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VK-2 Instruction Manual

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1. 2 1 Select some patients by Right Clicking The selected patients are shown on the lower window 2 Click Multi View button You can see the different patient image in one frame 13 4 9 4 Diagnoses in Database List Database List a RESET SEARCH Patie ees START SEARCH DATE F In menu Setting gt gt Option Setting If checked mark in Show all diagnoses in Database List all diagnoses you edited would be shown in the database list though the opening list speed becomes slow Not checked the common diagnosis edited in all images is shown SETTING OPTION gt Set drive Card reader Bar code DATA drive ID Start pos i G End pos mio Permit to Change NAME Start pos m2 End pos 24 Archive drive COM port KEYE Iv List gt Name mode Search gt Multiple View European Date DD MM Y Use length when mesuring cup disk Link to other Dbase system MV Show all diagnosis in Database List Become slow when listing up OK Use last hard disk for backup 14 4 10 Capture Image The Capture button can be used instead of the foot switch to freeze and resume the live video gt Capture button is out when a live patient video is displayed in the capture window Lo The button is pushed in when the capture window is displaying an image from CAPTURE memory or a frozen live image 4 11 Save Image be Click Sa
2. MULTI 4 5 Multiple Image Select the MULTI button to change the display from one image to up to16 images from a patient s file To change the display from one image to sixteen images 1 Click the MULTI button 2 Click PREV or NEXT button to view other images in the file 3 Double click on any image to return the display to a single image To display two images side by side from a patient s file 1 From the sixteen multiple image display select two images of interest by clicking on each The word Select appears on each image 2 Click the Multi button The selected images are shown in the display window 3 Click the Multi button to return to the sixteen image display or double click on an image to view a single image To display four images in the window 1 From the sixteen multiple image select four images of interest by clicking on each The word Select appears on each image 2 Repeat steps 2 and 3 above To display six or sixteen images 1 Inthe menu choose Setting gt Multi Select Image Number gt 4 6 9 or 16 2 Repeat the steps as shown above except select six or nine images to display File Edit View Setting Capture Image Proc Database Archive Help Select 1d PREY View the previous or Following pages NEXT lt tiek and select images gt ee ad A he ee oses It beet Image Info Patient D_ 100 Name Tom Komit Z Back to the
3. 43 7 2 Scanning an Image into VK 2 VK 2 support 3 party scanners with Twain drivers 1 Install Image Scanner software 2 Click Scan application on the desktop to start AS 3 Click Setting and select Twain source Select TWIN DRIVER on SETTING ni Need BETTING Alter lrelalling this Process C1 Sean Image Data on SCAN Button EA Input ID on INPUT DATA Buton 40 Save Image Data r d elect So li Necessary Open JPEG BMP intel Pay OX Microsco 4 Click SCAN eet Select the resolution and set the mode Full Color image 5 After the image is scanned the image is shown in the frame window ican De fe y tine X zi m KOWA Iniminge Svatem Technology EES EES z to open input data dialog Enter Patient ID Patent a a i lic meyer 7 Click SAVE to save the image You can now view and edit the image in VK 2 The green mark from Scanner File is added at the left edge of the image Capture File Edit View Settir a ASIAS 44 7 3 Dropoing and saving Image into VK 2 VK 2 allows you to import any JPEG BMP or TIFF image into a patient file with using Drop function at the same time Select some images imported from other application or folder and move mouse while holding down left button and drop on the Scan application After dropping image the message Do you want to save the dropped image as ID appears If select
4. In order by ID Open image from archived media See 4 20 Open from Archived Media Note You can choose either type lt ID MODE gt or lt NAME TYPE gt See 4 27 Choose Input Data Type 12 4 9 1 Advanced Search Name List Name TYPE Reset to complete patient ID list Search from Patient Id and Name Only beginning characters Display list of sessions taken on the current day ___ MESETSEARCH __si TODAY START SEARCH IE DATE Database List Patient ID 1234 gt 34 Patier it Name e gt mik eae Sees po f Patient Id or name to display Fetzer Thomas 33 El A list of images Komit Tom 17 20 show all images captured today Click to show the details Sorted by date and Archived disk 03 17 2000 1 fo 03 21 2000 1 K Z ri J In order by Name xj Open image from archived media reai O See 4 20 Open from Archived Media Click DATE gt ovamo eE EO e z Recommend inputting less than one or two weeks Jun gt is ve _ n ae Sau mn Tus W te A gt quick response u a wW nn r n 3 6 i u 3 W T1 u 15 ole 17 le 19 a o 1 ge n 1 1i 4 ch i a gl i r E i SB af 2s wD E aa 4 9 3 Display Multiple Patient Image Check the different patient image in one frame Right Mouse Button o E e ieee Po 03 17 2000 1 oO EEE ts Kat VAA T ala ev Fie Edit View Setting Capture Image Proc Database Archi
5. NO after inputting new Patient Name and ID the image would be saved e Scan E xj File Edt View Hel AN Do you want to save the dropped image as ID No ID _ b i Ea Onl EW History Fo SS e E scan Imi Go Input ID NAME Last First sae Patient ID EO lf Ne 2 Ti eee 45 8 Arhciving Data 8 1 Archiving to a removable media You can make a back up of your patient records on the hard disk to a CD R CD RW DVD RAM 8 2 Check the settings CD R RW Open the Settings dialog window and check the Archive Drive number Make sure the Archive Drive letter shown is the same as the CD R to be used for archive Look in the My Computer window to see the drive letters for all drives on your system m Set drive r Card reader Bar code l DATA drive ID Start pos 4 CD R drive sa i Permit to Change NAME Start pos fi 2 End pos 24 Archive dri iiini COM pot COM2 E v Look in the Taskbar in the lower right corner of your screen to verify the DirectCD software is running The DirectCD icon is shown f 3 9 30 aM Note When starting up VK 2 the program to check archiving will work It will take several seconds And when need to archive the message box to archive the data to CD R appears When you use the CD RW media not CD R you can archive the data at any time after a medical examination every day as data backup 46 8 3 Format Blank
6. Press End key you can stop archiving Capture Ea JY Archive Finished Archive DISKNO lt lt 1 gt gt Archive Free Space 300 Mbyte CD R is Full Need to change CD R Archive Finished Space is available on the disk for future archive Capture Ay Archive Succeed and CE A is Full Need to Change Media Eject CD A and Check Organize the disk Item Click Finsih in order to Read data in Standard CO AOM drive E it Archive Completed amp Need to Change Medial Archive DISK NO lt lt 1 gt gt Write amp Remember this NO on the Medial DISK No 1 Write No on this Media The VK 2 software uses the disk number to identify each disk Make a note of the disk number shown in the in Information window so that you may write the number on the CD R after it is ejected 49 8 5 Eject CD R lt roxio Drag to Disc gt 1 Click on the Eject icon a i F E diski roxio Drag to Disc Eject Options a i K m Oe When the CD R disk becomes full check the iF Drag to Disc checkbox that say F rotect disk SO that it cannot Make this disc readable on any CD or DYD drive Ejecting with 99 this method takes a little more time If this box is unchecked b e written to ag ain v ejecting will be faster but this disc will only be readable on a computer running Drag to Disc Imp ortant P erform thi s st ep only if th e CD i s full Protect disc so that it cannot be written to again V
7. lt Image Processing Toolbar gt 5 1 Sharpen Image 5 2 Gamma Process 5 3 Enhance Image 5 4 Contrast 5 5 Brightness 5 6 Analysis of RGB color 5 7 Negative Image 5 8 Flip Image 5 9 Zoom Image 5 10 Measure Length 5 11 Measure Cupdisk Rate 5 12 Measure Angle 5 13 Loop 5 14 Undo 5 15 Origin Image 5 16 Reference Template Image lt Image Processing Menu Function gt 5 17 Merge and Subtract 5 18 Noise Reduction 5 19 PDT Function 5 20 Enhance part of the Image 5 21 Analisys of gray level 5 22 Magnifying Glass 5 23 Auto Enhance Multiple display 5 24 Each Enhance Function lt Special Function gt 5 25 Stereo Viewer 5 26 Red Free Filter Processing 5 27 Electronic 30 degree image capturing 6 View Database 6 1 List of Patient ID 6 2 Patient Data Card 6 3 List of All Patients 6 4 Filter 7 Opening and Saving Images from other Devices 7 1 Opening and Saving other Image File Format 7 2 Scanning an Image into VK 2 7 3 Dropoing and saving Image into VK 2 8 Archiving Data 8 1 Archiving to a removable media 8 2 Check the setting CD R RW 8 3 Format Blank CD R 8 4 Start Archive 8 5 Ejyect CD R 8 6 Delete Archived Image from Hard Disk cf Delete Image and Database at a time 8 7 Read Image data from Archived Media 8 8 Copy Archive Media 9 System Setting Preliminary Documentation The information in this document is subject to change without notice Kowa Company Ltd assumes no responsibility for any errors in this document or
