Zeiss CIRRUS HD-OCT 500 Imaging System Manuals

Zeiss CIRRUS HD-OCT 500 Imaging System Manuals

Manuals and User Guides for Zeiss CIRRUS HD-OCT 500 Imaging System. We have 2 Zeiss CIRRUS HD-OCT 500 Imaging System manuals available for free PDF download: User Manual, Technical Specifications

Zeiss CIRRUS HD-OCT 500 User Manual

Zeiss CIRRUS HD-OCT 500 User Manual (352 pages)

Brand: Zeiss | Category: Diagnostic Equipment | Size: 52 MB

Table of Contents

Table of Contents
3
Safety and Certifications

15
- Symbols and Labels
  15
- Warning and Caution Definitions
  16
- Warnings
  16
- Cautions
  17
- Protection of Patient Health Information
  18
- Safety
  18
- CIRRUS HD-OCT User Manual 2660021169012 Rev. a
  19
- Record and Data Safety
  23
- Networking Guidelines
  24
- Electromagnetic Compatibility (EMC)
  24
- Rohs Compliance
  26
Introduction

27
- Intended Use
  27
- Indications for Use
  27
- Usage
  27
- Intended Operator Profile
  28
  - Demographic
    28
  - Occupational Skills
    28
  - Job Requirements
    28
- Data Analyst Profile
  29
  - Demographic
    29
  - Occupational Skills
    29
  - Job Requirements
    29
- Subject Profile
  29
- Installation and Setup
  29
- User Documentation
  30
  - Accessing PDF Versions
    30
  - Organization
    30
  - Instruction Conventions
    31
System Overview

33
- Hardware
  33
  - Power up
    34
  - Power down
    34
    
    Power down through Hardware
    34
    
    Power down through Software
    34
- Software
  35
  - Overview
    35
  - Licensed Applications
    35
  - Basic Screens
    35
  - Toolbar Options
    37
  - Navigation Bar
    41
    
    Status Area
    41
    
    Components of Status
    42
System Administration

45
- Institution Setup
  45
- Station Setup
  46
- Staff Accounts
  47
  - Register New Staff
    47
  - Edit Staff Records
    48
  - Delete Staff Records
    48
- Category Registration and Maintenance
  48
  - Category Registration
    48
  - Edit Categories
    49
  - Delete Categories
    49
- Archive Setup and Selection
  50
  - Set up a CIRRUS HD-OCT Archive
    50
  - Change the Current Archive
    52
- Set Preferences
  52
  - Archive/Synchronize
    52
    
    Archive Alerts
    52
  - Normative Data Settings
    53
  - DICOM Archive
    53
    
    Display Options
    54
    
    Ipv4 / Ipv6
    55
    
    Preventive Maintenance Service Notifier
    55
- User Login/Logout
  56
  - User Login
    56
  - User Logout
    57
    
    Automatic Logout
    57
    
    Logout Locks the System
    57
Clinical Workflow

59
- The Importance of Good Clinical Workflow
  59
  - Patient Good Practices
    59
  - Specific to Iris Imaging
    59
  - Specific to Fundus Imaging
    59
- Daily Tasks
  59
  - Start of Day
    59
  - End of Day
    60
    
    Archive Saved Exams
    60
    
    Shut down the System
    60
- Patient Records
  60
- Patient Preparation
  68
Acquiring Scans

73
- Overview of Scan Types
  73
- Posterior Segment Scans
  74
  - CIRRUS OCT Angiography
    74
    
    Angiography Scan
    74
    
    Montage Angio Scan
    74
    
    ONH Angiography Scan
    74
  - Macula
    75
    
    Macular Cube 200X200
    75
    
    Macular Cube 512X128
    75
  - Optic Nerve
    75
    
    Optic Disc Cube 200X200
    75
  - Integration
    76
    
    Macular and Optic Disc Cube Scans
    76
  - Visualization
    76
    
    Macular or Optic Disc Cube Scans
    76
  - Raster Scans
    76
    
    Guidelines for Raster Scans
    77
- Anterior Segment Scans
  78
- Acquire Screen and Controls
  91
  - Acquire Screen Toolbar
    92
  - Available Scans List
    92
    
    Scan Organizer
    93
  - Iris Viewport
    94
  - Scan Position Montage
    94
    
    6X6 MM Montage Angio Scan
    94
    
    8X8 MM Montage Angio Scan
    95
  - Fundus Viewport
    96
    
    Mouse Controls
    99
  - Live Scan Viewports
    99
- General Acquire Procedure
  100
  - To Begin Scan Acquisition
    100
  - Set up for Maximum Image Quality
    103
    
