Kes AUTO REF-KERATOMETER Operation Manual CanonAID UIN LAINE For a full understanding of the RK-3, please read this operation manual carefully before using the instrument. Retain this manual for future reference. Canon will not be held responsible for any damage or accident caused by the failure of the user to accurately adhere to the instructions in this manual. REGULATIONS For U.S.A. Do not make any changes or modifications to the equipment unless otherwise specified in the manual. In such changes or modifications should be made, you could be required to stop operation of the equipment. ‘Note: This equipment has been tested and found to comply with the limits for a Class A digital device, pursuant to Patt 15 of the FCC rules. These limits are designed to provide reasonable protection against harmful interference when the equipment is operated in a commercial environment. ‘This equipment generates, uses, and can radiate radio frequency energy and, if not installed and used in accordance with the instruction manual, may cause harmful interference to radio communications, Operation of this equipment in a residential area is likely to cause harmful interference in which case the user will be required to correct the interference at his own expense. Use of shielded cable is required to comply with Class A limits in Subpart B of Past 15 of FCC Rules. For Canada ‘This digital apparatus does not exceed the Class A limits for radio noise emissions frem digital apparatus set out in the Radic Interference Regulations of the Canadian Department of Communi- cations. For Germany ‘Wahrend des Betriebs liegt der Schalldruckpegel dieses Instruments bei 70 dB (A) oder weniger gemaB DIN 45635 Part 1 (ISO 3744). Hiermit wird bescheinigt, daB RK-3 in Ubercinstimmung mit den Bestimmungen der Vfg. Nr. 1046/1984 u. Nr. 483/1986 funkentstort ist. Det Deutschen Bundespost wurde das Inverkehrbringen dieses Gerites angezeigt wad die Berech- tigung zor Uberpritfung dex Serie auf Einhaltung der Bestimmungen cingeraumt.SAFETY Meanings of Caution Signs WARNING indicates a potentially hazardous situations which, if not heeded, could result in death us injury to you or other persons. CAUTION indicates hazardous situations which, if not heeded, may result in minor or moderate injury to you or other persons, or may result in machine damage. NOTE is used to emphasize essential information. General Safety Rules 1. Handle the RK-3 carefully, as preadjustment may be altered if the instrument receives a strong, shock. A 2. For 110, 120, 220 and 240V areas only Be sure to set the voltage switch to the voltage of the area where the RK-3 is being used, For the procedure, see 3.1 on page 5. A\ 3, When other equipment is going to be connected to the RK-3 using the connector for interface, be sure to check after the connection that leakage current is within the tolerable value. For details, please contact Canon representative ot distributor. 4, When objective Jens within the measurement window is dusty, it may affect the accuracy of measurements. Be sure to clean it periodically. 5. Be sure that the examinee is not placing his/hec hand under the chin rest. His/her hand may be hurt when the chin rest is lowered. 6. In case of problems (ex. smoke, odd smell, noise), disconnect the plug from the outlet To disconnect the plug at any time, free from any obstacles close to the outlet. 7, Never use alcohol, thinner, benzine, or any other cleaning agents for cleaning the cover and monitor, since they may harm the coating of them. 8. When the RK-3 is going to be moved, be sure to turn off the power switch, lock the stage and support the unit by holding the sides at the base. However, when the instrument is going to be transported by automobile, etc., loosen the stage holding knob. Contact Canon representative or distributor for advice on the procedure for packing it. 9. When the RK-3 is not going 10 be used for a long time, unplug the power supply cable from the AC outlet and put the dust cover over it.CONTENTS 1, Features +--+ 2. Description and Functions -- 3. Installation and Preparation - 3.1 Installation 3.2. Preparation 3.2.1 Attachment of Chin Rest Paper **++~ 3.2.2 Loading of Printing Paper «+++» 3.2.3 Settings Anna 4. Practice of Measurement -- 5. Measurement 5.1 Continuous Keratometry and Refractometry (K—> R Mode) 5.1.1 Procedure ~ 5.1.2 Meaning of Various Displays ~ 5.2 Corneal Periphery Measurement ( K(P) Mode ) 5.3 Reftactometry (Ref Mode) 5.4 Keratometty (Ket Mode) 5.5 Contact Lens Base Curve Measurement (CLBC Mode ) 5.6 Over-Refraction on Contact Lenses or Spectacles 5.7 1OL Measmement + 6. Other Modes 6.1 Corneal Diameter Measurement Mode (Size Mode) 6.2. Retroillumination Observation Made 6.3 Retroillumination Display Mode -~ 6.4 Set Mode = 6.4.1 Page 1/5 ++ 6.4.2 Page 2/5 6.4.3 Page 3/5 6.4.4 Page 4/5 64.5 Page 5/56.5 Display Mode - 6.5.1 Page 1/4 ~ 6.5.2 Page 2/4 ~ 6.5.3 Page 3/4 6.5.4 Page 4/4 « 6.6 Setup Mode = 6.7 Power-Saving Mode 7. Printing 7.1 RK-3 Internal Printer 7.2 External Printer 7.3 Video Printer 7.4 Still Video Recorder +++++++++ 75 Video Recorder 8. Before Calling Service Personnel - 63 9. Maintenance 9.1. Loading of Printing Paper 9.2 Cleaning 9.2.1 Forehead Rest - 9.2.2 Cover, Monitor ~ 9.2.3 Objective Lens in Measurement Window +++ 9.3 Others 68 10. Others -- 10.1 Precaution when Moving the Unit 10.2 Handling the Unit under Cold Conditions 11. Service Information --.--- 70 12. Specifications B 13. Componentsi. CCalulcs 1) Not only the usual refractometry and keratometry, but also measurement of corneal diameter and cosneal periphery can be performed with this one instrument, the RK-3. Also, you can observe the retroillumination image and store it in the memory. Thus, the condition of cataract and scratches on contact lens can be explained to the examinee by showing the image on monitor. 2) A picture of natural scenery as the eye fixation target and a unique fogging technique enable the examinee’s eye to be measured in a natural state, so a more accurate measurement is obtained, 3) Even an examinee who is very nearsighted can be measured, because the measurement range of refractometry is widened to -30D to +22D. 4) The RK-3 gives the reading of keratometry in both radius of curvature (mm) and power (D). 5) A motorized chin rest has simplified the alignment operation. 6) By connecting external printer, measurements, eye sketch, retroillumination image, etc. can be printed on one sheet of paper. 7) Video printer, TV moniter, and other equipment can be connected to the video terminal fitted to the RK3.2. Description and Functions Name Function Height Adjustment Mack | Mark to align height of examinee's eye. @Monivr ‘Varios Say for measurement ad dale of modes re show on dog Dial ‘Tur this dial for changing the settings. @Siage Holding Knob _| This knob holds the stage (sliding table) temporarily. ® Operation Pane} See page 4 Printer Prints measerements, @Measurement Button Press this button for measurement. ® Operation Lever Use this lever for alignment and focusing.Name Function @Video Terminal Video terminal for connecting external monitor, video printer, etc. @®Remote Terminal Remote terminal for connecting video printer, still video recorder, et. @interface Connector Connector for connecting other equipment. @Monitor Adjusting Knobs Knobs for adj ing conditions of monitor image. 