8. 2 Choose File gt Delete Image from menu Delete several images at the same time 16 4 15 Delete Image of the same ID To delete a series of image of the same ID at a time click the Open List button from the Command toolbar Select the record to delete on the left click With pushing Ctrl key on the left click you can select several records After select records push Delete key The message appears and input the Password vk to delete _ _ gt f IN Do vou really Delete the selected IO Data PatientID Patent Name First Visit Sex Delete key ogey ogaao Oe erent i Input Password m Cancel Delete the selected ID data at a time 4 16 Save Edited Image To save an image after editing choose File gt Save Edited Image A yellow marker is added to the upper left corner of the edited image The date and time of the original image is also added fe DE Yee fay De fee Pe Dadam inbe jie Capture O File Edit View Setting Capture Image Proc Database i Yellow marker signifies that the image has been edited ape Fo oo hm Tinim 17 4 17 Copy Image to Other Media 1 Copy to the floppy disk View the image to copy and Choose File gt Copy Image to Floppy The image data is copied to a floppy disk in a Jpeg file format of Id number Serial number jpg F 312 Floppy A 2 Copy Selected Images to Folder 1 Chose fr
9. 2000 01 27 TIME fi 30 25 BIRTDAY 08 227 966 a male female DOCTOR A s DISEASE A L DISEASE DISEASE DISEASE Preview COMMENT Click Thumbnail N DATE TIME SER 2089 01 12 11 29 41 1 2000427 11 30 24 3 gt 2000 01 2 11 30 25 4 2000 01 27 11 30 27 6 2000 01 27 11 30 28 7 2000 01 27 11 30 30 B 6 3 Lists of All Patients Click on the All button in the List of Patient ID window to open the All Lists of Patients window Find and Meplace a or Replace the information MA Bed ie mems RSet tering Rb Set tcerinn Gi VERSION Cmte cs 0 cy B Beer Ej aa Enl 2223 E E Sal E CE sal yal 2s E J l g A iaa Gece EEE EEREaERREaERSEeEeE Em ml E Record oa a u eles of 2a 6 4 FILTER Click on the Filter button in the List of Patient ID window to open the search dialog Input the information to extract the data Er hhh etx ai Sk a e e Oo Se Le E E ST a i eT Le SC E E e E E T e A A E E E E e a e e T a e E E c SE Sa as Tae d Wes SE kaiaa ony TE _Thyrbrai COPY ImagetDatabase FILE to DISK COPY the Image Datas to DRI rF cs S in NT _ z a eA TS erri i ke Cy Record 144 T ip o LEiltered ii a ER a a T a 7 Opening and Saving Images from other Devices 7 1 Opening and Saving other Image File Formats VK 2 allows you to import any JPE
10. Always show this dialog when ejecting a disc Help Advanced Cancel Eject __Hep _Advanced Cancel Ejea Ejecting E roxio Drag to Disc Disc Preparation 2 Click on the Eject button Please wait Drag to Dise ts preparing the disc in dive E to be ejected lEjecting E FOXIG 3 Write the disk no on the CD R media 50 lt Direct CD gt Eject CD_R or click the DirectCD icon in taskbar and follow the instructions Using a soft tip marker write the disk number onto the CD R Pisae eee p 7 PA Pu paa m ee gene Next Ha aia ee Be dow m e moos amend oe Ba lE Pa dees meee a Se iaie CeT I remil bee ae ee ee OMi en meee a jj D n a J 5 22PM DirectCD 53 1 0 209 Drive l Eject Options Eject CD 66 Before ejecting decide if you want to continue using DirectlD to When the CD R disk becomes full check Close access the CD or if you want bo read it from a standard CD ROM drive to read 99 checkbox This changes the CD to that it can be read on most standard CD ROM f Leave As Is Leave the CD as itis soit can be read and written to as a drive letter Standard CD ROM drives will not be drives able to read the CD Close to UDF v 1 5 Close the CD so it can be read on most Important Perform this step only on a full CD R CD ROM diwes after installing a UDF v7 1 5 Reader disk Once the disk is Organized it cannot be Close to Read on Any Computer Close the
11. CD so it can be read automatically in most standard CD ROM drives written to as ain BERO Ea rd Bere et ab cect be eT Protect CD s0 it cannot be written te again IV Display these selections the next time eject a CD Help f Cancel Finish apies DireetlD wizard Dies G 3 0 12 02 95 s Adapter Diacil wizard Brive G 10 127273 el ad air niornabern bet dared CD ROM sect x Dibe epee Epa Veme KOHTA Hi The dite you just ejected kio chive Gc it neeedatie in ail CO FLACO FW Sie S 270 268 000 bytes dives and MubFiead CD ROM chives runeang Windows 96 ee Windows NT Contains ii Files 217 Podes Li Sevens Pak 3 gt FE Display the notification sgain OK Dee mmn am Disk will be Ejected Write the DISK NO on the CD R media 5I 8 6 Delete Archived Image from Hard disk As you save patient information the space on your hard drive becomes full After the information is archived to a CD R you can delete the archived information to make disk space available for new patient data When the available disk space is less than 15 a dialog window will appear prompting you to delete archived data Enter the percentage of archived data that you would like to delete from the hard disk You can also initiate the delete process manually by choosing from the menu Archive gt Delete Archived Data f Hard Disk Note This will not delete data that has not been archived to CD R Structu
12. CE Kowa Europe GmbH Immermannstrasse 65A Einhelt 1 4000 Dusseldorf F R Germany Phone 211 35 3444 45 46 Telex 8587029 KOWA D Fax 211 161952
13. Copy to Clipboard You can copy an image to the Clipboard in the Windows operating system The image becomes available to paste into other applications 4 22 Input Text The Input Text command lets you to annotate your images To input text on an image 1 Choose Edit gt Input Text 2 Click in the image where you want the type to appear The type dialog box appears 3 Choose File gt Save Edited Image to save the text information on the image Input Text with line After drawing line insert text on an image 1 Cose Edit gt Input Text with line 2 Draw line moving mouse while holding down left button 3 After drawing line the type dialog box appears and type text 3 Choose File gt Save Edited Image to save the text information on the image 4 23 Check Disk Space To view the amount of disk space available on your hard drive choose from the menu View gt Show Space of Disk The dialog box appears e l 5 Capacity of Disk 2011Mbyte Available disk space 1154Mbyte Percent empty 57 Capacity of Disk Available disk space Percent empty 19 4 24 Show Square 2 images When displaying two images side by side the Show Square function lets you crop the right and left side from each image to provide a better view for comparison 1 Display two images of interest in the window see Multiple Image section 2 Choose View gt Show Square 2 images Check mark appears to show it has been selected Origina
14. Id List When image data does not exist the below message appears Select Command Back Again Show Search ID dialog again and Retry Search ID Jump to Advanced Search Advanced Search Id List appears Note If your VK 2 system has a magnetic card reader or bar code reader you may use these devices to input patient data only while the Input Data and Search Id windows are open Note You can choose either type lt ID MODE gt or lt NAME TYPE gt See 4 27 Choose Input Data Type 6 4 4 Previous Image and Next Image lt 1 Click the PREV button to display the image previous to the current image 2 Click the NEXT button to display the image following the current image gt NEXT Capture File Edit View Setting Capture Image Proc Database Archive Help Current image Total number of images for the patient Patient name lt Captured date and time Patient Id Image Info PatientID 100 Name Tom Komit N Enlarged view of the window bar Image Info PatientID 100 Name Tom Komit a To hide patient text information Do one of the following e Choose View gt Show Text Info from the menu Click on the check mark to deselect This change applies to current session only System will return to default setting at the next start up Or e Choose View gt Setting Text Info gt Show Date Time Show ID Name Click on the check mark to deselect This method changes the default setting
