Canon TX-20 Full Auto Tonometer User Manual

Full Auto TonometerOperation ManualMake sure you read this manual before using the instrument.Keep this manual in a safe place so that you can use it

102 SafetySafety PrecautionsTo prevent injuries and data loss, operate the TX-20 correctly by following the safety precautions. WARNINGTo avoid the ri

*L-IE-5191C*Manufacturer:CANON INC. Medical Equipment Group30-2, Shimomaruko 3-chome, Ohta-ku, Tokyo 146-8501, JapanTelephone: (81)-3-3758-2111Distrib

2 Safety11 WARNINGProhibitedDo not use a power supply voltage other than the one specified on the rating label.Do not use any power cord other than th

122 Safety CAUTIONProhibitedDo not install in locations exposed to salt, sulfur or corrosive gas.Doing so may result in corrosion of the instrument, p

2 Safety13 CAUTIONKeep the forehead rest and chin rest clean.To prevent the risk of infection, wipe the forehead rest with disinfectant ethanol for ea

142 SafetyNotes on Using TX-20Before Use• Sudden heating of the room in cold areas will cause condensation to form on the optical component of the no

2 Safety15Environment of Use • Use, store, and transport the TX-20 in an environment that is within the range of the following conditions. Use the or

162 SafetyDisposal Disposal of this product in an unlawful manner may have a negative impact on human health and on the environment. Therefore, when d

2 Safety17Labels and SymbolsThe position and contents of the label attached on the TX-20 are shown below.USA and CanadaEuropean UnionThe following tab

182 SafetyEuropean UnionAlternating currentType BCaution: Check the documentation provided.Product that WEEE directive, Directive on Waste Electrical

19Main Unit (From the Examiner's Side)41235671 Measurement unit Measurement is done at this part.2 Height adjustment mark Align the patient&apo

2Thank you for purchasing the Canon Full Auto Tonometer TX-20 (referred to as “TX-20” in this manual). Be sure to read this manual thoroughly before u

203 Names of PartsMain Unit (From the Patient's Side)51243671 Forehead restPatient rests his/her forehead here to prevent patient's eye fro

3 Names of Parts21Bottom Side41231 RS-232C connector Transfers measurement data to an external device. Can be connected to a device that supports the

223 Names of PartsOperation Panel46751231 POWER lamp Lights when power is turned on. 2 R/L button Switches between the patient's left and right

3 Names of Parts23Operation Lever21341 Operation leverTilt the operation lever to move the measurement unit. Tilt right or left: Moves slightly to ri

243 Names of PartsMonitor Panel111 Soft keys The purpose of soft keys varies according to the assigned function. An icon on the monitor near the soft

3 Names of Parts25Measurement ScreenThis screen appears when doing measurements. You can set the measurement functions, show the most recent measureme

263 Names of Parts161720 21 22191816 Intraocular pressure standard value Representative intraocular pressure value that was statistically derived fro

3 Names of Parts27PATIENT ID ScreenThis screen is used to input patient IDs. 910876124531 Patient ID area The text selected from the list of characte

283 Names of PartsDATA ScreenThis screen shows measurements. 654321891071 Intraocular pressure : Shows measurements from highest to lowest reliabili

3 Names of Parts29MENU ScreenPerform the settings for measurements, printing, and operating the measurement unit. 7869345121 Settings tabThe items to

31 Introduction ... 5Features ...

303 Names of PartsScreen that Appears When Measurement FailsAnterior Segment Image Display ScreenIf a measurement error occurs while measuring intraoc

3 Names of Parts31Anterior Segment Image and Intraocular Pressure Measurement Waveform Display ScreenIf the values of intraocular pressure measurement

323 Names of PartsOther ScreensUSB Connection Check ScreenScreen for confirming that data is being input correctly from the USB device.2311 Data disp

3 Names of Parts33User Name Input ScreenEnter the user name associated with the computer that is connected via LAN in this screen. Operations and the

343 Names of PartsComputer Name Input ScreenEnter the name associated with the computer that is connected via LAN in this screen. Input the name as te

3 Names of Parts35LCD Brightness Adjustment Screen Adjust the LCD brightness in this screen. 453121 Brightness gauge Shows the current brightness of

363 Names of PartsDescription of Printouts The following shows how measurement results are printed. 123456781 Date and time of measurement2 Patient

37This chapter explains the flow of operations and the basic measurement procedure. Flow of OperationsThe TX-20 has three alignment modes (full auto,