3 knob Knob for adjusting brightness of monitor. ® knob Knob for adjusting contrast of monitor. knob Knob for adjusting horizontal synchronization ® knob Knob for adjusting vertical synchronization. [arms | LRU Sree ROT TE ‘Power Supply Connector | Connects the 3-core power supply cable Forehead Rest lace the examinee’s forehead against this rest. @Measurement Window — | Window forthe examinee to look nto for measurement. ©Chin Rest Place the examinee’s chin on this rest.Operation Panel — oe peta wa, ° t+—®@ (CHIN REST — ner | RRSTRRNDMnpS Rea emer nh @SIZE Button Press this button in order to enter Size Mode. @MODE Button ress this button in order to change the measuremert mode. @SET Button ‘Press this button in order to enter Set Mode and Setup Mode. @®DISPLAY Button Press this button in order to enter Display Mode. @IOL Switch @RETRO ILLUM. Button ‘Press this switch when the examinee’s eye is difficult ro measure due to cataract or examinee wearing istragcular lens (IOL). Press this button in order to enter retroillumination mode, @®PRINT Button Press this button in order to print or transfer the measurement @ CHIN REST Buttons These buttons are for raising/lowering the chin rest. Press button in arder to raise and | button to lower the chin restvy. dudtallauuu alu ft Lopaldaulull 3.1 Installation (1) Place the RK-3 on a table. oR For 110, 120,220 and 240 V areas only Be sure to set the voltage switch to the voltage of the area where the RK-3 is being used ‘Loosen the Phillips screw and set the switch to the side where the required voltage appears on the switch, moving it using a Phillips screwdriver or a ball point pen. After making the setting, tighten the screw again. Voltage switch is set to 120V or 220V when the RK-3 is shipped from the factory. Philips screw (3) Connect power supply cable to the main unit. (4) Ensure that the power switch of the instrument is eo tumed OFF (side “0” is pressed) and connect AG | power supply cable to an AC outlet. mat 3. 2 Preparation 3.2.1 Attachment of Chin Rest Paper (1) Poll out the two pins on chin rest. (2) Insert the pins into the holes on the chin rest paper and replace them in the chin rest. 3.2.2 Loading of Printing Paper Refer to page 66.3.2.3 Settings 1) Entering a Message Message such as name and address of the hospital, etc, that always require to be printed out with the measurement can be entered in Set Mode. €F Pages 45 and 46 2) Checking of Settings Check the setting of vertex distance, cylinder form, data, etc. which are required for measurement and printing in Set Mode, & Pages 39 — 44 3) Transfer of Result to Other Equipment Results of the measurement can be transferred to other equipment. ‘Connect the cable o interface connector and prepare the other equipment. r, connect the cable to video terminal or remote terminal if video printer is going to be used. Select interface, format, transfer speed, etc. in Set Mode. © Pages 43 and 44 For more details, please contact Canon representative or distributor.Be Ve Aree ws ‘The accessory keratometry model eye should be measured peri for the inspection of the RK-3. lly, not only for practice but also NOTE: This model eye cannot be used for a strict inspection of the accuracy of the RK-3. (1) Power ON Press side “|” of the power switch to turn ON the power. (2) Setting of Model Eye ‘Remove the chin rest paper from the chin rest. Remove the contact lens holder from the model eye. Set the model eye onto the chin rest by pushing the slits on the base of the model eye against the pins on the chin rest. (3) Releasing of Stage Lock Fully tun the stage holding knob in counter- clockwise direction to release the stage lock(4) Positioning and Focusing In K— R mode (& page 10) or Ker mode («= page 23), align the alignment rings ané mire by adjusting the position of the RK-3. + Height: Turn the operation lever or adjust the height of chin rest by pressing CHIN REST buttons. + Right or left: Incline the operation lever to right or left Focus on the mire by in lever forward and backward. ing the operation NOTE: If position cannot be adjusted just by inclining the operation lever, slide the lever toward the direction required. (5) Measurement Press measurement button, If the result of keratometry is 7.8 + 0.05 mm, positioning and focusing were performed pro- perly NOTE: If the value cannot be satisfied, perform step (4) properly again.Ve traverse Flow of Measurements Power ON If you would like to change the order of measurement modes or delete unnecessary measurement modes, refer to “6.6 Setup Mode”. Inttnaton sooo, Error | checkstopsatier | You can continue operation check by pressing Check > — >} dipaying message, | measurentent button if the message is "Clock. CC e Exror", "Backup Data Error" or "Low Battery”. ress MODE Pres SIZE Press RETRO Press SET Press DISPLAY baton. baton, ILLUM. burton, baton, ton on mernemo | reuset erosriay Topi Pras Mote lon Mode ON E@D)im a TOL Mose OFF on Press MODE Press MODE TOL switeh functions only in K “> R or Ref Mode5.1 Continuous Keratometry and Refractometry (K— R Mode) Refractometry is automatically performed after keratometry in this mode, 5.1.1 Procedure (1) Power ON “Turn ON the power: + Initial display appears on the monitor and initial checks star. ‘+ While initial checks are being performed, READY lamp blinks. When the checks are completed, it remains constantly lit and you will enter K—> R Mode. PD:-~ VD:12.0 No. 00001 O RIGHT $s c A L Measurement mode If a message appears on the monitor, refer to chapter “8. Before Calling Service Personnel”. 2. When any operation has been interrupted for more than 5 minutes with the power turned ON, power-saving system of the RK-3 operates. For details, refer to section “6.7 Power Saving Mode”. NOTES: “The RK-3 is initially set as follows when itis shipped from the factory. If they need to be changed, refer to page 4. Vertex distance (VD) --~ ss 12.0 mm Cylinder form (CYL) =~ - ~~ (minus) Increment of sphere and cylinder (INC-R) ---~ + 0.12D Form of displaying result of keratometry (mm/D) +++--+--" mm Increment of comeal power and astigmatism (INC-K) -'* 0.42D Cornea equivalent refractive index (INDEX) **++-s----" 1.3375 Serial number (COUNT) - ON Order of displaying date (ORDER) ~~ see yd(2) Releasing of Stage Lock Fully tuen the stage holding knob in counter- clockwise direction to release the stage lock. (3) Adjustment of Eye Height Have the examinee place his/her chin and fore- head against the chin rest and forehead rest. Aajust the height of chin rest by pressing CHIN REST button so that the eye of the examinee is aligned with the height adjustment mark on the face rest pole. ‘Make sure examinee is not placing his/her hand under tie chin rest. Hand may be hurt when the chin rest is lowered, no(4) Positioning and Focusing ‘Bye being measured (ight side) Slide the operation lever 10 the left so that the right eye of the examinee is seen on the monitor. Have the examinee look at the red roof in the scene shown. Looking at the monitor, comrectly align the mire with the alignment ring by using the operation Teves. Height: Tum the operation lever. If height still cannot be adjusted, raise or lower the chin rest by. pressing CHIN REST buttons. Right ox left: Incline the operation lever right or left. Focus on the mire by inclining the operation lever forward and backward. NOTES: 1. If the image is unclear, remove the cover on the side of the RK-3 by pressing the lock on the left side of the cover to the right and pulling the cover toward you Then, adjust brightness or contrast by using ré- spective knobs. KI, K2, AX AR, CY, AX —13—+ If“ERRO Cause ” appears on the monitor, follow the instructions indicated below. Remedy Alignment is improper. Correct the alignment and measure again. Eyelid or eye lashes are covering the pupil Instruct the examinee to open the eye wider or push the eyelid upward and measure again Pupil is smaller than the alignment ring. ‘The minimum pupil diameter that can be measured is 2.5 mm, Do not expose the eye directly to bright artificial light or sunlight. Darken the room in order to dilate the pupil. ‘There is interference such asa cataract, etc ‘You can measure the eye with slight cataract by tuming ON the TOL swite inthis mode. Or, find a part