15. archive your computer files such as imagen documents spreadsheets and presentations on CD format DirectCD 5 1 0 709 Drive Format 52 Stes a DirectCD 5 1 0 209 Drive 1 Labet No 8 CD Ready The CD is ready for read write access directly through drive l You can start reading and writing the CD using Windows Explorer or any other indows application such as Microsoft Word Note The label helps to distinguish between CDs Format Type 2 Buick Fi ormat Allows youto quickly starbusing your CD without having ta do a ful format IV Display this ndijcation again when a CD is ready for reading and Full Format writing 48 8 4 Start Archive From the menu choose Archive gt Start Archive and click OK Depending on the amount of data to be archived CD R may have remaining space that can be used on a future archive The timing to start Archive depends on the media CD RW DVD RAM You can archive data at any time after a medical examination every day as data backup CD R When the message appears at the time when data exceed the capacity of CD R media you need to archive data only once Capture Need to Archive the Image Data to CD A Soon Do you Start to Archive Now Archive Help Start Archive Start to Archive now Set Media in Archive Drive G i Cancel Delete Archived Data fHard Disk Maintenance b Copy Data Wait for a while LITT TTT
16. simple to use 2 Starting and Exiting VK 2 1 Turn on your PC to automatically launch VK 2 The Start Up dialog window appears Then the VK 2 application windows are displayed 2 To close the application click the Exit button 3 Double click the icon VK 2 on the desktop to start the application Disk Free Space VK 2 Application Windows Caphwe Filo Edi bew Selig Dohme mage Proc habre dehe Hin Image frame window Image process toolbar ingot Pact o tone Tonto O Video input select toolbar PENER ELCEAEMELS Er eriwo Capture eed r TSE Command toolbar The VK 2 work area includes an image frame window containing an image and a menu bar at the top of the window and various toolbars available to provide easy access to the tools used for viewing and editing images Don t put the toolbar or dialog window on Image frame window when capturing image The image will be captured with the toolbar or the dialog window a This Mark on the dialog window means the image is not captured correctly when capturing an image Only for Nonmyd Alfa D connection When Nonmyd Alfa D is power on before VK2 application starts press the button of joystick trigger on Nonmyd Alfa D in order to initialize the camera as the message shows 3 Basic Operation Poem reer eee reese eee ee eeee eee EDO E OOOH EEE O HOOT SESE O SOTTO SETH EOE ESE OEOEEE SOUT OOO EEEEOTTOT OSES SESE ETOH ESE EOOT EO OEEEEOOT OHO O ESET S
17. the software described in this document Kowa Company Ltd also assumes no responsibility for any troubles including data damage caused by hardware accident disk crash windows system disorder or wrong operation Use the UPS Uninterruptible Power Supplies and backup data The software described in this document is furnished under license The software may only be used by one user at a time Copyright 2000 2001 2002 Kowa Company Ltd All rights reserved 1 Introduction Kowa VK 2 is a professional digital imaging system for ophthalmology and optometry VK 2 offers the features you need to acquire analyze and store your patient image data And because the tools you use the most are available right on the desktop you ll get superior results quickly and easily This high resolution system supports images captured by a fundus camera and slit lamp VK 2 also makes it possible to view images captured by other video equipment The VK 2 User Guide provides information about the VK 2 operations and functions It is designed to be used as a quick reference guide This manual assumes you are proficient in the use of a fundus camera and or slit lamp You should also be familiar with how to use the mouse menus and dialog boxes and how to open and close files This user s manual describes the details to operate But to capture and check the captured image you only use 3 buttons Input ID Prev View see 3 Basic Operation That is all It is
18. 16 multiple images Double click to 1 image lege info Fant 100 Nami Tom kmi 4 5 1 36 multiple image Checked the mark in multiple display 36 image the number of the multiple image change from 16 to 36 In Menu Setting gt gt Option Setting SETTING OPTION cz Set drive Card reader Bar code f ee ID Statpos 4 W rouiltiple display 36 image e oo m M MegaPlus1 6i COM3 COM1 Permit to Change NAME Start pos 1 2 oo ZEE We Use orginal image in thumbnail Archive drive COM pot KEYB Export BMP file not Jpeg file mai Kev P not Jpeg file V List gt Name mode MV rultiple display 36 image f MegaPlus1 6i COM3 gt COM1 Search gt Multiple View European Date DD MM YY Use original image in thumbnail Use length when mesuring cup disk I Expos Link to other Dbase system F Show all diagnosis in Database List Become slow when listing up OK T la Capture File Edit view Setting Capture Image Proc Database Archive Help W 2 we Sn Opar beep Pro Da Ace fem M NEGA Clicking NEGA button in Image Process Bar Multiple image is changed to B W image Tmane Infa Dstient Th 172d Name 1 Nlanmed AlFa m Mana 4 5 2 Make the quality of thumbnail image better Checked the mark in Use original image in thumbnail the thumbnail image uses original image Usually thumbnail image uses thumbnail files those are the reference files to show the image quickly though the
19. 2400 07 20 44 Birth 08 2211966 male Doctor Tom Morgun left Chalazion Drees roe led l Kowa Optimed Inc Torrance 4 1 800 966 KOwWs 21 4 30 Send Image by E Mail You can send selected image by E Mail Outlook Express quickly and easily To use this function need to set up Outlook Express beforehand Refer to the Windows Manual 1 Use the Multi button to view multiple images see Multiple Image section 2 Choose File gt Send Selected Image be lt E Mail gt File Edt View Setting Capture Image Proc Database Delete Image Save Edited Image Copy Image to Floppy Copy Selected Images to Folder 3 The message Select Images appears IN Select Images to send by E Mail at Right Click on Multi Display Send Selected Images bi lt E MAIL gt 4 Select the images to copy by a right click of the mouse MAIL appears on the image Capture File Edit View Setting Capture Image Proc Databa 5 Choose File gt Send Selected Image be lt E Mail gt and Outlook Express starts up Ss p Komit Tom 4 lolx Eile Edt View Insert Format Tools Message Help In Subject and Attach item 4 eo amp 0 vw amp amp Eut Rap Paste mag Check Spelling Attach Priority Sign Encrypt The data are set automatically caw Ce subject Komit Tom Attach vk0z745 jpg 62 1 EB ET vk z746 jpg 64 3 KB eT vk 02747 jpg 57 3 KB Y vkOS1 3 joo 138 KB Ei vk03138 ipg 120 K
20. B Ei vk03139 jpg 136 KB inf tet 504 bytes Va If the image is Delta Format the image is changed to Jpeg Format in order to open image by standard PC viewer File inf txt including patient information of attached image files is automatically attached inf tzt Notepad File Edit Search Help oF 45 168 Komit Tom 82 13 76 09 33 02 6 f22 7 1966 male Blepharitis 2746 188 Komit Tom 82 13 61 09 40 28 08 22 1966 male Blepharitis 2747 168 Komit Tom 62713701 09 44 34 88 22 1966 male Blepharitis 3137 168 Komit Tom 82 247 61 15 50 48 6 22 1966 male Blepharitis ak 1AA Komit Tom A 747 71 15 51 04 AR 2 19HA male RAlenharitis 6 Type or select mail address and click Send button to send the images 22 4 31 Drag image Drag one image on the multiple 16 image mode and move mouse while holding down left button and drop to other application folder Floppy disk or other removable media You can copy one image to other media easily te File Edit View Setting Capture Image Proc Database amp Help L 4 Folders ca Drag and copy to Floppy disk If the image forr 7 changed to Jpeg format so drag function speed is a little delay to transfer image 4 32 Print out at White Mask When printing out change black mask image to white color for fundus mask image Choose Setting gt Printing Header amp Footer Check lt Mask of background from black to white gt Print
21. CD R lt roxio Drag to Disc gt 1 Insert blank CD R media into CD R drive Toolbar view Alt I Hide Drag to Disc Alk Keep In Front GIk HE Settings Alk 5 View Disc Contents Alk Disc Properties Alk Eject Disc Alk J Click on the menu icon E ap Rename Disc Alt F EJ Drop down list appear Erase Disc Alt E r wia Help Alt H Tutorial Alk T About Drag bo Disc Alk 4 Exit Drag to Disc Launch Scandisc Toolbar view Alt I Hide Drag to Disc Alt D Keep In Front Alt k Settings Alk 5 Select format disk View Disc Contents Alt y Disc Properties Alk O Eject Disc Alt J Format Disc Rename Disc Alt R Erase Disc Alt E Help Alt H ae e Type the disk no on the volume label About Drag to Disc Alt Exit Drag to Disc Launch Scandisc Drag to Disc Format Options Volume Label disk1 i f gt Help Cancel E Blank Disc roxio Wait until format is complete Drag to Disc Disc Preparation The di c in drive E ts being prepared Please watt 47 lt DirectCD gt 1 Insert blank CD R media into CD R drive EATS x 2 Select Direct CD icon nm The DirectCD software will appear e a E e e Follow the instructions to format a CD Blank cD What do you want Windows to do Create a CD using Roxio Easy CD Creato Open writable CD folder using Windows Explorer S Take no action Always do the selected action Share of