384 Basic OperationConnecting Cables WARNING• Take the following precautions to avoid risk of fire or electric shock: - Do not handle the power plu

4 Basic Operation393 Connect an RS-232C cable or LAN cable to send measurement results to an external device. • You cannot use the RS-232C and LAN co

4 Basic Operations on MENU Screen ... 58Common Settings in Measurement Modes ...

404 Basic OperationPreparations Prior to an Examination CAUTION Disinfect the forehead rest and replace the chin rest paper for each patientTo prevent

4 Basic Operation41Patient Setup1 Disinfect the forehead rest and the chin rest. If chin rest paper is being used, change the paper. 2 Have the patien

424 Basic Operation8 Press the LIMITER button to set the position where the nozzle stops. CAUTION Be sure to set the position where the nozzle stops

4 Basic Operation434) Move the operation lever to check the following:• Pull the operation lever slightly backward so the nozzle stop position mark

444 Basic Operation1 Use the operation lever and the measurement unit vertical movement ring to display the patient's pupil in the monitor. Opera

4 Basic Operation45To adjust the angle of the operation lever without moving the measurement unit Press the alignment off button while adjusting the a

464 Basic OperationTo restart measurement • Press the measurement button. If you are doing a set number of measurements, when the measurement button

4 Basic Operation47Sending data to an external device If you have set the instrument to send measurements to an external device, the measurement resul

484 Basic OperationPower Saving ModeIf no operations are performed for a set period, the TX-20:• Turns off the backlight of the LCD monitor. • Turns

49This chapter explains how to perform the settings on the Measurement screen, PATIENT ID screen, and MENU screen. Measurement ScreenYou can set the a

5FeaturesThe Canon Full Auto Tonometer TX-20 has full auto-alignment for intraocular pressure measurement. The features of these products are shown be

505 Types of MeasurementsChanging the Number of Measurements You can set the number of measurements done in full auto-alignment mode. One measurement

5 Types of Measurements51Changing the Eye Fixation Lamp You can select either the internal or external eye fixation lamp. Internal eye fixation lamp (

525 Types of MeasurementsInput Patient ID in the PATIENT ID ScreenThis section explains how to input the patient ID in the PATIENT ID screen. PATIENT

5 Types of Measurements53Basic Operations on the PATIENT ID ScreenThis section explains the basic procedures for the patient ID settings. Steps 2 to 4

545 Types of Measurements3 Select a character to input. Use the CHIN REST button and the measurement unit vertical movement ring to move the selection

5 Types of Measurements556 Delete a character. Use the CHIN REST button and the measurement unit vertical movement ring to move the selection cursor t

565 Types of Measurements9 Delete the entire patient ID. Use the CHIN REST button and the measurement unit vertical movement ring to move the selectio

5 Types of Measurements57MENU Screen In the MENU screen, you can set the measurements, printing, data input and output, patient ID, patient No., date

585 Types of Measurements• Measurement button1. Moves the cursor between digits in the patient No., IP address, subnet mask, default gateway, DNS s

5 Types of Measurements594 Select a digit. Press the measurement button four times. Move the cursor four digits to the right and select a digit to set

61 IntroductionComponentsFull Auto Tonometer TX-20 Main unit Chin rest paper100 sheets provided. Power cord Connects the TX-20 to an AC outlet (3m).US

605 Types of Measurements7 Input a value. Rotate the measurement unit vertical movement ring left and right to set [2] as the selected digit. 8 Close

5 Types of Measurements61Common Settings in Measurement Modes In the common settings menu, you can set auto-data output, alignment mode initial settin

625 Types of MeasurementsSettings for Intraocular Pressure Measurements In the intraocular pressure settings menu, you can configure the settings of t

5 Types of Measurements63Settings for Printing You can enable or disable printing, and set the text size, the density of print, and the type of print

645 Types of MeasurementsSettings for Patient ID Input Interface In the patient ID input interface menu, you can perform settings related to the posit

5 Types of Measurements65Using the RS-232C or LAN connector Ask your sales representative or local Canon dealer to check the connectable computer, con

665 Types of MeasurementsHow to Enter the LAN Menu MENU screen > Output tab > [LAN] Setting items Description Factory settings Stylesheet Ou

5 Types of Measurements67Settings for Patient No. You can set patient No., patient No. display, patient No. count up, output at measurement error, res

