Projection Perimeter EPR-3600 Ezer
Contents
1. Auto Delay Off Cancel And then click the testing dots you want to choose directly as shown below 32 2 Several important programs and parameters of visual testing First choose a Testing Program threshold test screen test special custom Once the program 15 selected go to the Parameter to choose a Strategy full threshold auto threshold fast auto threshold accordingly 4 Operation Step The patient s preparation The doctor s Preparation Patient s examination Treating after examination Print report 5 Doctor s Preparation 5 1 Power on the perimeter and Enter into the perimeter system as the way 5 2 Notes After powering on the perimeter it will take 3 4 minutes for a self checking by running the stimulus lights automatically This will guarantee the test accuracy Do not treat it as an 33 system error and do not enter into testing procedure while self checking in processing the system will not run correctly Enter the testing only after self checking finished 5 2 Input the patient s information 5 3 Operator should inform patient the examination process before the examination 1 The patient should be familiar with the responder demonstrate him the right way of responding the way of clicking the responder and make him relax as soon as possible 2 Demonstration him the fixing sight 3 Cover the patient s eye which will not be tested with an ey2. Circle Method One Stationing the test dots as with circular Click 55 5 E to input the inner circle and external circle scope and the space between dots the unit will be the centrifugal degree after input all these information the dots will be generated automatically as following Create A Circular Test Kange Excirck30 2 Inner Step Method Two Stationing the test dots with rectangle Click Rectangle to input the coodinate degree of opposite angles of the rectangle and the space between dots the unit will be the centrifugal degree after input all these information the dots will be generated automatically as 31 following Method Three Input the coordinate degree inside of the X and Y coordinate bar directly the unit will be the centrifugal degree after input the coordinate degree click as following 11 11 12 12 8 15 15 23 23 21 21 10 10 13 TF m er e Delete e Insert Method Four Click setting test scope first and then the centrifugal degree of test scope Param Setting Commonly Used Parameters Control Range 30 Dot Number Center Point Detection Strategy Short Wave Detect Off The Initial Strategy Age Related Fixation Mode Center Point Stimulation Color White Fixation Loss Monitor On Blackground Color white Eye Move Alarm Mode Action
3. Install operating system for computer we suggest to use Windows XP Professional Win7 If software cannot be identified automatically please continue to finish the installation manually The drive program 15 located in the file our software disk provide Install 2860 video capture drive program the drive program located in file our software disk provide 27 Chapter 4 Function of software 1 Main function of software 1 Visual Checking The main functions of this module are for visual checking statistic analysis of the checking result storing the data and printing 2 2 File Management The main functions are file searching report comparison and printing document deleting Launch 1 Start Double click the icon of perimete on desktop 2 Start and close software 2 Close Click on the icon of which locate at upper right corner 3 Introduction of the Operation System 1 There are five interface of EPR 3600 software Te Quey Gon 4 Bis m a 3 3 NG gt a BID 2 i D ad Bi now ae nnan Nsme 4 De 5 5 M N my 21340227003 Lr PR 21140127004 Let aman AMANG Let z 5 211401327012 Lt agrei 2114012100 Lot Demon Tanan 4 4 d
4. 1 1 4 6 1 1 1 21 4 1 g MD 55 PED 355 Poor amp PaesisimbelEye 21740720002 Let 3D Image preview Soc Feuso Age Dt Program 22 2 3wwp3y Throitod Sine wee Tor ml Home interface 28 Interface Bar Back to Home interface Back to Examination interface User define test interface Printing System setting and About us Q Z O lil Patient info area Recheck the same eye of same patient Edit Delete Selected patient data All patient list Last record p ED CEN LE 2 Waiting area Register new patient Start check Edit Delete 2014 03 28 11 04 28 Sunkingdom Med Monitoring Window E Save Report n Parameter m Program Select C Test another eye a Diagnosis Chin Rest Control False Neg Fixation Lo Check Tim Pupil Diam Cursor Sizd Program Strategy to Threshold Sees ae aaa Mag danses sm o Moa 40 7 Camere tnumber 201 40327008 Patient name yolanda yolanda01 Sex FeMale Age Lett Device Connected Testing interface NEW Auto pupil monitoring The system will adjust the chinrest automatically according to pupil monitoring Doctors do not need to monitor the whole testing after star