    B-Scans
    103
    
    Fundus Image
    103
    
    Iris Image
    103
    
    For All Scans
    104
- Tracking and Repeat Scans
  104
  - Repeat Scans
    104
  - Fasttrac
    105
    
    Troubleshooting Fasttrac
    108
Scan Quality Check

111
- Overview
  112
- Quality Check Tools
  113
- Criteria for Image Acceptance
  115
  - Fundus
    115
  - Oct
    115
  - Check for Saccades and Banding
    115
  - Advanced RPE Analysis Acceptance Criteria
    116
  - CIRRUS OCT Angiography Acceptance Criteria
    117
    
    Signal Quality
    117
    
    Decorrelation Tails
    118
    
    Segmentation Errors
    119
  - Anterior Segment Acceptance Criteria
    121
    
    Anterior Segment Cube Scan
    121
    
    General
    121
    
    Pachymetry Scan
    121
Analysis

123
- Overview
  123
  - Image Menu Options
    124
  - Normative Database Comparisons
    125
  - Adjusting Slab Locations
    125
  - Preset Slab Views
    126
    
    Create Global Custom
    126
    
    Create Scan Custom
    126
    
    Standard Presets
    126
- Posterior Segment
  128
  - Macular Thickness Analysis
    128
  - Fovea Location
    128
  - ETDRS Position
    129
  - ILM-RPE Layers
    130
    
    Slab Overlay ILM-RPE Thickness Map
    130
  - Additional Features
    132
  - Macular Change Analysis
    133
    
    Manual Selection
    134
    
    Macular Registration
    135
    
    Synchronized Data Review
    138
    
    XML Export
    138
  - Macular Thickness ou Analysis
    138
  - Advanced RPE Analysis
    139
    
    RPE Elevation Considerations
    140
    
    Sub-RPE Considerations
    141
  - Ganglion Cell ou Analysis
    144
  - En Face Analysis
    147
    
    En Face Analysis Preset Slabs
    147
  - ONH and RNFL ou Analysis
    150
    
    RNFL Thickness Maps and Deviation from Normal Maps
    151
    
    Changing RNFL Calculation Circle Placement
    152
    
    TSNIT Thickness Profiles
    152
    
    RNFL Data Table
    153
  - Parameter Summary Graphs
    154
  - Summary Charts
    155
  - RNFL & ONH Guided Progression Analysis
    156
  - Ganglion Cell Guided Progression Analysis
    160
- Anterior Segment
  163
  - Anterior Chamber Depth and Lens Vault
    163
  - Angle-To-Angle Distance
    165
    
    Using Anterior Chamber Analysis
    165
    
    Using Wide Angle-To-Angle Analysis
    165
  - Corneal Thickness
    165
    
    In Pachymetry Analysis
    166
    
    View Dropdown
    166
    
    In Anterior Chamber Analysis
    171
    
    In Anterior Segment Cube Analysis
    171
    
    In HD Cornea Analysis
    171
    
    In HD Images Analysis
    172
  - Epithelial Thickness
    173
    
    In Pachymetry Analysis
    173
  - Central Corneal Thickness (CCT) Measurement
    174
  - Angle Measurements
    175
    
    In HD Angle Analysis
    175
    
    In Anterior Chamber Analysis
    176
    
    In Wide Angle-To-Angle Analysis
    177
- Specialized and Integrative Visualization Tools
  177
  - High Definition Images Analysis
    177
    
    Change the Displayed Scan Line
    179
    
    Image Display Options Buttons
    179
  - Single Eye Summary
    180
  - The Panomap
    181
  - 3D Analysis
    182
    
    View Settings
    183
    
    Clip Selector
    184
    
    Show Settings
    184
    
    Animation
    185
    
    Animation Editor
    185
    
    Clip Surfaces
    185
    
    Greyscale Mode
    185
    
    Light Direction Adjust
    185
    
    Lighting
    185
    
    Movie Recording
    186
    
    Autorecord Keyframes
    187
    
    Take Snapshot
    187
    
    Mouse Rotates/Mouse Translates
    188
    
    Straighten Volume Data
    188
    
    Width, Height, and A-Scan Adjustments
    188
    
    Zoom
    188
    
    Reset
    189
    
    Transparent Surfaces
    189
    
    Advanced Visualization Analysis
    190
    
    Fundus Image Overlay Options
    191
    
    Retinal Layers Automatically Detected and Displayed
    191
    
    Slice and Slab Options
    192
    
    Function Buttons in Advanced Visualization
    193
CIRRUS OCT Angiography

195
- Overview
  195
  - CIRRUS OCT Angiography, Montage Angio, and ONH Angiography Analysis
    195
    