that not opaque in Retroillumination Obser- vation Mode and perform refractometry. Page 34 Examinee is wearing intraocular lens (IOL). Error is apt to occur due to deformation of cornea or itis. Tum ON the YL switch and measure again, Mire isnot clear because the comea is dry. Mire is distorted by tears, Have the examinee blink several times, Mire is distorted due to strong irregular astig~ ‘matism or corneal disease in the examinee. Examinee’s eye is out of measurable range. ‘Measurement is not feasible. “If any other marks appear, see page 17. (© Repeating of Measurement Repeat the measurement as many times as required. + The newest measurements will be displayed ‘If the measurement is made more than three times, the standard value will be calculated and will be displayed in Display Mode. 7 Page 48 + Maximum of 10 newest measurements (ERROR not inchudad) for each eye can be seen in Display Mode. «c7 Page 49 Sia(7) Measurement of Opposite Eye Slide the stage to the right and measure the left eye. + After both eyes are measured, PD (pupil distance) will be displayed. + When stage is slid to the left side again, measurements will be deleted. Pupil distance iG(8) Print Press PRINT bi nutton. Data selected in SET mode and SETUP mode will be printed in selected size. ir Pages 41-43, 51 and 52, Lift the printing paper from one side and give ita sharp tug to tear it off + 10 newest measurements and a standard value for each eye will be printed when PRINT button is pressed for ‘more than 2 seconds. + Printing can be stopped in midway by pressing the measurement button. In this case, message “Print Cancelled” will appear on monitor. If you press PRINT button after that, printing will start again from the beginning. + Write the name of the examinee as required after “NAME”. + After the printing is completed, the measurements will be deleted [Example of Printout] CANON RK-3 DATE 94/06/20 16231 No. 00001 ———— NeME Right side eye —L- Seq HTD Refractometty-—| CREF 1 upt 12.04 SPH CYL OAK “1,50 -0.62 102-4 Keratometty—}-(KER] INDEX? 1.33754 CComeal center measurement Cen mm D aX 7.71 43.75 172- 7.63 44.25 924 +67) -0.50 172-4 Wie oa | 4 Serial umber Vertex distance Sphere, eylinde, axis |__Comea equivalent refractive index — Rats of curvature, power, axis on minim meridian Radius of curate, power, nis on maximum mesisian “Laverne aia of curvature, come atigmatisn, xi ax 54 ax 4 34 <7 4 CREST] -1,00 173 PO t 62 mu ———__| ABC Eve Clinic TEL 012¢345)6789 |__Resigual astigmatism, axis ~ Pupit distance | — Message —16—5.1.2 Meaning of Various Displays 18.75. Mark | Name of the Mark Meaning Action + | Low reliability mark | Reliability of measurement is | sacasure again. & | # | Lowreliabilty mark | Only sphere could be measured. | Measure agin. & 8 | +0UT | Outof range mark Sphere is over +22D. een eh & | -OUT | outof range mark Sphere is over -300. a COUT | outofrange mark | catinderis owt of 10p. | MEsswrement note * | Low reliability mark | Relisbility of measurements | Measure again = |_| Hregularastigmation | There is iregular astigmatism in | Measurement snot fea- g mark examinee’s eye. sible 8 | sour | outotrange mark Radius of eurvanreis over 102 | Maureen i not fe 2 | Lour | outer. range mark Eee of curvature is under 5.3 oe is not fea- Cour | outorrage mrt Comeat astigmatism is over | Measurement isnot fea- sible. Example of Display with Marks Low reliability mark Low reliability mark a75.2 Corneal Periphery Measurement ( K(P) Mode ) Radius of curvature of the peripheral area of cornea can be measured in this mode. ‘There are two modes in K(P) Mode; AUTO (automatic) and MANU (manual). In AUTO mode, the four positions to be measured in the peripheral area will be automatically selected. In MANU mode, you can select the position to be measured by turning the jog dial (2) Entering the Mode Press MODE button until “K()’ is displayed on monitor. (© Target not measured yet Concition of peripehral_) @ Target already measired ort @ Measurement error Condition of central, measurement 1: Target shown tothe examinee — Mode (AUTO /MANU) L— Measurement mode (2) Alignment Perform steps (3) and (4) in section 5.1. However, in this mode, have the examinee look at the red spot. (3) Measurement Press the measurement Dutton. The position atthe blinking target will be measured. + If” before “CENTER” is blinking, it means the central area of cornea has not yet been measured, Press the measurement button and measure the center first. 1BIf the central area has already been measured, the target at position (1) will blink. However, if the result of measuring the central area was an oblique astigmatism, the measurement will start from position (2). After you measure the first target, the result will be displayed, and the target at right angles to that target will blink actomatically next. Perform alignment and continue the measurement as requised. ‘Target will blink in the following order: + If the center was an astigmatism with-the-rule or against-the-rule: MBO? MQ)... + If the center was an oblique astigmatism: Q)>4)> 6 @8)>Q) 1U Mode| I ‘You can enter MANU mode by tomming the jog dial. As the jog dial is turned, the position of blinking target changes. Select the target, perform alignment and press the measurement button. Then, select the next target to continue the measurement. However, once you have entered MANU mode, you must end the measurement of that eye, press PRINT button, and start a new measurement again in order to return to AUTO mode. Result of measuring the target atthe position indicated on the left side Becenisciy (i the radius of comeal curvature is larger at — postion of measured tpt | th cert periphery, gn wil be spayed and = sign if smaller —Power on measured meridian |—Radius of curvaore on measured mecidiaa NOTES: 1. When the target on the right side is blinking on the monitor, the examinee is looking at a red spot on hisiher left side, and vice versa, 2. Eccentricity (“e”) will not be calculated unless the center of cornea is measured. (4) Measurement of Opposite Eye Slide the stage and measure the opposite eye in the same manner.(5) Print Press PRINT button. [exemple of Printout) CANON RK-3 DATE 94/06/20 Ne. do00r Waite SRIaHT> TREE] INDEX! 1.3375 Comes! center measurement —[Cen ian DAR 769 43,97 171 Pi6s 44125 Bt < 71669 “0157 171 CComeal periphery messurement—L-{K-Pan De ocentic oF | Has. ~ 7.80" 43.25 +431 gor! “sur 7.87, 42.07 +646 180! "Ten 7.75. 43.62 +18 2708 THe 7.90 42.75 +649 averase C7182 43.12 +.36> Iver! 5 Geran ax | [Rieu eye] Lem eye | symbot | Pan 3 : ee 0° | 180° | NAS | Nasal : 90° | 90° | sur | superior +31 reo" | ot | tem | Temporat +.52 270° | 270° | ae | inferiror ‘4s 70 Infe 270" INF 7.83. 43.12 4.45 fyerise C7290 42.75 +643 ABC Eve Clin TEL 01234596789 20 — 235° gige B15 Right Eye we Pa x a Left Eye5.3 Refractometry (Ref Mode) Only the refractometry is performed in this mode, (1) Entering the Mode Press MODE button until “Ref” displayed on the monitor. PD:-- VD:12. 