22. Capture Image Proc Database Archive Help Click 3 Paints ANGLE 44 deg END 5 13 Loop Q You can use the Loop tool automatically view a patient s images in succession 1 Display a single image from a patient s file 2 Click the Loop button The movie is displayed 3 Click on the image or push any key on the keyboard to stop You may change the speed of the movie From the menu choose Setting gt Other Setting gt Speed of Slideshow gt Fast Slow Saige Capture Image Proc Database Archive Help Input amp Trigger Setting Input Video Setting Setting For Digital Camera Option Setting Set Right Click Default Mode k Other Setting Speed Set of Slideshow Printing Header Footer Clear Image after Database Proc Slow 5 14 Undo Image Back to the previous image In menu Setting gt gt Option Setting SETTING OPTION Set the UNDO count Set drive Card reader Bar code Default is 3 DATA drive ID Start pos 4 UNDO Bo 1 5 counts Endpos fi If Physical Memory of PC is over 512Mbyte Permit to Change NAME Start pos h2 o Set the value more than 3 5 15 Origin Image Restore and view the original image before image processing 31 5 16 Reference Template Image _ TEHP You can compare a patient image with a reference image you ve saved VK 2 allows you to store up to 64 multiply 8 by 8 items reference images To display the reference imag
23. G BMP or TIFF image into a patient file 1 Click the VK Scan application on the desktop to start Scan dialog box appears ol amp Scan File Edit View Help L Select TWIN DRIVER on SETTING Only Need SETTING After Installing this Process lt 1 gt Scan Image Data on SCAN Button JE lt 2 gt Input ID on INPUT DATA Button SCAN lt 3 gt Save Image Data to Disk on SAVE Button If Necessary Rotate Image on R90 L90 Button Before Save OPEN ILE Open JPEG BMP File and Load Image on OPEN FILE Button Es EEE INF ID No entry NUM X 3 Select Image File to open Full color format of JPEG BMP d can be opened F JEFE Cra Look in 53 WRG _ mssetup t vk_2 C bak i vk_3 FI CD R 2 CI vk_34 D cam C vkdata J DirectCD ey k3135 ipaq Up Area BF slit ipa File name ipa bmp tif Files of type JPEG BMP TIFF files jpa bmp tif 7 Cancel a pim 4 Click INPUT DATA to open input data dialog Input Patient ID Patient ID P fefefe ele o 5 Click Save to save the image You can now view and edit the image in VK 2 When viewing the image in the Capture window a green mark is added at the left edge of the image to indicate that the image was imported from another application Copio S File Edt View Setting Capture Image F The green mark from Open File is added at the left edge of the image
24. High Performance Digital Imaging System VK 2 User s Guide Ver2 15 VK23E for WindowsXP Kowa 031223 Ver215 CONTENTS Preliminary Documentation 1 Introduction 2 Staring and Exiting VK 2 3 Basic operation 4 Operation of Command Toolbar Function lt Operation of Button gt 4 1 Command Toolbar 4 2 Input Data 4 2 1 ID Type 4 2 2 Name Type 4 3 Search ID 4 3 1 ID Type 4 3 2 Name Type 4 4 Previous Image and Next Image 4 5 Multiple Image 4 5 1 36 multiple image 4 5 2 Make the quality of thumbnail image better 4 6 Frame Size 4 7 Image Process 4 8 Edit Data 4 9 Advanced Search List 4 9 1 Advanced Search ID List 4 9 2 Advanced Search Name List 4 9 3 Display Multiple Patient Image 4 9 4 Diagnoses in Database List 4 10 Capture Image 4 11 Save Image 4 12 Print Out lt Operation of Menu Function gt 4 13 Select Print Out 4 14 Delete Image 4 15 Delete Image of the same ID 4 16 Save Edited Image 4 17 Copy Image to Other Media 4 18 Open Previous Komit Image 4 19 Open Previous Komit Database 4 20 Open from Archived Media 4 21 Copy to Clipboard 4 22 Input Text 4 23 Check Disk Space 4 24 Show Square 2 Images 4 25 Compare two images 4 26 Prohibit No ID Images 4 27 Choose Input Data Type 4 28 Set display mode after searching 4 29 Header and Footer for Printing 4 30 Send Image by E Mail 4 31 Drag image 4 32 Print out at White Mask 4 33 Show the date list 4 34 Stereo assist 4 35 Link to Perimeter 5 Image Processing
25. K9L22 Genesis Digital 11 11 2001 K9L22 2 Genesis Dog Digital 11 11 2801 K9L29 Genesis Labratory House 11 11 2881 K9L39D Honmud Digitalt 11 11 2881 4 34 Stereo assist You can get the stereo image easily following the message of stereo assist This function 1s good to check the depth of the optical nerve head at 20 degree angle of fundus camera as the stereo image Choose Capture gt gt Stereo Assist Set alignment and adjust focus Change the setting of fundus camera to 20 degree Move the joystick of the fundus camera slightly to the left as the assist image 1s shown and push joystick button to capture image If the captured image is good click Yes to save the image If the image is not good click No and try again After capturing one image the next assist view to get right direction image would appear After getting two image of left and right direction the stereo viewer application Para would appear Refer to the explanation of stereo view See 5 25 Stereo Viewer se Bam fy OG ev ia leis ce B Ss SV A of SN ih a 24 4 35 Link to Perimeter As one of the options of our Imaging system you install the Perimeter application FT8 AP 5000C and you can startup and call the Perimeter application from VK2 application In Menu File gt gt Startup APS5000C is active after installing application FT8 AP 5000C Poe Oe a prip 25 5 Image Processing VK 2 offers a v
26. Mode button in the List of Patient ID window The Capture window appears Note If you displayed a Patient ID card or a patient image while viewing the database the capture window will display an image of that patient lot dest nf s89 To sort the database 1 In the List of Patient ID window right click l Set E S sort ascending Z4 Sorgpestendna 2 Click on the Sort Descending or Sort Ascending button LIST of Patient ID Record s4 g r of 589 Click here to open the search dialog Click here to open All Lists of Patient Click here to open Patient Data Card 40 6 2 Patient Data Card The Patient Data Card window provides patient information and comments and a list of all the images associated with that patient ID You can review and compare images to monitor changes To open a patient data card From the List of Patient ID window click on a patient ID to view that patient s data card To view an image 1 In the patient data card click in the date field of a specific image to see a preview of that image 2 Double click on the preview image to display it in the capture window To view a thumbnail of all the patient s images Click on the Thumbnail button to display thumbnails in the Multi display window Note Images can only be loaded from the hard disk or CD R They cannot be loaded from the CD ROM amp PATIENT DATA CARD PATIENT DATA CARD Patient ID 1100 Patient NAME Tom Korit DATE
27. OPE ee UUR EO UUe eres errr eeree rere e cere secre errr reece rere e creer errr err e rere cece e errr ee rere errr rere scree rere ere errr rere cere es errr rrr errr ere re cc eres errr reece rere creer rrr err rere errr reer rr eer rr rer re reer creer errr rrr rrr rere rere rc rrr creer errr errr errr rere reece rrr rr cere re rrr errr errr rere creer rrr errr rr rrr rrr rrr rire rrr 4 Operation of Command Toolbar Function 4 1 Command Toolbar Shown here is the Command Toolbar Details on the operation of each function is shown on the following pages Input Data Open the dialog window to input Patient ID Name Sex Birth date and Doctor Search ID Open the dialog window to search a patient s images by Patient ID number see Input Data section Id List Search the Patient ID list Previous Image View the previous image Next Image View the next image Multiple Image Switch to 1 2 4 6 9 16 multiple images on display Frame Size Switch the image viewing size from standard to maximum size Image Process Show the Image Processing toolbar Edit Data Open the dialog box to edit patient information Capture Freeze the live video image Save Image Save the captured image Print Out Print out the displayed image directly Exit Exit VK 2 application 4 2 Input Data bara 4 2 1 lt ID TY PE gt 1 Click the INPUT DATA button to enter patient information The patient information dialog window for ID app
