Canon CR-2 manuel d'utilisation

Digi ta l Reti nal Cam er a Op era t ion Ma nu al Make sure you read this ma nual b efore usin g the instr ument . Keep this manu al safe ly so that you ca n use it in the f uture.[...]

2 Th ank you fo r purc ha sin g the Ca non D ig ita l Retin al Ca me ra CR-2 (referre d to as “CR-2” in this man ua l). The op erati on ma nu als fo r this i nstr ume nt co nsi st of the “ Dig ita l Reti nal C ame ra CR-2 Op erati on M anu al” a nd th e “Reti nal i mag ing c ontrol s of t ware N M 2 Op erati on M anu al. ” Be su re to r[...]

3 1 In t ro du c t io n ................................................................................................. 4 Featur es ...................................................................................................... 4 Indi cati ons fo r Use ..................................................................................... 4 [...]

4 Featur es Th e Cano n Di git al Re tina l Cam era C R-2 takes di git al ph otograp hi c retina l ima ge s of patie nt’ s eye s acros s an a ng le of vi ew of 45 de gre es, in a n atur all y dil ated state wi thou t us ing mydr iati cs. T he CR-2 has th e foll owin g featu res. Red uc ed fl as h in ten si t y Th e CR-2 can ta ke imag es at I SO [...]

1 Intr oduc tio n 5 Compo nent s Di git a l Ret ina l Ca me r a CR-2 Mai n uni t Vi de o ca ble Use to con ne ct an ex ter na l mon itor . Di git a l ca me ra Dig ita l ca me ra sp ec ial ized fo r the CR-2 . Di git a l ca me ra c over Protects the c ab le tha t is con ne cted to the di gita l ca mer a. Power cor d Con ne cts the C R-2 t o a n AC o[...]

6 1 Intr oduc tio n Convention s Used i n This M anu al Th is ma nua l use s the fo llow ing sy mb ols to ind ica te safet y pre cau tio ns that a re imp or tant fo r usi ng the CR-2 safel y . Al ways follow th e adv ic e in the se s afet y pre ca utio ns. W ARNI NG A war ning th at in cor rec t ope rati on may re sul t in d eath o r ser io us inj [...]

7 2 Sa fet y Regul ator y In format io n Th e follow ing s ec tion s list th e cl ass if ic atio ns ap pli ca ble to the CR-2 and th e dire cti ves a nd st and ard s that the C R-2 compl ie s with. Device Cla ss ific at ion Protectio n aga inst e le ctr ic s hoc k Cla ss I e qui pme nt De gree of p rotectio n aga ins t ele ctr ic s hoc k T y pe B a[...]

8 2 Safet y Eur op ea n Uni on 93/ 42/EEC Me dic al D evic e Di rec tive EN 60 601 - 1 Ed. 3.0 : 20 0 6 Medi cal e lectr ica l equip ment – Par t 1 : Gener al requi reme nts for safe t y EN 60 601 - 1 -2 : 2007 Med ica l ele ctric al e quip ment – Par t 1 -2 : Co llateral st anda rd: Ele ctrom agn etic c omp atibil it y – Re qu irem ents a nd[...]

2 Safet y 9 Safet y Pre caut io ns T o p revent in jur ie s an d data l oss, o pe rate the CR-2 cor rec tly by foll owin g the s afet y pre cau tio ns. W ARNI NG Pr ohi bit ed Do not d am age t h e power co rd • Do not p lac e any th ing h eav y o nto the powe r cord. • Do not d ama ge or m odi f y th e power c ord. • Do not fo rcibl[...]

1 0 2 Safet y W ARNI NG Pr ohi bit ed Do not p lug o r un pl ug t he p ower pl ug w it h wet ha nd s Do not p lug o r unp lug th e power p lug o r ha ndl e any othe r par ts wi th wet ha nds. Oth er wis e, fire o r ele ctr ic s hoc k may re sul t. Un plu g t he p lug p er iod ic all y a nd r emove any d us t or di r t ar oun d t he p lug a nd t h e[...]