0 No. 00001 ‘Measurement mode (2) Alignment Performa steps (3) and (4) in section 5.1. However, mire will not be displayed in this mode. Akign the alignment ring and the pupil correctly, and focus on the irs. (3) Measurement Press the measurement button. Measurement will be continuovsly performed when the button is kept pressed. + When the jog dial is tured, result when VD=0.0 will be displayed. + Result of 10 newest measurements can be seen in Display Mode. [Ep Alenment snes Result of reractometry NOTE: If it is difficult to measure the eye of an examinee wearing intraocular lens due to deformation of cornea or iris, refer to section "5.7 1OL Measurement”. aa(4) Measurement of Opposite Eye Measure the opposite eye as required. (©) Print Press PRINT button. [Example of Printout] CANON RK-S DATE s4/06/20 Me. g0001 NAME RIGHTS CREF 0212.0 SPH CYL AK LEFTD CREF “112 0.37 46 PD: 63 mm ARC Eve Clini TEL 012(345)6789 -1.62 -0.75 118-}-—Sphere, eylinder, axis — 22 —5.4 Keratometry (Ker Mode) Only keratometry is performed in this mode. NOTE: Do not measure the base curve of hard contact lens in this mode, It must be measured in CLBC Mode. © Page 25 (1) Entering the Mode Press MODE button until “Ker” is displayed on the monitor. PD:-~ VD:12 0 No, 00001 — Measurement mode (2) Alignment Perform steps (3) and (4) in section 5.1. (3) Measurement Press the measurement button. Measurement will be continuously performed when the button is kept pressed. + When the jog dial is tured, the display will change at every RI, R2and AX / KI, K2 and AX / AR, CY and AX + Result of 10 newest measurements can be seen in Display Mode. Result of keratometty(4) Measurement of Opposite Eye dl, ‘Measure the opposite eye as req) (5) Print Press PRINT button, [Example of Printout] CANON RK-3 DATE 94706720 16 Ne. 0001 Hane KER] INDER#1 Cen mw D 7.72 43.75 Radius of curvature, power, axis on minimum meridian 64 44.12 Radius of curvature, power, axis on maximum meridian < 2.68) -0.357 Average radius of curvature, comeal astigmatism, axis CKERI Cen mm 26 7.60 (7.68? -0. ABC Eve Clin TEL 012(345)6789 4a, —24—5.5 Contact Lens Base Curve Measurement (CLBC Mode) Base curve (concave surface) of hard contact lens can be measured in this mode, NOTE: Do not measure contact lens in Ker Mode as measurement error will occur. (1) Entering the Mode Press MODE button until “CLBC” is displayed on monitor. Measurement mode (2) Setting of Model Eye ‘Remove the chin rest paper from the chin rest. Remove the contact lens holder and set the model eye onto the chin rest by pushing the slits on the base of model eye against the pins on the chin rest Kertometty model eye Pin \ (3) Attachment of Contact Lens Put water in the concave section of contact lens holder and place the contact lens on the holder ones with the concave surface facing upward. Surface tension causes the contact lens to adhere tothe holder. NOTE: Do not attach the lens aslant, Contact lens holder 25 —(4) Attachment of Contact Lens Holder Attach the contact lens holder with the contact Jens to the model eye while holding the modet eye so itwill not move. Contact lens holder (5) Positioning and Focusing Align the alignment ring and the mire. Focus on the mire. (6) Measurement Press the measurement button. ‘Measurement will be continuously performed when measurement button is kept pressed. Alignment rings tale cS —Mire Radius of curvature, refractive power and axis ‘on minimum meridian [— Radius of curvature, refractive power and axis ‘on maximum meridian )"\_ Average radius of curvature, astigmatism and axis NOTE: Axis on the concave side of contact lens will be opposite of that of the corneal ‘measurement. Convex side will be the opposite of the drawing. 2 180° (7) Print Press PRINT button. NOTE: Result of measurement in this mode cannot be printed out in other modes. 26 —5.6 Over-Refraction on Contact Lenses or Spectacles Itis possible to over-refract contact lenses and spectacles in K-> R Mode ar Ref Mode. A. For Hard Contact Lens Have the examinee blink several times. ‘The measurement button should be pressed immediately before a contact lens is placed back in the center of the pupil. B, For Spectacles Measurement is more accurate if the lens is tilted slightly downward to avoid reflection. NOTE: In these cases, measured values may be somewhat erroneous due to lens eccentricity or aberration. ~27 —5.7 IOL Measurement If itis difficult to measure the eye of an examinee wearing intraocular lens due to deformation of cornea or iris, urn ON the IOL switch. (1) Entering KR or Ref Mode ress MODE button until “K> R” or “Ref” is displayed on the monitor. (2) Alignment Perform steps (3) and (4) in section 5.1. (3) IOL Switch ON Press JOL switch, LED turns ON (4) Measurement Press measurement button. Measurement will be continuously performed when the button is kept pressed. * The result will be displayed on the monitor with fi} mark in front of “C”. + When pupil is extremely deformed, values of CYL and AX will not appear and low reliability mark (#) may appear in front of “ NOTES: 1. If measurement is made after switching the IOL switch ON/OFF, the previous data will be erased. 2, There may be some aberration 10 the measurement value due t0 the eccentricity or inclination of lens, or deformation of cornea or iris after surgery. - 28 —Ue. UU LVLUULD Following six modes will be explained in this chapter. 1) Corneal Diameter Measurement Mode (Size Mode) 2) Retroillumination Observation Mode 3) Retroillumination Display Mode 4) Set Mode 5) Display Mode 6) Setup Mode 7) Fower-Saving Mode ‘The two rows at the bottom of the monitor display in the above modes are the guide messages for the oper ‘The upper row indicates the names of the buttons or switches to be operated. JOG: Turn the jog dial, STG: Slide the stage. MEA: Press the measurement button. SIZ: Press SIZE button. DIS: Press DISPLAY button, SET: Press SET button, JOL: Press IOL switch. PRT: Press PRINT button, RET: Press RETRO ILLUM. button. ‘The lower row indicates the function resulting by operating, the bution or switch NOTE: “— ” sign indicates thatthe function is invalid, 6.1 Corneal Diameter Measurement Mode (Size Mode) Diameter of comea can be measured in this mode, If you focus on the iris instead of focusing on mire, then the diameter of pupil can be measured. (3) Entering the Made Press SIZE button in measurement mode. ert Eng eo Pr ~ Guide messages —29—(2) Alignment and Focusing Perform steps (3) and (4) in section 5.1 Focus so the edge of comea is clearly seen. (3) Displaying of Measuring Bars Press measurement button, ‘he display will freeze and two bars will appear on the right an left sides. + The distance between the two bars will be displayed in figures. (4) Positioning Incline the operation lever to the right or left so the corneal image is displayed at the center between the two bars. Then, turn the jog dial so both bars come in contact with the edge of the corneal image. Distance berween bars eee Lis c messages curs = = Ente ene ely P< tert Prins Moves the image downward Moves the image upward L_Erases the image Ends Size Mode Moves the image to right and lft Changes the width between bars (5) Storing Press measurement button to store the value. + The result will be displayed under “1” and that value will also be displayed under “Ave”. ao(6) Repeating of Measurement Repeat the measurement as required. «The two newest measurements will be stored and displayed, + The average of the two newest measurements will be calculated and displayed under “Ave”. \ cy sro wen 912 o19 ser, ar (7) Measurement of Opposite Eye « Measure the opposite eye in the same way. Or, you can freeze images of both eyes first, and then measure the diameter of each eye. (8) End Press SIZE button in order to go out of this mode. —31—6.2 Retroillumination Observation Mode Retroillumination image can be observed on monitor and stored in memory of the RK-3 in this mode. ‘There are two modes in Retroillumination Observation Mode; Freeze and Fra/Ref. In Freeze Mode, image observed on monitor can be stored in memory. In Fre/Ref Mode, you can find a part that is not opaque while observing the image, and measure the refraction, ‘Two images can be stored in one of the modes. (2) Entering the Mode Press RETRO ILLUM. button in measurement mode. First, the display of Freeze mode will appear on the monitor. Press MODE button in order to switch over the mode between Freeze and Frz/Ref. A. Freeze Mode Display {Indicates whether isthe frst or second image ~ Amount of light ~ tis |— Pupit |— Retrollumination observation light reflected from comea (Position it to ‘pat that is nt opaque) {| Eye front