685 Types of MeasurementsSettings for Patient ID You can set the input screen display, number of characters to input, requirement to input, and type o

5 Types of Measurements69Setting the Time, Date, and Power Saving ModeYou can set the date, time, and power saving mode, in the Other Menu. On the TX-

1 Introduction7Conventions Used in This ManualThis manual uses the following symbols to indicate precautions that are important for using the TX-20 sa

705 Types of MeasurementsChecking Firmware You can check the name and version of the firmware in the firmware menu. How to Enter the Firmware Menu MEN

71This section outlines the maintenance instructions for the TX-20: daily inspection, cleaning, disinfecting, and refilling chin rest paper. CAUTION•

726 MaintenanceCleaning and Disinfection CAUTIONAlways disinfect the nozzle after measuring an infected patient’s eyesA patient’s tears may get on the

6 Maintenance73Use lens cleaning paper and lens cleaner designated by Canon. Forehead Rest CAUTION• To prevent the risk of infection, wipe the forehe

746 MaintenanceRefilling Chin Rest Paper CAUTIONIf the chin rest paper is not being used, be sure to disinfect the chin rest whenever the patient is c

6 Maintenance752 Remove the remaining paper.Remove the old roll of paper. CAUTIONDo not touch the cutter for the printerDo not touch the cutter for t

766 Maintenance6 Cut the paper. Paper that is automatically cut has 1.5 mm of uncut paper in the middle of the cut so it does not fall off. Hold the t

77If any of the symptoms listed below occur or if a message appears while using the TX-20, try the relevant remedy described below.If these remedies d

787 TroubleshootingMessage and RemedyThe message screen appears if a problem occurs or if there is a notification. If this happens, check the displaye

7 Troubleshooting79FatalCode Cause Remedy 1 Abnormality occurred in transmission between boards. 1) Record the message code and contents (including

82 SafetyRegulatory InformationThe following sections list the classifications applicable to the TX-20 and the directives and standards that the TX-20

807 TroubleshootingErrorCode Cause Remedy 100Found abnormality in setting during initialization operation when power was turned on. Return to factory

7 Troubleshooting81WarningCode Cause Remedy 201 The printer is overheating. 1) Record the message code, contents (including error codes) and then ex

827 TroubleshootingWarningCode Cause Remedy 229 Detected over current on the USB device connection. 1) Record the message code, contents (including

7 Troubleshooting83WarningCode Cause Remedy 231Auto-alignment stopped because the limit of motion (to right) of the measurement unit was detected dur

847 TroubleshootingWarningCode Cause Remedy 245 Intraocular pressure measurements are dispersed. 1) Record the message code, contents (including err

7 Troubleshooting85WarningCode Cause Remedy 260 Confirmation for executing reset of patient No. 1) Select [OK] to reset. If you do not want to res

867 TroubleshootingWarningCode Cause Remedy 320Because of a dead battery (for backup), automatic updating of date stops.1) Measurements can be done.

87SpecificationsIntraocular pressure measurementMeasurement type Air-puff typeOperation distance 11 mmRange of intraocular pressure measurement0 to 80

88AppendixStylesheet FileSetting the stylesheet to be output when transmitting via a LAN allows you to view the measurements on a web browser such as

Appendix892 Open the measurement file on a web browser. The patient information, measurements, and other information are displayed on the web browser.

2 Safety9ISO 10993-1: 2009ISO 10993-5: 2009ISO 10993-10: 2010Biological evaluation of medical devices – Evaluation and testingISO 8612: 2001ANSI Z80.1

90AppendixEMC (Electromagnetic Compatibility)The TX-20 is designed and tested to comply with IEC 60601-1-2 (EN 60601-1-2) which are applicable regulat

Appendix91Guidance and Manufacturer’s Declaration for Electromagnetic EmissionThe TX-20 is intended for use in the electromagnetic environment specifi

92AppendixGuidance and Manufacturer’s Declaration for Electromagnetic ImmunityThe TX-20 is intended for use in the electromagnetic environment specifi

Appendix93Guidance and Manufacturer’s Declaration for Electromagnetic ImmunityThe TX-20 is intended for use in the electromagnetic environment specifi

94AppendixRecommended Separation Distances between Portable and Mobile RF Communications Equipment and Devices or the TX-20The TX-20 is intended for u

Appendix95Warranty and Repair ServiceService life The service life of this product is eight years if specified inspections and maintenance are perform

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