2 Safet y 1 1 CA UTION Pr ohi bit ed Do not p lac e your h an ds o r fi nge rs o n t he ba se Y o ur ha nd or f in ge rs m ay be pin ch ed a nd inj ure d whe n the s tage m oves to eith er sid e. Sim ila rl y , instr uct th e pati ent not to pla ce th e patie nt’ s h and s an d fi nge rs th ere. Be s ur e to tu rn o f f t he p ower be fore m ovin[...]

1 2 2 Safet y CA UTION Be s ur e to tu rn o f f t he p ower wh en no t in u se For safe t y rea sons, b e sure to tur n of f the p ower of a ll the d evic es w he n the CR -2 is not be ing u sed. Als o, unplug th e power pl ug fro m the AC outlet a nd pu t on the cove r whe n the CR-2 is not go ing to be u sed fo r a lon g time. Oth er wis e, dust [...]

2 Safet y 1 3 Notes on Usi ng CR- 2 Digi tal c ame ra • Th e att ach ed d igi tal c am era i s de sig ne d for the C R-2 . Th e spe ci fi cati ons d if fe r fro m co mme rci all y availa bl e Can on di git al c ame ra s, so it c an b e use d onl y for o bse r v ing a nd ta ki ng ph otograp hs of pe opl es' eyes. Do not u se the d igi tal [...]

1 4 2 Safet y Enviro nme nt of use • Use, store, and tra nsp or t t he CR-2 in an e nviro nme nt tha t is wi thin th e ran ge of the fo llow ing con diti ons. T e mpe ratu re Hum idi t y Atmosp he ric p res su re Enviro nme nt of us e 1 0 to 35 °C 30 to 90% RH (no con de nsati on) 80 0 to 1 06 0 hPa Storage and transpor tation envi ronm ent ?[...]

2 Safet y 1 5 Dis posa l Dis pos al of th is pro duc t in an u nlaw fu l man ne r may have a ne gati ve impa ct on h ea lth a nd on th e envi ronm ent. W hen d isp osi ng of thi s prod uct, the refore, be a bso lutel y su re to follow the p roce du re whi ch is i n con form it y wi th the l aws and r egu lati ons a ppl ica bl e in your a re a. Eur [...]

1 6 2 Safet y Rat ing L ab el Di spl ay Th e pos itio n and c onten ts of the la be l att ach ed o n the CR-2 is sh own be low . Foll ow the info rmati on o n the la be l to use the C R-2 approp ria tely . Th e follow ing t ab le de sc rib es th e ma rks a nd in dic atio ns on th e rating l ab el. Al tern ating c urre nt T y pe B Cla ss I d evic e [...]

1 7 Reti nal Cam er a 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 1 Digit al c ame ra 2 Digit al c ame ra c over 3 Obse r vatio n mon itor For v ie win g th e ante ri or e ye an d reti na . 4 P owe r swi tch for the d igi tal c am era 5 Oper ation l ever 6 Shut ter rel ea se bu t ton 7 Align me nt bu tton Sw itch es b et we e n a vi ew of th e an [...]

1 8 3 Nam es of Pa r t s 19 20 21 23 22 25 24 26 27 d c b a 1 9 Con ne ctor for ex ter na l eye fi xatio n lam p (with c ap) Co nn ec tor fo r the ex te rn al e ye f ixa tio n la mp (s old se pa rate ly). 20 Foreh ea d rest 2 1 Obj ec tive le ns 22 Obj ec tive le ns c ap 23 Face re st 2 4 Chi n rest 25 Ind entati on for l if ti ng 26 Dio pter co mp[...]

3 Nam es of Pa r t s 1 9 Ope ra ti on Panel 3 5 4 1 2 8 7 6 1 Flash i ntensi t y bu tton /l am p + : Fl as h in tens it y i nc re ase s. –: Fla sh i nte nsi t y de c rea se s. 2 Obse r vatio n lig ht br igh tnes s bu t ton/ la mp + : Ob se r va tio n li ght b ri gh tne s s inc re as es . –: Obs e r vat ion l ig ht b ri ght ne ss d ec re as es .[...]