illumination light reflected from commea Print the image if fim] is ON in Set Mode Enters Retroillumination Display Mode Selects light sousee (ILLM—> FIX—> IRED) Enters Fra/Ref Mode Ends the mode Freezes the image —32~B, Frz/Ref Mode Display Reference mark — Retroillomination observation light reflected from comes FrolRef Mod! ceeeynenl (2) Observation Retroillumination image can be observed by directing the retroillumination observation light the pupil. Light can be directed by using the operation lever. If the light is directed from the edge of the pupil, you can decrease the influence of the light reflected from cornea. Adjust the amount of each source of light by the procedure indicated below so the image can be seen clearly. [Adjustment of Light Source) Press SET button to select the source of light. The source in reversed image is being selected. IRED: Light source for retroilumination ILLM: Light source for illuminating eye front FIX: Light source for illuminating intemal eye fixation target ‘Tum the jog dial to set the amount of light. ‘Variable range: IRED: 0~ 100 ILLM: 0~ 100 FIX: 0-3 NOTE: If you would like to turn off the eye front illumination light, set ILM to “0”. If you would like to turn off the internal eye fixation target to dilate the examinee’s pupil more, set FIX to “0”. a(3) Freeze A. Freeze Mode ‘After focusing on the image, press measurement button. The image will be frozen. Press measurement button again in order to store the image. * The image in memory can be seen in Retroillumination Display Mode +f the examinee blinked, or if focusing was improper, press IOL switch before storing the image. You wil return to observation display in step (1). Store the image of the opposite eye as required. However, note that only two images can be stored in memory, ie. two images for one eye, or one for each eye. 0 number - is papi 4 e t YY Opecity hea brsreretrourseares eres Makes hardcopy withthe pine selected foe “tingOpy" in Sel Mode & Cancels the storing | ‘Stores the image B. Fra/Ref Mode Position the circle reference mark at a part that is not opaque by using the operation lever. Then press the measurement button. Refractometry will be performed and the image will be frozen. Press measurement button again in order to store the image and measurement in memory. + If the examines blinked, or if focusing was improper, press IOL. switch before storing the data, ‘You will return to observation display in step (1). + Stored image and result of measurement in memory can be seen in Retroillumination Display Mode. Measure the opposite eye as required. However, note that only two images and two measure~ ments can be stored in memory, ie. two for one eye, or one for each eye. NOTE: Measurement error may occur due to aberration generated by the eccentricity or due to the influence of opacityCrosshairs (Position where measorement ‘was performed) Opscity crTesneetfrRTTseaey (4) Print Press PRINT button. Retroillumination image will be printed provided that the instrument is set as follows in Set Mode er Pages 42 and 43: Ling]: ON ImgCpy: Printer to be used. TRANS: CENTRO If video printe: is connected using the remote cable, a hard copy of the pressing PRINT button provided that “Video” is selected for “ImgCpy” in Set Mode. Ifremote cable is not connected, press the print button on the video printer. [Example of Printout with Video Printer) —35—6.3 Retroillumination Display Mode Images and measurements stored in Retroillumination Observatian Mode can be seen in this mode. You can also magnify the image on monitor to observe it more carefully, and adjust the density of printing out the image. (1) Entering the Mode In Retroillumination Observation Mode, press DISPLAY button. I t is pressed again, you will return to Retroillumination Observation Mode. Menu Display Printing density Cursor — Serial number and sub number 1 Lipate ‘ osaetsy, Os) a | Rizaeees, eee ee T> ,\ BPRS Sf a -Mesmne Prints both retroillumination images Liens ie printing density Darkens the printing density To Reteoillumination Observation Mode To x 1 size display ‘tends Retrillumination Display Mode ~ Makes a hard copy of this display with video printer Moves the cursor eae(2) « 1 Size Display If you press MODE button in Menu Display, the image with the cursor will be displayed in 1 size on monitor. -Retums to Menu Display ‘To 2 Magnification Display Selects the image (3) x 2 Magnification ( x 2 both vertically and horizontally) Display If you press MODE bution in 1 size display, the image with the cursor will be magnified on monitor. {Moves the image downward L Moves the image upward To seighy | Retin Mes Dish ‘Moves the image to right ant left LL Selects the image 37(4) Print Press PRINT button in Menu display. Retroillumination images will be printed provided that the instrument is set as follows in Set Mode: [img]: ON ImgCpy: Printer to be used. ‘TRANS: CENTRO If video printer is connected using the remote cable, a hard copy of the display can be made by pressing SIZE button provided that“Video" is selected for “ImgCpy” in Set Mode. If remote cable is not connected, press the print button on the video printer. [Example of Printout with Video Printer) Ear Deosity Bon209801 cee Sargecie| 18:31:03 eo)» |[tees eve6.4 Set Mode Various settings can be performed in this mode. This mode is composed of five pages. Page 1/5: Page concerning settings of refractometry, keratometry, serial number and date. Page 2/5: Page concerning settings for printing and transfer. Page 3/5: Page for entering messages to be printed out with the internal printer of the RK-3. Page 4/5: Page for entering messages to be printed out with external printer. Page 5/5: Page for displaying gray scale. {How to Enter the Mode} Press SET button in measurement mode, You can go out of the mode by pressing the SET button again, 6.4.1 Page 1/5 nee Ae i. 8 Wo. 0001 RESET pare gazos7as tarae OnDeR HEA ney ons ron J Selects contents L Setects contents Ends Set Mode ‘To next page Changes contents {Ay Changes the page 14 Selects iheitem “+-> Selects/changes the contents [How to turn over the page] Press MODE button to enter the next page. Or, you will enter page 2/5 by turning the jog dial to the right when item “ORDER” is selected —39—[Selecting item] ‘Turn the jog dial to select the item to be changed. The selected item will be displayed in reverse image. However, if you turn the dial to the right when “ORDER” is selected, you will enter the next page, [Selecting contents] Press DISPLAY button or IOL switch to select the contents. ‘he selected contents will be displayed in reverse image. {Changing numbers} “Turn the jog dial, or press IOL switch or DISPLAY button to select the digit Press measurement button or PRINT button to change the number for serial number, date or time. (Description of items} vo: Vertex distance (0.0 / 12.0 / 13.5) cYL Cylinder form (= /+/4) ING-R: Increment of sphere and cylinder (0.12 / 0.25) mm/D : Form of displaying result of keratometry (mm / D / AVE) mm R1: Radius of curvature on minimum meridian R2: Radius of curvature on maximum meridian AX: Axis on minimum meridian D_ KI: Refractive power on minimum meridi K2: Refractive power on maximum meridian AX: Axis on minimum meridian AVE AR: Average radius of curvature CY: Corneal astigmatism AX: Axis on minimum meridian INC-K: Increment of corneal power and astigmatism (0.05 / 0.12 / 0.25) INDEX: Corneal equivalent refractive index (1.3375 / 1.332 / 1.336) COUNT: Count of serial number (ON / OFF) [No] : Serial number. In order to reset the number, select RES button. DATE: Date and time (24-hour clock) Month will be displayed in En; and press measurement when order “mdy" or “dmy” is selected in “ORDER® JAN: January JUL: July FEB: February AUG: Angust MAR: March SEP: September APR: April OCT: October