28. OTTO OSEEEEO EOE SOO OSES ESOT E TE OEE ESSE STOTT OEE E OOOH TOE E TEES ESOT OOEES HOO UTES ESOS SOOTT OOOO EESE SS TSE OE OEE TOOT OOOO ESOS TOUT ESET EOE OHO O TEESE TOOT TOEEEE HOO E SOOO EEEE SOOT OOOOH SESE E EEE FUNDUS CAMERA SLIT LAMP 1 From the video input select toolbar 1 From the video input select toolbar Click on button Click on button 2 From the command toolbar 3 2 From the command toolbar Click the Input Data button l Click the Input Data button 3 The Patient Dialog window appears 3 The Patient Dialog window appears Type in Patient ID see Input Data section and Click Ok Type in Patient ID and Click Ok The system is ready to capture an image The system is ready to capture an image 4 Capturing images using J oystick on the Fundus 4 The window displays a live video image Camera The captured image appears in the window Push the foot switch to freeze the image VK 2 automatically saves the image Push the foot switch a second time to release and view the live image C i j y fg ane jape te te kapia Firth Te Rowe Tes tae Additional frequently used functions 3 5 To save an image Click the SAVE button on 5 Change to maximum window size the command toolbar while the live image is frozen Additional frequently used functions 6 View the previous image 7 View the previous image 7 Print out the image 8 Print out the image PURO eee
29. Open KOMIT Image Open dialog window lists the files in the current folder 2 Select the drive and folder where is image is located Select the image you want to open 4 19 Open Previous Komit Database VK 2 supports the database saved using a previous version of Komit software Insert the previous version CD into the appropriate drive before you begin your search 1 Choose File gt Open KOMIT Database 2 Select the drive where the database is located select the database you want to open 18 4 20 Open from Archived Media VK 2 supports to read the image data from the Archived Media that other VK 2 system captured Insert the Archived Media into the appropriate drive before you begin your search 1 Choose File gt Open from Archived Media Or Click Open Archived Media on Advanced Search List 2 Double Click the Patient ID on the list to read and display the image Archived Media x FIn Sep lt Double Click the items below and you can see the images gt pooo Patient ID D 4 2000 03 30 abcd 2000 04 05 3675 420000330 2000 03 30 44578 2000 04 05 Print Multiple Image Open KOMIT Image Check KOMIT Database 45667 2000 04 05 520000330 2000 03 30 533245 Flovel Taro 2000 04 05 53356 2000 04 05 5544 2000 04 05 556344 2000 04 05 57785 2000 04 05 62245 2000 04 05 6789 2000 04 05 720000330 2000 03 30 7665 2000 04 05 820000330 2000 03 30 Open from Archived Media Exit 4 21
30. ack Database Archive Help Edit DatalPatient Information Open D atabase List Delete Databasedimage Data Delete D atabasedl mage Switch to Detail C atabase Capture Capture FES AN Do you really want to Delete bath Database and Image AN You can not restore image forever Do pou really delete Passward Input Password Le ca Be careful The deleted data never restore Note Do not use this method Usually use 8 6 Delete Archived Image from Hard disk method 53 8 7 Read image data from Archived Media When you perform a search for patient information that 1s not on the hard disk or is located on both the hard disk and on archived media a dialog window appears requesting where to access the information Select one of the following options to indicate where you want to access image data The Data Exists in Another Archived Medial Read from Only Hard Disk not Read from Archived Medial Restore the Archived Data back to Hard Disk Archived Disk NO 3 gt Read from Only Hard Disk not Read from Archived Media Select this option if you want to display information from the hard disk only If none of the image data is actually located on the hard disk an image will not be displayed in the Capture window gt Read from Archived Media and Hard Disk Select this option to read information from both the hard disk and from archive media Insert the archived media as indicated in
31. ariety of tools for helping you analyze and edit your images You access these tools Image Processing Toolbar Most of the tools you need are located on the Image Processing toolbar for easy access To display the toolbar click on the Image Process button in the Command toolbar D Loop TEMP UNDO loRIGIN Each button on this toolbar will modify the displayed image only The original patient image will not be modified 5 1 Sharpen Image The Sharp tool improves h clarity and definition of the edges of the image Click the sharp button to sharpen the image You can change the level of sharpening applied to an image bv choosing from the menu bar Image Proc gt Sharp gt Light Medium Strong Light Noise Reduction Mediurn Enhance d Strong 5 2 Gamma Process Gamma Change the Gamma curve of the image You can set the gamma curve as you like selecting the curve and move on left click of mouse File Edt View Setting Capture Image Proc Database Archive Help lt Clear Point gt Clear all set point lt End Point gt after Clear Point and right click on the chart to set new points After setting new all points click End Point to show a new graph lt Save Point gt Save the current curve setting lt Load Point gt Load the saved curve setting Clear Point t Load TT Save Setting ouat In menu there are three fixed types of Gamma curve preparing from the menu gt Expand t
32. ay a list of records associated with a specific patient ID 1 Enter patient ID or name or only beginning characters in dialog box With Using you can see the candidate of the list ex Barker gt Bob Barker 2 Click Start Search A list of patients that match the search entered in the ID or Name field are displayed in the list window and sorted by the ID or Name 3 Click on any field to select a patient record A list of all records associated with the patient ID is displayed in the lower window The patient records are grouped by date and archived disk number If the patient has multiple data sets with the same date and disk number they will be grouped together in one line in the lower window 4 Double Click on any field in the lower window to select a specific patient record to view The last image of the record is displayed 5 Click on the Multi button to display multiple images on the screen To display a list of all patient sessions performed on the current day 1 Click Today button A list of all sessions taken on the current date is displayed ID TYPE Reset to complete patient ID list Search from Patient Id and Name Only beginning characters Display list of sessions taken on the current day A N e Enter Patient Id or name to display A list of images e Click Start Search button e Or click on Today button To show all images captured today Click to show the details Sorted by date and Archived disk
33. blue levels of the image File Edt View Setting Capture Iriage Proc Database Archive lt Shows the gray level at mouse position r BRIGHT afos m fe Adjust the level of brightness DAR p Display the RGB bar A Adjust the RGB levels G 5 6 Analysis of RGB color b You can view the individual color components in the image with the Red Green and Blue buttons e Click the Red button to view only the red color component in the image e Similarly click the Green or Blue button to individually display the respective color components ii 5 7 Negative Image NEGA Click on the Nega button to view a negative of the image 5 8 Flip Image u0 L R To flip the image n the vertical or horizontal direction 1 Click on U D to flip the image vertically top to bottom along the horizontal axis 2 Click on L R to flip the image horizontally left to right along the vertical axis 5 9 Zoom Image lt 00 The Zoom tool magnifies the image view Click the Zoom button Cursor will change to a 2 Click on point of interest in the image to magnify to twice the size 28 GER 5 10 Measure Length LENGTH To measure the relative length between two points 1 Click the Length button The Length dialog box appears 2 Click on one endpoint of a segment of interest and move mouse while holding down left button The length of the segment is displayed in the dialog window in the Length box To measure another segment
34. click on two more points 3 Click the End button in the dialog box The value of the last segment measured is automatically displayed on the image e LENGTH relative Move mouse while holding left button ACeevS 50 Setting gt gt Other Setting gt gt Set Length LENGTH 2200 2 299 mm 1 4 disk You can change the basic length of Disk n ry Default disk size is 1 6mm Disk Ott Basic Disk Size 1 6 mm ar 35 T E 7 O o oes Car ee iti You can measure the length betw But cannot record the value of length on the image To record the value select one image Show two images and Click the Length button If checked the mark in lt Disk Off gt The circle as reference disk size is not shown 5 11 Measure Cupdisk Rate There are two methods to measure the cupdisk rate One is to use area the other is to use length You can set this method in menu Setting gt Option Setting Check mark Use length when measuring cup disk gt Length method Not check gt Area method Archive drive COM port coM2 fa a W List gt Name mode Search gt Multiple view N European Date DOMM rY w Use length when mesuring cup disk M Link to other Dbase system Use last hard disk for backup 29 5 11 1 Area method To measure the cup to disk ratio 1 Click the Cup tool The Cup Area dialog box appears Move the mouse around the cup area clicking 12 points t