20 3 Nam es of Pa r t s Obse r vat ion M onitor Du ri ng an ter io r eye obse r vat i on 6 5 1 3 2 4 Du ri ng re ti na l obs er vat io n (wit h x1 . 3 m agn if ica t ion) 10 11 9 8 7 1 6 5 2 4 3 1 Pupil al ign me nt circ le s 2 Phot o gra phy re ady l am p Gre e n: Rea dy to s ho ot Re d: Not re ad y to sho ot 3 Obse r vatio n lig ht br igh tnes s [...]

21 Flow of Oper at ion Th e fl ow of ope ratio ns for reti nal p hotogra phy is a s foll ows. Con ne ct the c ab le s if ne ce s sar y as d es cr ibe d in “Co nne cti ng Ca ble s” (see pag e 22) . Prepa ri ng for a n exam inati on ( page 22) Setup fo r patie nt ( page 24 ) Ali gn men t (pa ge 25) Sma ll pu pil p hotogra phy ( page 3 0) x2 p hot[...]

22 4 Bas ic Op er ati ons Conn ect in g Cabl es Con ne ct the C R-2 t o a c omp uter i n whi ch the R ic s NM 2, the sup pli ed sof twa re, has b ee n inst all ed. W ARNI NG • Do not p lug o r unp lug th e power p lug w ith wet h and s. • Do not u se any p ower co rd othe r than th e sup pli ed. Oth er wis e, fire o r ele ctr ic s hoc k m[...]

4 Bas ic Op er ati ons 23 3 Remove the objec tive lens ca p, and turn the retina l came ra' s power switch to the ON posi tion. Th e POWER la mp li ghts a nd the s et la mp b link s. Th e CR-2 automatica ll y doe s an in itia liz ation s equ en ce (in terna l che ck a nd in itia liz atio n of dri vi ng pa r ts) . Af ter the i niti ali zati on [...]

2 4 4 Bas ic Op er ati ons 7 Disinfe ct the fore head re st a nd repla ce the chin re st pap er . If chi n res t pap er is n ot be ing u sed, di sinfe ct th e ch in res t als o. CA UTION • T o p revent th e ris k of infe ctio n, wip e the fore he ad re st wi th etha nol s olu tion o r any othe r dis infe cta nt wh eneve r ch ang ing p atie nts[...]

4 Bas ic Op er ati ons 25 Alig nme nt 1 Align the r etinal ca mer a with the eye to be photograp hed. CA UTION Whe n ad justi ng the p osi tio n of the retin al c ame ra i n the fro nt-back dire cti on, slow ly b rin g the ma in uni t clo se r to the patie nt whi le lo ok ing a t the pati ent’s eye from the si de. Th e patie nt’s ey e m ay be i[...]

26 4 Bas ic Op er ati ons 2 Tilt the op era tion lever for ward or b ack ward to unif y the top an d bot tom of the image of the pupil. Whe n th e pup il is s ma lle r th an t he in ne r pup il al ign me nt ci rc le Dar ken the ro om f ur th er to dil ate the pati ent's pupi l more. If the p atie nt's pupil do es n ot dil ate eno ugh, u s[...]

4 Bas ic Op er ati ons 27 5 Have the patient sta re at the inter nal eye fixation la mp to fix the pa r t for the p hotograp h. T a ke the foll owin g steps to gui de th e patie nt’ s eye. Pre ss the F IX T ARGE T but tons u p , d own, lef t, and rig ht to move the inter na l eye fi xatio n la mp to your de si red po siti on a nd the n pre ss th [...]

28 4 Bas ic Op er ati ons Photograp hy 1 Do a pre liminar y chec k before t aking p hotos. a. The p hotogra phy re ady l amp l igh ts gree n. b. The wo rk ing d ista nc e dots ap pe ar sh ar pe st. c. The wor k ing d ista nc e dots are o n the ex tens ion l ine of th e WD gu ide s. d. The s pli t lin es fo rm a s ingl e lin e. a b, c d Photo gr ap [...]

4 Bas ic Op er ati ons 29 Finis hi ng an E xam inat io n 1 Save the images on the R ics NM 2 a nd en d the examination. Th e set la mp st ar ts bli nki ng a nd the o bse r vati on mo nitor tu rns of f. CAUT ION Th e ma in un it an d the ch in re st move s to the cen ter pos itio n wh en a stu dy i s fi nis hed w ith th e contro l sof t wa re. Do no[...]