5. PERIMETER Operation Manual Preface Dear Users Thank you very much for choosing EPR 3600 automatic computer perimeter manufactured by us For your security and benefit please read the lt Operation Instruction gt as well as all the datum of the instrument carefully before using it If you do not operate the instrument according to the Operation Instruction we shall not take any responsibility About lt Operation Instruction gt of this Instrument The copyright of the operation instruction belongs to us We have the right of interpreting and revising this operation instruction Content Chapter 1 Summarize co ua PECES PUR cen poe ne nen dee dnte dd rS qur RES 4 Chapter 2 Technical parameter Ceo ERO ha a VERON GR pM aig aR Chapter 35 punk BKA a hee es TUAE OR CR IR eae SS 15 Chapter 4 Software Eunctlh aah KAAGAD KALAMANGAN DADAANAN UST 28 Chapter S 6 23 56 edens dto wed nid eo ae WG adeo hans mad ated oad 50 Chapter 6 Declaration dendo Ur os ca eae eke 5 Chapter 1 Summarize 1 Brief Introduction Projection perimeter adopt the advantage of international advanced model projection working mode with wide testing range 0 90 It has the characteristics of full function high precision and speed Besides the above characteristics the whole system also has the characteristic of hig
6. Groups Performance Logs and Alert 2 Device Manager 53 Storage This wizard helps you install software for Removable Storage USB Device Disk Defragmenter Disk Management Services and Applications D If your hardware came with an installation CD or floppy disk insert it now What do you want the wizard to do 9 Install the software automatically Recommended fu Install from list or specific location Advanced Click Next to continue 6 A window pop up like bellow select Continue Anyway Hardware Installation AN The software you are installing for this hardware UCAP2820 Video has not passed Windows Logo testing to verify its compatibility with Windows XP Tell me why this testing is important Continuing your installation of this software may impair or destabilize the correct operation of your system either immediately or in the future Microsoft strongly recommends that you stop this installation now and contact the hardware vendor for software that has passed Windows Logo testing 7 Click Finish to end the installation 21 Hardware Update Wizard Completing the Hardware Update Wizard The wizard has finished installing the software for 39 UCAP2820 Video Click Finish to close the wizard 8 Image shows like below means the driver installed successfully g Computer Management Seles mj File Action View Window Help TEATRA Computer Managem
7. and the age corrected normal sensitivity from the perimeter s internal normative database at each tested location of the visual field 6 Pattern deviation PD The localized loss at each tested point after the removal of the effects of any generalized loss pattern deviation decibel dB values are the total deviation values minus the general value 7 Pattern standard deviation PSD It is a measurement of the degree which the shape of the patient s measured field or hill of vision departs from the NORMAL age corrected reference field model The value is expressed in decibels and any value of 2dB or greater will have a P value next to it indicating the significance of the deviation 38 8 Glaucoma Hemifield Test GHT It is for automated evaluation of single static threshold visual field test results in glaucoma It is also constructed to detect field loss that is symmetric around the horizontal meridian Outside normal limits The GHT 1s described as outside normal limits when differences between a matched pair of corresponding zones exceeds the difference found in 99 of the normal population or when both members of a pair of zones are more abnormal than 99 5 of the individuals with the normative population Borderline The GHT 15 described as borderline when matched pairs of zones are abnormal at the 97th percentile within the normative database General reduction of sensitivity Visual Fields VF are desc
8. astigmatism will need to correct their diopter before starting the testing our perimeter set trial lens holder for this function Click on the icon of 6 and inputting patient s real refractive diopter then click on the Auto Calc to get the corrected lens you need to put on perimeter trial lens holder Auto Calc sphere Cylinder Axis Left For example if we inputting 5 0D under Sphere of Right eye click on Auto Calc the system will generate the corrected lens need to adapt for patient 1s 1 75D Doctor should test the patient with a 1 75D corrected lens 6 2 After save patient data you can find the patient record at Waiting Room Waiting Room Nene PatentrurbelEye yolanda yole 20140327009 Left yolanda011 20140327011 Left Agnes Zhao 20140327013 Left agnes agne 20140327014 Left agnes agnes 20140327015 Left Click on the patient colume you wish to enter and click on Qi enter the testing Interface The default testing program 1s 30 2 and strateev 1s auto threshold if you want to change to other program click at the um Program Select select the program 35 you want to use as following image Select Program Threshold Screen Speciel Custom Nasal step Or if you want to change the strategy click at Param Setting Common Range Dot Number Strategy Full Threshold Center point detection Off DE Full Threshold Th str