35. e for comparison 1 Display patient image 2 Click Temp button Reference image is displayed beside patient image 3 Double click on patient image to close reference image Capture File Edit View Setting Capture Image Proc Database Archive Help Double click here amp a 4 y amp to change the reference image ws WwW N E l Double click here to close reference image Double click here to change the reference item ImageInfo PatientID 100 Name Komit Tom Note Change the content in ele tle m Q Q E amp s GREEN BLUE NEGA U D L R ZOOM LENGTH CUP ANGLE TEMP UNDG VK 2 Temp on the desktop to show the text under the number a Click this button to compare the image with the reference To add a new reference image Display the image you want to use as a reference From the menu choose Capture gt Register EAN Capture Image Proc Database Archive He Reference gt Reference a Input Data Search ID Edit Data Prev lt Next gt Register Reference gt Reference 1 Reference 3 Reference 4 Reference A To delete a reference image Select the image to delete with a right click of the mouse and choose File gt Delete Image Capture File Edit View Setting Capture Image Proc Database Archive Help Delete Image Save Edited Image Copy Image to Floppy Copy Selected Images to Folder 32 Ne
36. ears Patient ID 2 Input the Patient ID number by clicking the figures on the display or by typing on the keyboard Patient ID may consist of a combination of numbers letters and symbols For example 108 1 3 Type in patient name Note Patient name may be changed at a later time using the Edit Data button 4 Enter other information if you need Doctor and Diagnosis name are automatically saved in a pull down list for easy access 4 2 2 lt NAME TYPE gt 1 Click the INPUT DATA button to enter patient information The patient information dialog window for Name appears Central Retinal Artery Chalazion Diabetic Retinopathy 2 Input the Patient Name by typing on the keyboard 3 Enter other information if you need When you don t enter Patient ID ID is assigned automatically Note You can choose either type lt ID MODE gt or lt NAME TYPE gt See 4 27 Choose Input Data 5 4 3 Search ID 4 3 1 lt ID TYPE gt 1 Click the SEARCH ID button to search images from the database SEARCH ID PELLE 2 Enter the Patient ID and click Ok A list of sessions associated with the Patient ID is displayed 4 3 2 lt NAME TYPE gt 1 Click the SEARCH ID button to search images from the database SEARCH ID PACOCCONODNE 2 Enter the Patient Name or Patient ID and click Ok You just input either one Click Advanced Search to jump to Id List Command window see4 9 Advanced Search
37. edia appears 2 Input the disk NO to archive again and click Ok Archive Help Stark Archive Delete Anchived Data Hard Disk Clr All amp Init Archive Flag Make the Same Archive Media Maintenance Hake the Same Archive Media E4 Input Existing Archived lt DISK NO to Create Another f Cancel Under DirectCD software it is possible to copy the data from CD R in CD ROM drive to new empty CD R in CD R drive 8 9 Restore Patient Data from Archived Media When a hard disk crash occurs patient data may no longer be available on the hard disk You can restore patient information from your archive media 1 After repairing or changing your data drive insert the last archived media and copy all the data in the archived media to your hard disk You may copy other archived media as needed from older media small number media 55 9 System Setting Video input setting disk setting and figures of hardware connection Refer to another INSTRUCTION MANUAL Connection Manual Kowa Company Ltd Life Science Division No 4 14 3 chome Nihonbashi Honcho Chuo ku Tokyo 103 8433 Japan Cable Adress MOUNDKANEKA TOKYO Phone 3 3279 7312 Telex KANEKA J22938 Fax 3 3245 1109 Kowa Optimed Inc 20001 Si Vermont Ave Torrance CA 90502 U S A Phone 310 327 1913 Fax 310 327 4177 e mail ophthalmic kowa com 56 gw tle WINE N OA T V Berlin 7 Minny gt 0091 906
38. eer Archie Hep LIM x nisi 6 E p as DAA J BRT cancEL AGB gt sfelnio Paen KAAS Hame FCSN Dapa fe DE Yew jey eim kapia oime hies jiy iil SHARP GAMMA ENHANC CONTST BRIGHT 4 E UNDO ORIGIN 36 Special Functions 5 25 Stereo Viewer The stereo viewer button would appear only when the patient data has the stereo image How to get the stereo image refer to 4 34 Stereo assist Click stereo button and the stereo viewer 3D Para would appear 1 Click one point on the almost the center of the optical nerve head HER File view Help File view Help Left Click one point at the same partern in each image Recommend to set the point of blood vein in the center a E lt gt e WE K a 3D 200m 0 CLEAR aia Tay X REVIEW VIEW MODEL BTEREO STEREO eaicHT ESIGHT POSITION e ee zom REZ I clear REVIEW VIEW MODEL BIEREO STEREO A t BRGHTI POSITION 2 Click VIEW button to change to the next image 3 Click one point on the same position of the previous image 4 Click STEREO button to show the stereo image When the positioning is not good click CLEAR POSITION and try to set the point again When click ZOOM STEREO button the image size gets big Push the arrow key such as in the keyboard to change the position of the center Push the PageUp or PageDown key to magnify or reduce the
39. elp insga iro Patent ID 10 Hare Tom omit 5 22 Magnifying Glass Left Click and Move mouse on the image The Magnifying Glass with auto bright processing is shown Release the mouse to remove Capture File Edit View Setting Capture Image Proc Database Archive Help To permanently display Magnifying Glass Right click on mouse before releasing 35 5 23 Auto Enhance Multiple Display After showing multiple images on display Push lt F12 gt key The image would be adjusted to proper contrast Caplure Fie Edt View Setting Capture Image Proc Database Archive Help Fie Edt View Setting Capture Imeoe Peo Deebaie Aechive Help Imageirio Paberk ID 12345 Name Tom Kort 2A Imagelets Patient 12345 Man Tomkemi Anto Erihamen OM fine ha vis The message Auto Enhance ON slow to view appears on the taskbar When this auto enhance function is on the processing speed would become slow Before capturing image Push lt F12 gt key again to set back to default 5 24 Each Enhance Function After showing multiple images 2 4 6 9 multiple mode on the display select the image to be modified at right click on the image The selected image is surrounded by the blue rectangle Click image processing toolbar you can modify the selected image This function is available at Sharpen Gamma Enhance Contrast Brightness R G B free Nega Up Down and Right Left process File Edt View Soling Cantus fmagePene Diaiat
40. gative Zoom POT Image Processing Menu Functions 5 17 Merge and Subtract Template i You can merge two images together and then subtract one image from another using the merge function VK 2 will align and merge two images based on reference points you ve chosen 1 Display two image and choose from the menu Image Proc gt Merge Click two points on the left image Which can easily be remembered 3 Click near the same corresponding points on the right image VK 2 locates the point in the right image that most closely matches the point in the left image The merged 1 images are displayed en en i chl evr s a ea firs a B le m Eml R r 4 Click Subtraction button to subtract between two images 5 Allows you to change the rate of each image with the slide bar Note With certain images VK 2 may not be able to find a corresponding point in the designated region in the second image In this case the merge function cannot perform properly and the resulting merged images will be of poor quality You may select the exact points on which to align the images by repeating the above steps except hold down Adjust button or Manual Position button Merge Rate x Merge Rate Image 1 59 Image 2 Image 1 E Image 2 Substruction OK Substraction Adjust Manual Position Rotate Capi Magnify Move Rotate Magnify manually 33 5 18 Noise Reduction The Median or Average filter allows you t
41. he black level PRESSE g Expand the white level ieee Negative Merge 26 5 3 Enhance Image Use the Enhance button to better visualize subtle gray level changes in the image 1 Click Enhanc The Enhance window appears 2 Do one of the following e Slide the bar to set the window levels Click Ok e Click on a desired point in the image to automatically adjust the tonal range based on that point Click on a point in the image Other options for enhancement are available in the menu Choose Image Proc gt Enhance gt Enhance2 Cote eee File Edit View Setting Capture mage Proc Database Archive Mote Reduction amp AEREN Enhance Enhance 1 Edge Enhance 2 Pat Pat Strength a Paz Pa5 Center ns f DAE REN DAA DAA MA IAA DAA MENEAME AMA PANTAIA INA IIA NA NAA NRA WA WAWA W i Paal Pat 27 5 4 Contrast contet When working with an image that is dark or has poor contrast click the Contst button to automatically adjust the contrast 5 5 Brightness To change the brightness of an image 1 Click on the Bright button The Bright dialog box appears 2 Move the mouse over the image to display the gray level at that point in the image 3 Do one of the following e Adjust the level by clicking on the Dark and Brt buttons in the dialog window e Click the RGB button in the Bright dialog window to display the RGB sliders Use the sliders to independently adjust the red green and