MAY: May NOV: November JUN: June DEC: December ORDER: Order of date (ymd / mdy / dmy) y: Year m: Month d: Day Se6.4.2 Page 2/5 to} level ore Ge one TRANS Aszazc centao Sl Um) 5 2 eave) 1200. ent (Ge) ME to 7 | sett contents Usetets contens Ends Set Mode Lito nent page cangss coment AY Changes the page 14 Selects the ‘<-> Selecs/changes the contents [How te turn over the page) Press MODE button to enter the next page. Or, you will return to page 1/5 by turning the jog dial to the right when item “{dev]” is selected. [Selecting item] ‘Turn the jog dial to select the item to be changed. The selected item will be displayed in reverse image. However, if you tun the dial to the right when “(dev]” is selected, you will return to page us. [Selecting contents] Press DISPLAY button or IOL switch to select the contents. The selected contents will be displayed in reverse image. [Changing contents] Press measurement button or PRINT button to change the settings for “ImgCpy”, “[fmt]” or “(baud)”. (Description of items} PRINT : Whether to print the results or not. (ON/OFF) [Ref] : Results of refractometry to be printed out. (STD/MEM//AUTO) STD: Standard value MEM: 10 newest measurements and a standard value for each eye in memory. — 41 —[ker] [msg] + fimg] : [eye] AUTO: STD and MEM is automatically switched according to the range of dispersion of the results. fit is large, MEM will be printed. If it is small, STD will be printed. Result of keratometry to be printed out. (STD /MEM/AUTO) STD: Standard value MEM: 10 newest measurements and a standard value for each eye in memory. AUTO: STD and MEM is automatically switched according to the range of dispersion of the results. I itis large, MEM will be printed If itis small, STD will be printed. Whether to print the message or not. (ON/OFF) Whether to print retroillumination image or not. (ON/OFF) ‘Whether to print a sketch of eyeball and refraction diagram according to the results ‘of measurement or not. (ON/OFF) Kinds of Bye Sketches available Emmetropia / Normal Mixed Astigmatism A =a ‘Myopia / Near Sightedness i Far Sightedness A A ‘Simple Myopic Astigmatism ‘Simple Hyperopie Astigmatism ‘Compound Hyperopic Astigmatism ©[eco] : ImgCpy: TRANS: (fmt) : (baud) : Reduction rate of printout. (0 (non-reduction) ~ 3. (maximum reduction)) Printer to print retroilluination image. (INT/Video /LBP/BJ/LQ) NOTE: Consult Canon representative or distributor for connecting LBP, BJ and LO ‘mode printers. INT: Internal printer of the RK-3 Video: Video printer LBP: Laser beam printer 8: Bubble jet printer LQ: LO mode printer Interface of external terminal for transferring measurement data to other equipment (RS232C/CENTRO/ OFF} RS232C: RS232C port CENTRO: Centro port OFF: For no transfer Data transfer format (1/2/3/4/5/A/B/C/D/E/F) For details concerning connection cable, etc., please consult Canon representative or distributor. Format when RS232€ is selected: 1: R-10 format 2: K-l format 3: RK-3 format 4: Japan Medical-Optical Equipment Industrial Association format 5: Plotter format Format when CENTRO is selected: A~ F: See pages 56 ~ 61 NOTE: Contents printed out with external printer will not be affected by the settings from “PRINT” to “{eco]” indicated above. RS232C data transfer speed and data format 9600.7E2 L— sop vi 123 Parity (E/O/N) E: Even 0: Odd N: No parity oe ‘—— Data length (7/8) 77 bits 8:8 bits el Speed (19200/9600/4800/2400/1200/600/300) NOTE: When [fmt) : 5 is selected, baud must be set to 1200.8N1. ~ 43 —[dev) Contro printer (LBP,/BJ/LQ) LBP: Laser beam printer BU: Bubble jet printer LQ: LO mode printer ~ 44 —6.4.3 Page 3/5 | —“Move'r“Change” changes by pressing meas0femert biton, Cursor 1— Message (20 characters % 4 lines) Deletes one character Inserts space Ends Set Mode ‘Te next page Lpetetes one character Deletes whole ofthe message Selects JOG:Move or Change “Moves the eursor / Changes the character Message entered in this mode is backed up by battery. Therefore, it will be retained even if power is turned OFF. {Character that can be entered) abedefghijklmnopgrstuvwxyzidaaaa g2ééeifi06000110000123456789 (space) .+ -1*=()<> OI? [Cursor] ‘Square in reverse image (Il) on the monitor is the cursor. Input will be made where the cursor is located. When “JOG ; Move” is selected, cursor can be moved to right or left by turning the jog dial. Or, cursor can be moved in the right direction only by pressing PRINT buiton. [Entering message) Character can be changed when “JOG : Change” is selected, Change the character by turning the jog dial. ‘When the dial is tured to the right, character changes in the order shown above, from “A” to “2. When the dial is torned to the left, it changes in reverse order, ie. from “?” to “A” So[Deleting message} In order to delete single character where the cursor is located: Press RETRO ILLUM. button. If you press DISPLAY button, the character will be deleted ‘and all the characters on the right hand side of it will shift to the left. In order to delete whole line where the cursor is located or delete the whole of the data: Press SIZE button, Then, press RETRO WLUUM. button in order to delete a line, or press SIZE button in order to delete the whole of the data, Press measurement button if you want fo cancel the deletion. Unserting message} Press DISPLAY button. Space will be inserted atthe position where the cursor is located. 6.4.4 Page 4/5 H—— Message (65 characters x 2 lines) 406 MEA SIZ RET MOD Ser DIS 1oL PAT wee Mode AC CL Pane End tnt Del = Message entered in this mode is backed up by battery. Therefore, it will be retained even if power is tured OFF. [Entering message] “The procedure of entering the message is the same as the internal printer, ee6.4.5 Page 5/5 Use the gray scale in this page for adjusting the gradation of RK-3 monitor or video printer. Gradation of monitor can be changed by turning contrast and brightness knobs. Adjust so each scale can be distinguished. If video printer is connected with remote cable, and “Video” is selected for “ImeCpy” in Set Mode, a hard copy of the gray scale being displayed can be taken by pressing PRINT button. 476.5 Display Mode Results of measurements stored in memory can be seen in this mode. This mode is composed of four pages. Page 1/4: Standard values Page 2/4: 10 newest measurements of refractometry Page 3/4: 10 newest measurements of Keratometry Page 4/4: Result of corneal periphery measurement {How to enter the mode) Press DISPLAY button in measurement mode. Press it again to go out of this mode. {How to turn over the page] ‘Turn the jog dial to the right or press MODE button to enter the next page. Press SET button to return to the previous page. 6.5.1 Page 1/4 Standard values obtained in refractometry and Keratometry, residual distance and size of comea will be displayed in this page. tigmatism, pupil Standard values of tefractometyy finer) | porzsmm yo: 12.8 ‘Standard values of keratometry —[ pk er INoEX: 1. 