instrument. You can install the HP 6988 in two configurations for communication between instrument and printer: USB Configuration (page 2), via direct USB connection between instrument and...
Page 498: Connect The Hardware
ATLAS – HP 6988 Printer Configuration Installation Overview Before configuring the printer to communicate with the ATLAS, the following three general steps are required for both USB and Network configurations. These steps are explained further in the specific sections. 1. Printer hardware setup: Refer to the instructions provided with the printer to unpack and set up the printer hardware.
Page 499 ATLAS – HP 6988 Printer Configuration connect the printer and computer directly, or two network cables to connect printer and computer separately to a network, switch or hub.) Network Ports Figure 1 ATLAS Network Ports on Right Side of Instrument ATLAS –...
Page 500 ATLAS and the printer are configured to obtain an IP address automatically. The ATLAS ships this way from Carl Zeiss Meditec, so this will be the case unless someone has intervened to configure the ATLAS with a static IP address. If the ATLAS has a static IP address, then use the printer manufacturer’s instructions,...
Page 501 ATLAS – HP 6988 Printer Configuration 4. To update the Hostname on the ATLAS, right-click on the HP Deskjet 6988 Network printer icon, and then select Properties. Click on the Ports tab as shown in Figure Figure 3 HP Deskjet 6988 Network Properties – Ports Tab 5.
Page 502 ATLAS – HP 6988 Printer Configuration 6. Type in exactly the new printer Hostname from line 6 of the report page in the Printer Name or IP Address field (Figure 5), and then select OK twice to close the configuration and printer properties windows. Figure 5 Configure Standard TCP/IP Port Dialog –...
Page 504 ATLAS Model 9000 – HP 6988 info@meditec.zeiss.com Printer Configuration www.meditec.zeiss.com Specifications subject to change www.meditec.zeiss.com * Carl Zeiss Meditec is the manufacturer of medical devices and associated stand-alone software, but is not the manufacturer of the accessory described in this manual.
Page 505 Content Disposal of the product within the EU [2005-06-27] 266002-1134-240-Inhalt9-GB...
Page 507: Disposal Of The Product Within The Eu
également les informations actuelles du fabricant disponibles sur Internet. En cas de revente du produit ou de parties du produit, le vendeur est tenu d’informer l’acquéreur que le produit doit être éliminé selon les dispositions nationales en vigueur. Anlage EU-Recycling 2005-06-27 1/2 © Carl Zeiss Meditec...
Page 508 In caso di rivendita del prodotto o di componenti dello stesso, il venditore è tenuto ad informare l’acquirente del fatto che il prodotto va smaltito in accordo alle direttive nazionali attualmente vigenti. Anlage EU-Recycling 2005-06-27 2/2 © Carl Zeiss Meditec...
Page 510 Toll Free: +1 800 341 6968 Phone: +1 925 557 4100 Phone: +49 3641 220 333 Fax: +1 925 557 4101 Fax: +49 3641 220 112 Email: info meditec@zeiss.com Email: info meditec@zeiss.com Internet: www.meditec.zeiss.com Internet: www.meditec.zeiss.com ATLAS 9000 SW 3.0 Specifications subject to change 266002-1134-240-DokS-GB-131114...