42. image Click BRIGHT button to make the image brighter Mey 2 s Recommended position of the click point Optic nerve head picture Pm l RESET CLEAR RIGHT BRIGHT POSITION About positioning between each image In menu View gt gt Setting gt gt Invalidate Auto Position get rid of the check mark Invalidate Auto Position the positioning process is half automatic to shift the best position between each image after pointing roughly Usually need to set the exact points between each image 37 5 Click 3D Model you can see the virtual 3D model While holding right click button of the mouse move the mouse and you can revolute the model of the image as you like While holding left click button of the mouse move the mouse you can move the position of the image File View Help File view Help Addition When you use the stereo assist function refer to 4 34 Stereo assist of VK2E the shift direction of the stereo information is saved automatically You can input this shift direction manually as follows 1 Show the stereo image on the display and click Edit Data button 2 In the Patient Information box there is the item Comment 3 Type stereo 1 or stereo_r in the comment and click APPLY 4 After inputting both stereo _1 and stereo_r in each stereo image 5 Read the patient data again by Search ID 6 You would c
43. image quality is not good a 4 6 Frame Size lL The frame size button allows you to increase or reduce your view of the image To change the frame size click on the frame size button For an image from a digital camera the view changes from fit to screen to actual size To scroll the image do one of the following Use the scroll bars to view portions of the image that do not fit in the screen Or Position the pointer over the image Then hold down the left mouse button as you move the pointer The image moves with the pointer 4 7 Image Process Le Click on the Image Process button to display the image processing bar as shown S Z 12 4 Non Check Horizontal l bE Ee eee bee ee Der Se Hi Ld SS AB TAs E Ema janmm beer ps ajavia I l jejte B he phe dow Choose Setting gt gt Other Setting gt gt Vertical type image controlbar Setting Capture Image Proc Database Archive Help Input amp Trigger Setting d Input Video Setting d Setting for Digital Camera F Option Setting set Fight Click Mode Other Setting Speed Set of Slideshow i Printing HeaderFooter Clear Image atter Database Proc Multi Select Image Number Invalid Auto Monocrome with Timer Prohibit Ho Patient ID Virtical type Image Controlbar gt Tefolo a L3 l Ral P Bai ff _ i E 2 When you change this setting need to exit and re start VK 2 a
44. ing Comments 3 xi Kowa Digital Imaging System Header Kowa RC V3 FA Color Kowa Optimed Inc Torrance Footer CA 1 800 966 KO WA A Print out Header amp Footer Mask of background from black to white Teaseeeeenensecensneaeencnesesseasveeeeeeeeneeseaeseeneseasussenunsnseeanenteennensespaseaseand Cancel Change Row CTRL Enter Key Erri Kcr IRL igit 602 11 15 1A De This white mask process sometimes fails when image quality is bad too dark or when black level is floating When some character information is on the black mask this process does not work correctly 23 4 33 Show the date list You can export the patient list of the specified date as text file Choose Database gt Show print list each day Select the date you want to get and click OK the date list including patient information would be shown as text file So you can print out and if the array is disorder you can save this file to the floppy and carry to other PC installed Excel application and at the Excel application open this file as delimiters TAB File Edit VISIA setting ae Image Pro gt Data base Archive Help a November 2001 Sun Mon Tue Wed Thu Frio Sat z8 329 30 J 1 2 3 4 5 6 Fi a 9 10 Ai 12 13 14 15 16 17 18 19 20 Al 22 See A4 25 26 27 28 29 30 2 3 4 5 6 T g 11 2001 Cancel Daylist txt Notepad txt Notepad File Edit Search Help ID Patient Name First Visit Gender Birtl
45. l view images are square View Setting Capture Imag w Toolbar w Status Bar Image Controlbar Video nputbar Show Text Info Setting Test Info d w Show Square images 4 25 Compare two images Another method to compare two images with using Multi method Copy to Clip Board 1 Display the first image and modify in the image processing Input Text 2 Choose Edit gt Copy to Image Memory 1 to copy Copy to Image Memory to the temporary memory Edit View Setting Capture Ima Show Image Memon amp This Whdo liege Edt View Setting Capture Ima 3 Display the second image and modify in the image processing oe see 4 Choose Edit gt Show Image Memory amp This i Copy to Image Memory Two images appear on the display Show Image Memo amp This Undo age 5 Double click on the image to show back to the second image 4 26 Prohibit No ID Images e Choose Setting gt Other Setting gt Prohibit No Patient ID Setting Capture Image Proc Database Archive Help from the menu Click on the check mark to select or deselect ee tS SE Checking mark on gt invalid to capture image Option Setting without Patient ID a Speed Set of Slideshow gt No mark gt Available to capture image without Patient ID MultiSelect Image Number gt Clear Image after Database Proc Invalid Auto Monocrome with Timer Prohibit No Patient ID 20 4 27 Choose Input Data Type e Choose Setting gt Option Se
46. o define the edge The area of the cup is displayed Maximum points are 12 points By clicking End button you can select less than 12 3 Move the mouse around the disk area again clicking 12 points to define the edge The area of the disk 1s displayed The cup to disk ratio is displayed in the dialog window 4 Click the Ok button to finish The ratio is automatically displayed on the image CUP AREA 1 Click 12 inner Points in order O points 1 END 2 Click 12 outer Points in order jo points 26 ND Clin 39677 Dfout 152634 C D rate 0 25995 Sqrt C D rate 0 50985 5 11 2 Length method To measure the cup to disk ratio 1 Click the Cup tool The Cup Area dialog box appears Click on one endpoint of a segment of interest and move mouse while holding down left button Click on another endpoint and move mouse while holding down left button 4 Click the Ok button to finish The ratio is automatically displayed on the image File Edit View Setting Capture Image Proc Database Archive x Clin 283 Dfout 21 C D rate 0 54309 OK Cancel 30 5 12 Measure Angle ANGLE To measure an angle in a region of interest 1 Click on the Angle button The Angle dialog window appears 2 Define an angle by clicking on three points in the image The angle value appears in the dialog box 3 Click the End button when finished The value is automatically displayed on the image Capture File Edit View Setting
47. o reduce the noise in the image You can apply a Median filter by choosing from the menu Image Proc gt Noise Reduction gt Median You can also apply an Average filter by choosing from the menu Image Proc gt Noise Reduction gt Average Noise Reduction x i Median E Enhance eee 5 19 PDT Function You can select and draw the part of PDT 1 Display one image and choose PDT function from menu Image Proc gt PDT 2 PDT dialog appears 3 Draw the line on the image while holding left button of mouse 4 If failed to draw try to draw again 5 Click Calculate button and circle is drawn 6 Click OK button and new outer circle outside of about 1000um of the circle is drawn 34 Image Processing Mouse Functions 5 20 Enhance part of the image Double click in an area of interest on the image A section of the image is enhanced 5 21 Analisys of gray level You can view the change in gray level along a horizontal line across the image Gray levels range from black to white with black being the top values on the graph To temporarily display the gray level 1 Right click and hold on a selected point in the image to display the gray level along a horizontal line enabling you to see the change in levels across the image 2 Release the mouse to remove To permanently display the gray level Repeat step one above but left click on mouse before releasing Fie Edi Yew eting Coptue Image Pios Dasbme ghee H