9375 em 0 AK om AX <7.65> 0.26 118 7 eB 44.00 118 wo. “eooo1 Reser Residual astigmatism, axis |(nesti 0, 07%? n0.37% 2 ‘Average comeal diameter pera eee ee MEA Moo Ser 018 sol PAT i Prins Ends Display Mode To page 4/4 To page 2/4 Right tun: To page 244 Left tum: To page 4/4 Sr6.5.2 Page 2/4 Newest 10 measurements of refractometry will be displayed in this page. ERROR will be excluded from those measurements. arose 88 00 te0 Measurements Right tum: To page 3/4 Changes order of data Lefttum: To page 1/4 [How to change order of data) ‘The order of data on the display can be changed so as to start with largest SPH by pressing TOL switeb. When you press PRINT button at this time, the results in that order will be printed out if MEM is selected for [data] in Set Mode. Press IOL switch again in order to return to the original order. (Printing) ‘When PRINT button is pressed, data selected in Set Mode will be printed out. Ss6.5.3 Page 3/4 10 nowest results of measuring the center of cornea will be displayed in this page. S88 48 C9, Gm) 'S:48 120 1 3. ome) | — Comeal diameter (2 measurements wag ea Ra SRE” and an average value) bore abe 188 Pan fee se PL tera eet hans PNee Fab ie Fak ras rea | by Mmingthe og tal Measurements-|| 5 ee (7.68 7.62 115) £7.68 7.68 110-1 Standard values ey EN Praw ena Bre Right tum: K1, K2, AX->AR, CYL, AX->Page 44 Lefttuyn: To'page 2/4 6.5.4 Page 4/4 Result of measuring the periphery of comea will be displayed in this page. BOUL Baa sionr veer 1.9978 Sih no (tema) seh ne Cy © nyo 48s 180 170 anes Measurement of comeal center Measurements of comeal fs 7.08 43, 95 periphery ca Bi Lai) mr 160 43,90 os 5: Superior ms 7,68 43.05 T: ‘Temporal a 17043 ea inser W (7.68 42.98 - 091 fee aa Joo “MEA MOD” SET. O18: Vy SS News Pray ens bee Right tum: To page 1/4 Lefttuen: To page 34 — average aco6.6 Setup Mode In this mode, you can change the order for performing various measurements, delete unnecessary measyrement modes, and can also select print format as required. [How to Enter the Mode} ‘Turn ON the power switch while pressing the SET button, SET button must be kept pressed until you hear a beep, i.e. for about five (5) seconds. ‘After the SET botton is released, Setup Mode will appear on the monitor after the initial display. KD (oc) eA) (PRT) thou) tSeT) th gat perit cte end [How to change the settings] ‘Turn the jog dial in order to select either MODE 1 through 5 or PRINT (print format), whichever you want to change. The selected item will be displayed in reverse image. Press measurement button to change the setting, =s1-7. rTM, Please consult Canon representative or distributor when any printer or video recorder is going to be connected to the RK-3. 7.1 RK-3 Internal Printer Example of Printing Out All Data Settings in Set Mode «7 Pages 41, 42.and 43}; Settting in Setup Mode tr Page 51 PRINT: ON [img]: ON : PRINT: RIGHT /LEFT Ref, STD fee: = ON = , (Ker: STD {eco}: 1 i [sgl ON ImgCpy: INT cANoH RK-3 ra Ricr _ $-tl-o9081-02| Rate Guay? 65 Teeo2s tnvooe Fixed Bare 9470020. Lees2 Riou ten —f RTOS Cee yo: 120 ve emconaty Tf ev TASS aGekO, 28%, | nore ri he mre ih ies WOEKt 1.3575 er ounce ehh asvez apt ‘eal nage. Came cer meres 25 “at SOs? 7 cme asp mene de an eset cetaconaty —| -tre2 3t 45-25 4.51 Sees LEFT st-09001-01 42.07 1.46 iRio2s tbhtooe Fixe Date aa70c-20 tee 43.62 4.18 42.78 +49 43-12 +.369] Rese! eign. is —} Spied 2 (Cae ae — 12.7 612.59 a an stece Levert> may cKER] sph cYL aK Or -85r SE RIGHT ee 8s 42.75 4.439 cRests) “100 1125) « Ge mote tae eve clinte P28 's3.2 cisea> am Tet G12 sasse7e9 PO. +. 62 ne eieeeeeee eee] —54—7.2 External Printer Data for each eye can be printed on an A4 size paper with printers such as LBP, BJ, etc. connected. Aso, there are six formats available for printing out the data. Settings in Set Mode cx Pages 43 and 44 CENTRO Select the desired format from A to F (For details, see pages 56 - 61 ) Select the connected printer from LBP, BI and LQ. Settings of External Printer Automatic return: None (CR code: Only CR, LF cade: CR+LF) Paper: Ad size Paper feeding position: The lowest position for the connected printer (about § - 10 mm is appropriate) + Adjust density of printing out rettoillumination image in Retroillumination Display Mode. «= Page 36 + Printing can be cancelled by pressing measurement button, However, in this case, power of the external printer must be turned OFF and then ON again after that. NOTES: 1. Condition and density of printing out retroillumination image differ according to the printer being used. 2 Retroillumination image printed with external printer is inferior 10 the image displayed on monitor in resolution, density and gradation. —55—Format C — 58 Canon Auto Ref-Keratoneter RK-3 [¢] Pate: 1994 / 06 / 17 Time: 11:01 Ho Patient's Nane Biethaay wae Remarks : Refraction Standard Wonory 1 2 3 a 5 8 i 4 3 ___ 18 = wD 68 a Keratonotr: (index: 1.3975 ) Standard a Es 8-03 A 78 98 _ < < EB 8 Peripheral i = wo 7 7:92 42.62 -0.28, 3 5 8 7.07 42.87 0.62 138 388 N 8.65 39.00 0.72 348 x 7.93 42.50 0.66 318 Bvetage 07,56 az © 8.09 A175 0-435 cornea size 11.0 1.2 «11.25 am Residual Astignatisn ov aE oF, sa 57195 187 i Eye Pattern Right: Normal Yornal NesrSigntea Heer Stghtea For sightes Far sighted x} Astigngeie x] Abtignatte Nessage — Bye Clinte TEL O12(345) 6785Format D [carom auto Ref-Keratometer RK-3 [D] Pate: 1994 / 06 /17 Time. Mo, 12356 E"= Wame age i Sox Remarks Memory 1 2 3 4 5 8 ; 8 5 10. PD Keratonetry ‘Standard Wenory 1 7.85 2 3183 S72 3 3202 re at 8 3 8 3 10 Peripheral ON 8.36 40.97 7 7.92 a 90 s 7.60 44.37 s 7.87 138 gos 7.93 42.62 N 8.65 225 270 1 7.94 42.50 1 7.93 ais Average 756A Cornea size 11.0 Residual Astigmatism YE, aE OL, 7170 137 ye ULES FEE OLSFormat E [Ganon Auto Ref-Keratoneter RK-3 [E} Bate: 1994 / 06 / 17 rime: 11:05 Patient's Rome > ‘Birthday 7 Remarks ® tenory 1 u 9 2 3 10 & 8 19 a 16 7 5 t 33 & 46 aT 3 a 10 8 10 10 5 10 - PD 68 me Keratonetry f ‘Standard ae x a 7.82 43.12 179 8.03, 7:38 75 “he 7:33 < Ft» < E> cornea size 11.0 an.2 Residus) astigmatism CYL, Ex om, 7 ar 90 “1.37 ‘4 Eye Pattern ‘Sight under The Best Condition As Your Byes Right Norway, Normal, Near Sighted Near Stgneea Par sighted Far ssohves astigmatic, Astignatic Message, ‘RBC Eye Ciinio TEL O12(345) 6789 60Format F [Ganon Auto Ref-Keratometer RK-3 1F) Pate: 1994 / 06 / 17 Time: 1 ; -Rignht— SPT CE, 10.50 1.37 Sight Under The Best Condition ‘Standard As Your Eyes Normal, Near Sighted For sighted. agtagnatic L) Message re vo: 12.0 ) | Crt AR Bara 10) Near Sighted For sighted nevignecis, at7.3 Video Printer Connecting a video printer allows you to print an image almost equal in quality to the image Aisplayed on monitor. comms $5 $3] External Video Terminal a Setting in Set Mode «7 Page 43 ImgCpy: Video 7.4 Still Video Recorder Retroillumination image can be recorded by connecting the remote terminals of the RK-3 and stil video recorder. 7.5 Video Recorder Retroillumination image can be recorded as a motion picture by connecting the video terminals of the RK-3 and video recorder. —62—8. Before Calling Service Personnel Whenever a problem occurs or when there is a mistake in operation, error will be indicated by message on monitor or special phenomenon. Intthis case, take the countermeasures indicated below according to the cause. If function is sill aot restored, contact Canon representative or distributor. Phenomenon or “Message” Cause Remedy “Motor (2) Error” “Motor (3) Error” % | “EEPROM Error” a “Tum of the power and tum ton @ | -eeraow oate Eror | Probleminthe instrument, | BB8i9 after approximately 10 sc. ar > If message still appears, contact a | “System Ever : pears, ef las Canon representative or distrib- B | -ctock enor E [esc bata Gwar + = | — : : “Printr Ear Problem ia the primer, ‘Voltage of battery for data backup| Contact Canon representative or “Low Battery” + : Low Battery’ is low. distributor. Message entered in Message Mode is destioyed. Battery for data backup is dead, | Contact Canon representative or Settings in Set Mode change istributor. without any reason. During preparation “ERROR” See page 14. See page 14. Sphere of examinee’s eye is over [eae Measurement cannot be per- = | sour Rativs of curvature of examinee’s| formed 8 | -+our : é eye is over 10.2 mm. 8 Objective lens in measurement | Clean the objective lens. 3 window is dirty. (See page 67) 2 Sphere of examinee’s eye is over a “30D, ‘Measurement cannot be per- err Radius of curvature of examinee’s) "me? eye is under 5.3 mm. Objective lens in measurement | Clean the objective lens. | window is dirty. (See page 67) * Measurement can be performed by pressing measurement button, However, settings such as date, message, vertex distance, ele. may have been changed. Be sure to check in Set Mode before measurement. —63—Remedy “Communication Error Framing)” “Communication Error (Break Character)” “Communication Error (NAK Over)” “Communication Error (Trans Timeout) {fmt] set in Set Mode do not match, [Phenomenon or “Message” Cause g Cylinder of examinee’s eye is Measurement cannot be per- E over 10D, formed. 