    CIRRUS OCT Angiography Presets
    198
    
    Angioplex Metrix
    201
    
    B-Scan Settings
    201
    
    Current View References
    202
    
    Overlays
    202
  - Vessel Density and Capillary Perfusion
    205
    
    Foveal Avascular Zone (FAZ)
    206
    
    Vessel Density Vs. Capillary Perfusion
    206
    
    Angioplex Metrix Measurements
    210
    
    Overlay Options
    211
    
    ETDRS Options
    212
  - Angiography and ONH Angiography Change Analysis
    213
    
    Previous Scan
    214
    
    Options Bar
    215
    
    Toggle Icon
    215
    
    Angioplex Metrix in Change Analysis
    216
    
    ONH Overlay and Angio Metrix Bar
    216
    
    Selected Scan
    216
    
    ONH RNFL Thickness
    217
  - OCT Angiography Change - Manual Selection
    217
  - Angioplex Preset Algorithms
    218
    
    ONH Angiography Change Analysis Image Registration
    221
10 Reports and Printing

223
- Standard Print Options
  223
- The Report Preview Screen
  224
- Analysis Related Report Options
  226
  - Macula Thickness Report Options
    226
    
    The Macula Multi-Slice Option
    227
    
    Macula Radial Report Option
    228
  - Advanced Visualization Report Options
    228
  - ONH and RNFL Thickness Report Options
    230
    
    Normative Data Details Report
    231
  - High Definition Images Report (Raster Scan Options)
    232
  - Guided Progression Report Options
    233
    
    Latest Scan
    233
    
    Parameters Summary Table Report
    233
    
    Summary
    233
  - Normative Data Details Reports
    237
    
    Macula Thickness Normative Data Details Report
    237
11 Data Management

239
- FORUM/DICOM or Native Environment
  239
- Importing and Exporting Data
  239
  - Patient Privacy
    239
  - Data Integrity of Imported Records
    240
  - Import/Export Native Mode
    240
  - FORUM/DICOM Mode
    243
  - Transferring Images in OPT IOD and OP IOD Formats
    243
- Data Queries and Search Options
  245
- XML Export
  247
  - Batch XML Export
    247
  - XML Export from Analysis Screens
    247
    
    Values Exported: Macular Thickness Analysis
    248
    
    Values Exported: ONH and RNFL ou Analysis
    249
    
    Export Values: Macular Change Analysis
    250
    
    Values Exported: Guided Progression Analysis
    251
    
    Values Exported: Ganglion Cell ou Analysis
    252
    
    Values Exported: Advanced RPE Analysis
    253
- Advanced Export
  254
  - Dat Files of ILM-RNFL Thickness Maps
    254
  - Txt Profiles of Neuro-Retinal Rim Thickness and RNFL Thickness
    254
- Move Scan Data (Native Mode Only)
  254
- Log Files
  255
12 Routine Maintenance

257
- Troubleshooting Power Problems
  257
- Routine Cleaning
  258
  - Forehead and Chinrests
    259
  - External Surfaces of the Instrument
    259
  - Imaging Aperture Lens and External Lenses
    259
  - LCD (Monitor) Screen
    259
  - Top Fan Filter
    259
- User Replacement Accessories
  261
- Performance Verification Check
  262
  - Install the Verification Test Tool
    262
  - Run the Check
    263
13 Specifications

269
- HD-OCT Imaging
  269
- HD-OCT Imaging for Posterior Segment Scans
  269
- HD-OCT Imaging for Anterior Segment Scans
  269
- Fundus Imaging
  270
- Iris Imaging
  270
- Electrical, Physical and Environmental
  271
  - Maintenance
    271
  - Measurement Units
    271
14 Legal Notices

273
- Software Copyright
  273
- Software License Agreement
  273
- Acknowledgment
  274
A Normative Data Results

275
- Overview
  275
- RNFL and Macula Normative Databases: Diversified
  275
  - Inclusion and Exclusion Criteria
    276
    