30 Th e sec tio n des cr ibe s how to use x 2 p hotogra phy , sma ll pu pil p hotogra phy f unc tion, di opter com pe nsati on, an d anter ior e ye photogra phy a nd how to con ne ct an ex te rna l mo nitor w hen o ne is use d. x 2 Photogra phy Y o u ca n take an d save im age s that a re wi thin th e x2 p hotogra phy ra ng e on the o bse r vati on[...]

5 Photogr ap hy Auxi liar y Funct ions 3 1 2 T ake the image. Pres s the s mal l pup il ph otograp hy but ton ag ain to f ini sh the s ma ll pu pil p hotogra phy . • Do not u se the s ma ll pup il p hotogra phy fu ncti on if t he pati ent's pupi l is la rge e nou gh. Th e ima ge wil l be overex pos ed. • Th e imag e may co nta in f l[...]

32 5 Photogr ap hy Auxi liar y Funct ions Ante rio r Eye P hotogr ap hy Th is fu ncti on ma kes it p os sib le to photogra ph th e anter io r eye. It is als o pos sib le to use th e x 2 photogr aphy f unc tio n at the sa me ti me. Do not a llow ex ter na l lig ht that co nta ins in fra red to ente r the po siti on be in g photogr aph ed. 1 Switch t[...]

5 Photogr ap hy Auxi liar y Funct ions 33 1 Remove the digital c ame ra cover . 2 Conne ct the vi deo c able to the digit al ca mer a. 1 . Sec ure ly in se r t the s upp lie d vi de o ca ble i nto the VID EO OUT te rmi na l on the d igi tal c am er a. 2 . Fi t the fe rr ite core of th e vid eo c ab le into the s pac e in the c over , and pl ac e th[...]

34 Th is se ctio n de scr ib es th e CR-2' s dai ly in sp ecti ons, c le ani ng, dis infe ctio n, as wel l as ref ill ing th e chi n rest p ap er , and re movi ng a nd ins tal ling th e dig ita l ca me ra. CA UTION • Before u sin g the CR -2 , for safe t y rea sons, b e sure to pe r fo rm the d ai ly ins pe cti on. • Have a reg ula r[...]

6 Mai ntena nce 35 Clea ning t he O bjec ti ve Lens • Do not w ipe o r ru b the ob jec tive le ns i f the re is dir t or d ust o n it. Doi ng so c oul d scra tch the sur fac e of the le ns. • Do not w ipe th e obj ec tive le ns wi th dis infe cta nt etha no l, eyegla ss c le ane r , or sil ico ne -co ated pap er . Doi ng so c oul d co rro[...]

36 6 Mai ntena nce Clea ning t he I mage S enso r Th e dig ita l ca me ra has a s el f-cle an ing s ens or un it. Dir t an d dust o n the f ront s ur fa ce of the i mag ing sen sor a re au tomatic all y rem oved wh en th e power i s tur ned o n or of f. Thi s fu ncti on ma kes it p os sib le to remove the ma jor it y of d ir t a nd du st that m ay [...]

6 Mai ntena nce 37 Dis infec t ing t he Fore head Res t CA UTION • T o p revent th e ris k of infe ctio n, wip e the fore he ad re st wi th etha nol s olu tion o r any othe r dis infe cta nt wh eneve r ch ang ing p atie nts. • Th e foreh ea d rest m ay be co rro ded i f a dis infe cta nt othe r tha n thos e above is u se d or if a nothe r[...]

38 6 Mai ntena nce Removing t he di git al ca mer a 1 T ur n of f the power to the retinal ca mer a and re move the plug from the AC outlet. 2 Loose n the cover screw a nd remove the digital c ame ra cover . 3 Remove the cable s from th e digita l terminal a nd the remote contro l termina l. 4 Remove the DC coup ler . 1 . Op en the b at ter y c omp[...]

6 Mai ntena nce 39 Ins tal ling t he d igit al c ame ra 1 Make sure the following che ck items. • Th e power to the reti nal c am era i s of f. • Th e power p lug of th e retina l ca me ra is not p lug ge d into an el ec tri c outl et. 2 Atta ch the digit al ca mera to the retina l cam era . 1 . Ali gn th e pos itio ns of the m ounti ng a[...]