48. om the menu Setting gt Set Right Click Mode gt Select Copy SS 8 h E EE Setting Capture Image Proc Database Archive Hi MegaPlue1 6i COM3 gt COM1 Input amp Trigger Setting Use onginal image in thumbnail up disk Setting for Digital Camera F Option Setting Set Aight Click Mode if Export BMP file not Jpeg file Select Delete Other Setting Select Print Multi Select Image Number F Erai tea ite all In Menu Setting gt gt Option Setting Check the mark in Export BMP file and the image is exported as BMP format 2 Use the Multi button to view multiple images see Multiple Image section Select the images to copy by a right click of the mouse COPY appears on the image Capture File Edit View Setting Capture Image Proc Database Archive Help 3 Choose from the menu File gt Copy Selected images to Folder oD aalbe beer ajx 4 Select the folder to copy and Click OK Save in A My Documents ze EL CF EB The selected images will be copied to the folder g My Computer ci 3 Floppy 4 cs WINME_ENG C ce DATA D c DEY E E BACKUP F cs WINXP_ENG G amp 02031 4_1848 H amp Compact Disc I 2g My Network Places g i e 4 18 Open Previous Komit Image VK 2 supports files saved under previous versions of KOMIT software Insert the previous version CD into the appropriate drive before you open the image 1 Choose File gt
49. onfirm the button STEREO at left side Eye Diagnosis DEL oA 0 L Comment 38 5 26 Red Free Filter Processing When you use Kowa fundus camera with Digital Camera KD211C KD630 D2H Red Free Filter is inserted the image would be changed from green color image to B W image automatically with software red free reorganization algorism 5 27 Electronic 30 degree image capturing available for VX 10 KD211C KD630 supports 30 degree function for capturing macular gt When selected 30 the original image is saved in 30 degree size In order to show this 30 50 button check the mark in menu Setting gt gt Input amp Trigger Setting gt gt Permit Setting and select Setting gt gt Input amp Trigger Setting gt gt Edit Setting Check the mark lt Show 30 deg VX 10 gt Ty fo oe ie al we oes C DIGITAL ED 211C BAw 10bit only Delta C DIGITAL KODES0 v4 10 W Show 30 deg 0 10 39 6 View Database The List of Patient ID window allows you to access patient data cards and images Note Only English character ts available to read and write in this part 6 1 List of Patient ID Open Database Window Database Archive Help From the menu choose Database gt Switch to Detail Database mre 4 Wi Dae Pakent e The List of Patient ID window appears sts a naran Switch to Detail Database To return to the Capture window Click Back to CAPTURE
50. pplication Refer to the Image Processing parts section for further details gt 5 Image Processing 10 a 4 8 Edit Data DATA The Edit Data button allows you to view and change patient information Click Edit Data to display Patient Information dialog window Driginal ID 1234 ane Enter information in the dialog box DATE 03 27 00 du 7 e Changes to name sex lo male female and birth date will m EE appear on all the images oni osm for that patient ID DOCTOR DEL e Changes to eye direction and comment will only appear on current image COMMENT APPLY mage Info Patient ID 1234 Name Tom Komit f When you only change Diagnosis or Doctor the below message appears v About Diagnosis or Doctor Change only this image Change ALL IDENAME Note Original ID entered in the Patient Dialog before capturing cannot be changed permanently 11 4 9 Advanced Search List OPEN LIST 4 9 1 Advanced Search ID List The ID list allows you to perform a search for patient records by using patient ID and name or by date The Database List dialog window displays a list of all patient records sorted by ID number To open the database 1 Click the Open List button from the Command toolbar Database List dialog appears 2 Or click on the Advanced Search button in the Search ID dialog window see Search ID section 3 Scroll through the list to locate a specific patient ID To displ
51. re of this Archive method 7 ene Disk Hard Disk 4 ere rae rar ary ais ata Raia hacia haa hacia hia i os f ate BEEE r 4 HHHH oo r Pee he we Bre ee eer er per ee per err te pi E er re nann ae Free Space EEEE ETEF GEE DERE GEE CERO GEE CERES OEE EEEE CeCe eee eee eee Pi E EE EEEE i after Delete EERE EEE r D EEE ee rere ct etchetee eee etch Sees EE EEEE EEEE AEE EEEE EEEE EEEE z So i Require to Delete Archived Data ae a When the free space is less than 15 Archived Media CESS iC SS Disk 1 Disk2 Or Choose Archive gt Delete Archived Data Hard Disk Select Rate to Delete Original Data from Hard Disk which already Archived ALL ae 4 oe Archive Help Start Archive Cancel Delete 4 rchived Data Hard Disk Maintenance 52 Cf Delete Image and Database at a time 8 6 Delete Archived Image from Hard disk is the delete way after archiving to the backup media But the system does not archived drive and user does not have to stock old data When data disk is full you can delete old data from the first to the middle point and maintain the empty area But the deleted data would be diminishing permanently and never come back Choose Database gt Delete Database amp Image Data gt Delete Database amp Image Pass two messages YES and input password vk Select rate to delete from old data The deleted data never come b
52. the message window into the appropriate drive The Capture window will display images from the hard disk and from the archive media Zf VK 2 does not find the requested information on the archived media the system will use images from the hard disk only gt Restore the Archived Data back to Hard Disk You may need to copy patient data from the archive media that has been deleted from the hard drive Insert the Archived Media indicated in the disk No and click Ok IN Insert Disk No 3 After Loading Click OF If the patient data is located on separate media you must first copy the information from each media to the hard disk to read the information Follow instructions that appear on the screen Capture IN All the Datas are not inthis Diskl gt Do yo wantto Restore Data from 4Arhived Media to Hard Drive Archived Media Mo 3 No 4 Captus Capture IN Insert Disk Mo 3 After Loading Click OF AN Insert Disk NE 4 After Loading Click OF 54 PatientiD Date Disk No __ 10 3 brw Check the Archive Disk No in the Database List 8 8 Copy Archive Media You can make a duplicate copy of archived media This process is only available when the data has not been deleted from hard disk If the data is not in the hard disk copy the data directly in Windows File Copy method 1 From the menu choose Archive gt Maintenance gt Make the Same Archive Media The dialog window Make the Same Archive M
53. tting from menu Check mark on List gt Name Mode Name Type List Name orders list Set drive r Card reader Bar code DATA drive ID Start pos 4 7 End pos fit Take off mark on List gt Name Mode ID Type Permit to Change NAME Statpos 12 Patient ID orders list End pos 24 Archive dr COM port KEYB E IV List gt Name mode 4 28 Set display mode after searching F Search gt Multiple View e Choose Setting gt Option Setting from menu J oseese hard disk far Dackiun Check mark on Search Multiple View After searching data 16 multiple images are shown from the first one Take off mark on Search Multiple View After searching data the last image is shown 4 29 Footer and Header for Printing When printing print out the information with images e Choose Setting gt Header amp Footer a Kowa Digital Imaging System from menu VK2E Font Size Heade KOWA VETO FA Color a Printing Comments h Check mark Print out Header amp Footer and Kowa Optimed ne Torrance 2g l Footer CA 1 S00 966 KOWwAl printing style is changed Kowa Digital Imaging System We Print out Header amp Footer Mask of background from black to white Komit White Mask after editing Kowa RiC VS FAfColor i Thumbnail Square Print 100 Cancel f Change Row CTRL Enter Key Patient Mame komit Tom Take off mark on Print out Header amp Footer Dzj
54. ve to save a captured image to memory when using the Capture Image button as described above Note images are automatically saved in the Fundus Capture mode 4 12 Print Out PRT Print out image or images shown in the capture window to the specified printer Print out 1 image E p Or print out 2 4 6 9 or 16 multiple images on a single page 15 Operation of Menu Functions The following functions are located from a pull down list in the menu bar 4 13 Select Print Out The Select Print Out command allows you to print a selected set of images from the multiple image display Important the printer settings must be set to bi directional support and the time out to maximum time allowed 1 Choose from the menu Setting gt Set Right Click Mode gt Select Print 2 From the multiple image display select the images to be printed by right clicking on each 3 Click Print Out button from Command toolbar 4 14 Delete Images To delete a single image 1 Display the image to be deleted 2 Choose File gt Delete Image from the menu A warning message appears 3 Click Ok File Edt View Setting Capture Image Proc Delete Image Save Edited Image Copy Image to Floppy Delete one image Click OK and the image will be deleted tage inde Pei TOU Fies Toe Faced To delete several images or a single image from a multiple display 1 From the multiple display right click on images to be deleted

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