    Exclusion Criteria
    276
    
    Inclusion Criteria
    276
  - Data Collection
    277
    
    Scan Selection Criteria
    277
  - Database Population
    277
  - Data Analysis
    278
    
    Age Coefficient - RNFL Thickness
    279
    
    Description of Macular Scan Parameters Used in CIRRUS HD-OCT
    280
    
    Age Coefficient - Macula Thickness
    282
  - Conclusion
    283
- Optic Nerve Head Normative Database: Diversified
  283
  - Methods
    284
    
    Data Collection
    284
    
    Scan Selection Criteria
    284
  - Data Analysis
    284
- Results
  285
- Factors that Affect CIRRUS ONH Normative Ranges
  285
  - 2Age
    286
  - Optic Disc Area
    286
  - Ethnicity
    286
  - Calculation of Normal Limits
    286
  - Presentation of Normative Limits
    287
- Conclusion
  287
- Report
  288
- RNFL and ONH Normative Databases
  289
  - Distribution of Normals
    290
  - Interactivity
    293
- Ganglion Cell Normative Database: Diversified
  293
  - Methods
    294
    
    Data Collection
    294
    
    Scan Selection Criteria
    294
    
    Data Analysis
    295
  - Results
    295
    
    Factors that Affect CIRRUS Ganglion Cell Analysis Normative Ranges
    295
    
    Age
    296
    
    Ethnicity
    296
    
    Axial Length and Refractive Error
    297
  - Data Analysis
    297
  - Conclusion
    298
- Asian Normative Database
  298
  - Overview
    298
  - Introduction
    298
  - Inclusion and Exclusion Criteria
    299
    
    Exclusion Criteria
    299
    
    Inclusion Criteria
    299
  - Data Collection
    300
  - Scan Selection Criteria
    300
  - The Asian Dataset
    301
  - Normative Database Analyses
    301
  - Description of RNFL Parameters
    302
  - Age Coefficient - RNFL Thickness
    302
  - Age Coefficient - Macula Thickness
    303
  - Normal Values for Ganglion Cell Analyses
    304
  - Normal Values for Asian ONH Measurements
    305
  - Factors that Affect ONH Normative Ranges
    306
    
    Age
    306
    
    Ethnicity
    306
    
    Optic Disc Area
    306
  - Calculation of Normal Limits
    307
  - Conclusion
    307
    
    Methods
    309
    
    Purpose
    309
    
    Study 1: Retinal Segmentation and Analysis
    309
    
    Results and Discussion
    310
    
    Repeatability
    314
    
    Conclusion
    316
    
    References
    316
    
    Phase 1: Inter-Device Variability
    317
    
    Phase 2: Inter-Operator Variability
    317
    
    Study 2: Repeatability and Reproducibility of Illumination Area Measurements under the Retinal Pigment Epithelium
    317
    
    Phase 1: Inter-Device Variability
    320
    
    Phase 2: Inter-Operator Variability
    320
    
    Study 3: Repeatability and Reproducibility of Macular Retinal Pigment Epithelium Elevation Measurements
    320
    
    Study 4: Repeatability and Reproducibility of GCA and ONH Parameters
    323
    
    Benchtop Scanning Accuracy, Repeatability and Reproducibility
    327
    
    CIRRUS HD-OCT Repeatability in Measuring Central Corneal Thickness
    327
    
    Study 5: Anterior Segment Accuracy, Repeatability and Reproducibility
    327
    
    Performance of CIRRUS HD-OCT RNFL Analysis
    328
    
    References
    330
    
    Study 6: CIRRUS OCT Angiography
    330
Reproducibility of Anterior Scan Measurements

331
100 C CIRRUS HD-OCT Repeatability and

331
- Study 1: Performance of Pachymetry and Anterior Chamber Scan
  331
- Subjects, Including Repeatability, Reproducibility, and Comparison to Visante
  331
  - Purpose
    331
  - Data Collection
    331
  - Inclusion Criteria
    331
    
    Corneal Pathology Group
    331
    
    Normal Cornea Group
    331
    
    Post-LASIK Group
    332
  - Exclusion Criteria
    332
    
    Corneal Pathology Group
    332
    
    Normal Cornea Group
    332
  - Data Analysis
    332

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Zeiss CIRRUS HD-OCT 500 Technical Specifications

Zeiss CIRRUS HD-OCT 500 Technical Specifications (2 pages)

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