40 If any of the sy mptoms l isted h ere o ccu rs or i f a war nin g app ea rs i n the R ics N M 2 wh ile u sin g the CR-2 , tr y th e rel evant re me dy d esc ri be d be low . If the se re med ie s do not e lim inate the sy mptoms o r the war ni ng, tur n of f the p ower an d co ntact the Ca non re pre se ntati ve or dis trib utor fro m who m you [...]

7 T r ouble sho oting 4 1 Sy mptom Caus e and r eme dy Can not ca pture go od im age s. Th e patie nt's pupil is n ot dil ated en oug h. Dil ate the patie nt’ s pup il. If the pu pil i s still too s mal l, ena ble th e sm all p upi l photogr aphy f unc tio n. Th e retina l ca me ra an d the eye ar e not ali gne d. Al ign th em cor rec tly . [...]

4 2 Sp eci fica t ions Fie ld a ngl e 45° Photogra phi c mag nif ic atio n 1 . 1 x (i mag e size on t he se nso r) Req uire d pu pil d iam eter 4. 0 m m or gre ater (3.3 mm wh en u sin g sm all p upi l photogr aphy fun ctio n) Work ing di sta nce 35 mm Focu s adju stme nt ra nge – 1 0 to + 1 5 D (wi thou t com pe nsati on l ens) – 3 1 to –7 [...]

App end ix 43 EMC (E lec tr omag net ic Comp at ibi lit y) Th is ins trum ent c onfo rm s to the EMC sta nda rd IEC 6 06 01 - 1 -2 . Gui da nce an d Ma nuf actu re r ’ s Dec lar at ion for E lec t roma gnet ic E miss ion Th e CR-2 is intend ed for u se in th e el ec tromag neti c env iron men t spe ci fi ed b el ow . Th e custom er o r the us er [...]

44 App end ix Gui da nce an d Ma nuf actu re r ’ s Dec lar at ion for E lec t roma gnet ic Im mun it y Th e CR-2 is intend ed for u se in th e el ec tromag neti c env iron men t spe ci fi ed b el ow . Th e custom er o r the us er of the C R-2 shoul d as sure th at it is u se d in su ch an e nvi ronm ent. Immu ni ty T es t IEC 60 6 01 T e st Leve [...]

App end ix 45 Gui da nce an d Ma nuf actu re r ’ s Dec lar at ion for E lec t roma gnet ic Im mun it y Th e CR-2 is intend ed for u se in th e el ec tromag neti c env iron men t spe ci fi ed b el ow . Th e custom er o r the us er of the C R-2 shoul d as sure th at it is u se d in su ch an e nvi ronm ent. Immu ni ty T es t IEC 60 6 01 T e st Leve [...]

46 App end ix Recomm end ed S epa rat ion D is ta nces b et ween Por t ab le a nd Mob ile RF Commu nic at ions Eq uip men t and D evices or t he CR-2 Th e CR-2 is intend ed for u se in a n el ec troma gneti c env iron me nt in wh ich r adi ated RF di stur ba nce s are c ontro lle d. Th e custom er o r the us er of the C R-2 can he lp pr event e le [...]

App end ix 4 7 W a rr ant y an d Repai r Se r vi ce Ser vic e life Th e ser vi ce li fe of this p rodu ct is e ig ht yea rs if s pe ci fi ed in spe cti ons a nd ma inten an ce are d on e. Abou t rep air s If a prob le m ca nnot be s ol ved even a f ter ta ki ng the m ea sure s in dic ated in “7 T roubl es hooti ng” (see page 4 0) , c ont act th[...]

CANO N IN C. Me dic al E quip me nt G ro up 30 -2 , Sh imom ar uko 3- cho me, Ohta- ku, T o k yo, Japa n T e le pho ne: (8 1 )-3-37 58 -2 1 1 1 CANO N U.S . A ., I NC. CANO N ME DI CAL SYSTEM S Eye Car e S ys tems D ep ar tm ent 1 59 75 Alton Par k way , Ir v ine, CA 926 1 8, U.S.A. T e le pho ne: ( 1 )-949 - 753-40 0 0 CANO N EU ROPA N. V . Me di [...]