5 9 | -c our Comeal astigmatism of exam- | Measurement cannot be per- 5 inee’s eye is over 15.75D. formed 2 4 Objective lens in measurement | Clean the objective lens. a window is diny. (See page 67) No Print Date" ‘There is no measurement, Pe ee eee “PRINT = OFF" PRINT-OFF is selected in Set | Change the setting to ON. PRINT = OFF Mode. Gee page 41) | “Printer Lever Open Printer lever is raised. Lower the lever. (See page 67) £ eae 7 Ape Load roll of printing paper. $9 | “Printer Paper Empty ‘There is no printing paper. 7 € (See page 66) a “Printer Error” Problem with printer. eo ee Although there is only retroilu- “PRINT mage) = OFF” | mination image data, [img] :OFF | SC [iB] ON: is selected in Set Mode. ane “PRINT = OFF and “TRANS! Both PRINT and TRANS are set | SARC) Qonrand TRANS to OFF” are displayed in turn| to OFF in Set Mode. (See pagee4i nd 49) "No Trans Data? ‘There is no measorement PLE ed “Communication Ernor (Receive Buffer Full)” | ‘Communication Error & | eearity E | “communication Ever e Change the setting of [émt). 4 Measurement data and format | (See page 43) If message still does not disap- pear, contact Canon representativi or distributor. exertsPhenomenon ot “Message” Cause Remedy “Communication Error (Receive Timeout)” “Communication Error (Protocol)” “Communication Error (legat)” “Communication Error Measurement data and format [fmt] set in Set Mode do not match. Change the setting of [fmt], (See page 43) If message still does not disap- pear, contact Canon representative or distributer. blinking. | | Print timeout)” © | -communication Error % B | ceo rea © | -communication Error The connected equipment is not | Wait until it is ready (Not Ready)” ready yet. ue femeneeen ‘Tum off the power and turn it on SaGiecaan again after approximately 10 sec a ds. r frament, ts Se ered eee If message still appears, contact Canon representative or distrib “System Error” oe Bence oe 3s Quine] Powersaving system is working & | ins is deplayed onthe mont pecause no operation had been | See page 53. 3 ran amp made for five minutes. eoy. IMaIntTenance 9.1 Loading of Printing Paper Replace the roll of paper as soon as possible after the red line appears on the paper. (1) Remove the printer cover. (2) Raise the lever. (3) Cut off the paper that has been fed through the machine and pull it out (4) Remove the roll of paper together with the shaft and take the shaft out of the roll (5) Insert the shaft into a new roll and load it into the printer. (©) Insert the end of paper into the slot and feed it through until about 5 em of paper comes out. — 66 -(D) Lower the tever. NOTE: If the edge of paper és creased, it may not feed through machine properly. In this case, neatly cut off the end of paper and reload. (8) Pull out the edge af paper from the printer cover slot and attach the cover. 9.2 Cleaning 9.2.1 Forehead Rest Wipe the forehead rest with a piece of cloth soaked in neutral detergent diluted in water and ‘weung dry. Never use thinner, benzine or any other cleaning agents, since they may harm the rubber, 9.2.2 Cover, Monitor Wipe the cover and monitor with a piece of cloth soaked in neural detergent diluted in water and wrung dry. Never use alcohol, thinner, benzine, or any other cleaning agents, since they may harm the coating of the instrument, 9.2.3 Objective Lens in Measurement Window Turn on the power so the dust can be easily seen. Then blow off the dust on the fens surface with a blower.9.3 Others ye cathode-ray tube in the TY monitor should be replaced when its sensitivity has deteriorated. ‘Contact Canon representative or distributor for replacement. 510. Others 10.1 Precaution when Moving the Unit “This is the procedure for moving the instrument only for a short distance by carrying it. NOTE: Do not lock the stage when the instrument is going to be transported by automobile, etc. Contact Canon representative or distributor for advice on the procedure for packing it (1) Turn OFF the power switch (2) Disconnect all the cables connected to the instrument. (3) Turn the stage holding knob fully in clockwise direction. (4) Support the instrument by holding the sides at the base. IXUATONTE Yo not hold the face rest poles as it may become detached, 10.2 Handling the Unit under Cold Conditions ‘Sudden heating of the room in cold areas will cause condensation to form on the lenses. In this case, Jeave the unit for at least 40 minutes after heating is turned on. Wait until condensation disappears before performing measurement,11. Service Intormation For details concerning the service such as overhaul, contact Canon representative or distributor. 012. Specifications Measurement Modes: Refractometry: Sphere (SPH): Cylinder (CYL): Axis (AX): Pupil distance (PD): Vertex distance (VD): Cylinder form: Pupil size required: Keratometry: Radivs of curvature: Corneal power: Corneal astigmatism: Axis: * Continuous keratomeiry and refractometry mode (K > R Mode) + Refractometry mode (Ref Mode) + Keratometry mode (Ker Mode) * Corneal periphery measurement mode ( K(P) Mode ) * Corneal diameter measurement mode (Size Mode) * Contact lens base curve measurement mode (CLBC. Mode) -30 10 +22 D (at vertex distance of 12 mm) (Increment selectable between 0.12 and 0.25 D) (However, 30D S SPH¥CYL S +22D) Oto+ 10D (Increments selectabie between 0.12 and 0.25 D) 1 to 180° (Increment: 1° ) 0 to 85 mm (Increment: 1 mm) 0/12/13.5 mm = 414 2.5 mm diameter 5.5 10 10.0 mm (Increment: 0.01 mm) 33.75 to 61.25 D (when comea equivalent refractive index is 1.3375) (Increment selectable from 0.05, 0.12 and 0.25 D) Oto -15D (Increment selectable from 0.05, 0.12 and 0.25, D) 1 to 180° (Increment: 1°) Corneal Diameter Measurement: Corneal diameter: Retroillumination: Memory: Data Output: 2.010 16.0 mm (Increment: 0.1 mm) Retroillumination image can be observed and stored in ‘memory 10 measurements for each eye. RS232C Personal computers, plotters, autophoropters, general printers CENTRO Video printers, Canon LBP series printers, Canon BY series printers, LO mode printers SacInternal Printer: Display: Power-Saving Syste Power Supply: Power supply voltage: Power consumption: Working Range: Vertical: Forward / backward: Right /left: Chin rest (vertically): Dimensions: Weight: ‘Trademark Notice: ‘Thermal line printer S-inch monochrome monitor Power for monitor, lamp and motor tums off when ‘operation has been interrupted for approximately 5 ‘minutes. Function is restored by pressing bution. 110/120 V, 220/240 V, 230 VAC 50/60 Hz 120VA 30mm 40mm 90mm 67.5 mm ‘Approx. 300 (W) x 525 (L) x 496 (H) mm Approx. 19 kg LO is a trademark of Epson America, Inc. —R-13. Components RK-3 main unit Power supply cable Keratometry model eye (with contact lens holder) ~~ Printing paper + 2rolls Chin rest paper - 100 sheets Blower brash « Dust cover +++ Optional Accessories Printing paper (10 rolls) Chin rest paper (500 sheets) Motorized table CO-MT —-B-Blank Page —m4—Canon CANON INC. 53, Imaikamicho, Nakaharaku, Kawasakishi, Kanagawaken 211, Japan ‘Tebephone : 044-733-6111 CANON U.S.A., INC. ‘One Canon Plaza, Lake Success, N.Y. 11042, U.S.A. Telephone : 516-488-6700 CANON CANADA INC. 6390 Dixie Rd., Mississauga, Ontario, LST 1P7, Canada ‘Telephone : 905-795-1229 CANON EUROPA N.Y. Bovenkerkerweg 59 -61, P. O. Box 2262, 1180 EG Amstelveen, The Netherlands Telephone : 20-545-8926 CANON SINGAPORE PTE, LTD 79 Anson Rd., #09-01/06, Singapore 0207 Telephone: 532-4400 PUB.L-E-5067D 089503, Printed in Japan