9. it will stimulate with the brightest light If the patient responsed it will be recorded as relatively scotoma if still without response 1t will be recorded as definite scotoma 6 Single Stimulate Stimulate with stationary brightness 6 8 5 Perimeter Academic Discourse Different Light Threshold Under the circumstance of stationary lighting if the stimulate spot visibility is 50 then this spot stimulate intensity will be different light threshold Vision Island The altitude means light sensitivity the area means the islands scope image the visual field as an island in the sea every spots of the retina will corresponding a position on the island The spots fixation spot which is the macular area with highest sensitivity constitute the peak of the island and the around area the sensitivity will be lower which constitute the circum area of the vision island Visual Isopter The vertical height of the spot on vision island means the visual acuity the lines on the same vertical height is the isoheight in visual foeld the name is isopter Physiological Blind Spot The optic nerve which without photoreceptor cell is located at 15degree bitamporal of the visual fixation point there area can not see things that is the physiological blind spot in the visual island its shown as a vertical deep hole Tubular visual filed Center visual island The visual field shrink to centrality extremely Only remaining the visual field about 5 10degree Sect
10. you use it 5 3 Fusing Parts 50 Model of fuse 95x20mm T2A L250V Replace the fuse Screw off the cover of fuse replace it with a new good fuse then cover again see the picture of the perimeter Chapter 6 Declarations We can provide you with the information of those parts need maintained 1 We will provide maintenance and enquiry free for one life 2 We will maintain the machine for free for one year since the date of purchasing if the machine 15 operated according to the operation instruction 3 During the maintenance we will charge fee for the maintenance under the following conditions Do not use maintain store the instruments according to operation instruction Take apart or amend the instruments without the permission of us which cause damage Damages is caused by accidents use wrongly or caused by other major nature factors Please forgive us for not informing you if the design or the assigned type changes 51 PERIMETER m N 9990 NW 14 Street Suite 105 Doral FL 33172 Telephone 888 334 4640 24
11. 4 00 23 40 200 65 20 06 159 60 15 96 110 21 11 02 9047 63 50 50 24 40 82 31 85 25 69 20 26 EY O UI Un O Mi EY QN UI EY NI NI pa NO 160 NI O NI NI EY UI NI NI 16 59 12 70 10 05 8 EY QN ON NO UI ko I QN CA A gt O 00 CO ON C O LA oo IN OD N NI NI 15 06 8 29 14 00 0 41 30 13 19 0 32 1 12 57 12 00 11 60 10 64 006 _ 10 50 10 40 Table 3 2 Stimulus contrast ratio Blue stimulus Yellow background Stimulus Intensity Si Luminance L Contrast cd m cd m L Lg Lg Oo 6534 165 34 148 05 139 98 131 92 125 52 120 69 o6 692 116 92 113 12 8 4031 110 31 o 108 14 105 12 104 24 103 54 102 76 101 95 101 51 101 15 100 89 100 65 0 0065 100 52 0 0052 106 34 0 0634 Table 3 3 Stimulus contrast ratio Red stimulus White background Stimulus Intensity SUA Luminance Z Contrast cd m Lpl Lp 545 00 555 00 54 500 366 63 396 63 38 683 314 52 324 52 31 452 246 12 256 12 24 612 193 73 203 73 19 373 155 42 165 42 15 542 126 92 136 92 12 692 97 50 107 50 9 750 78 41 88 41 7 841 61 26 71 26 6 126 49 07 59 07 4 907 40 00 50 00 4 000 33 05 43 05 3 305 28 36 38 36 2 836 21 37 31 37 2127 16 55 26 55 1 655 23 55 1 333 10 87 20 87 1 087 8 70 18 70 0 8
12. 4 2 Open the file of perimeter software and double click on icon to start the 25 installation process InstallShield Wizard Preparing to Install perimeter Setup is preparing the InstallShield Wizard which will guide you through the program setup process Please wait Extracting perimeter msi aaa perimeter InstallShield Wizard EN Welcome to the InstallShield Wizard for perimeter The InstallShield R Wizard will install perimeter on your computer To continue click Next WARNING This program is protected by copyright law and international treaties 24 perimeter InstallShield Wizard Destination Folder Click Next to install to this folder or click Change to install to a Install perimeter to InstallShield lt Back Net Relocate the file path recommend Disc D for patient data security i perimeter InstallShield Wizard E Setup Type Choose the setup type that best suits your needs Please select a setup type Complete All program features will be installed Requires the most disk space Custom Choose which program features you want installed and where they will be installed Recommended for advanced users InstallShield E c 25 perimeter InstallShield Wizard Ready to Install the Program The wizard is ready to begin installation Click Install to beg
13. 70 6 75 16 75 0 675 5 17 15 17 0 517 3 76 13 76 0 376 3 26 13 26 0 326 2 13 12 73 0 273 2 06 12 06 0 206 1 61 11 61 0 161 1 40 11 40 0 140 1 04 11 04 0 104 0 78 10 78 0 078 0 63 10 63 0 063 10 60 0 060 10 51 0 051 m m m NI 2 27 28 ON NI NO IN IN IN ko ka ks D UI 4 ae d ia UI 2 1 3 Spectral distribution of Background light and stimulus white red blue 2 1 3 1 White background spectrum white stimulus spectrum 10 Relative Spectral Distribution 700MA T soidering 25 C Relative Luminous Intenstiy Wavelength nm White background spectrum white stimulus spectrum 2 1 3 2 Yellow background spectrum OG530 20 660 700 740 Yellow background spectrum 2 1 3 3 Red stimulus spectrum RG610 filter 660 700 740 Red stimulus spectrum 2 1 3 4 Blue stimulus spectrum GG400 620 660 700 740 Blue stimulus spectrum 2 1 4 Stimulus range full field 90 testing stimulus minus eccentric angle conform to the requirement in table 4 Table 4 12 While testing Nasal testing should be proceeded under Nasal step screening test mode Botamporal testing should be proceeded under FF135 Screening test mode Upper and Under should be proceeded under 60 4 threshold test mode 2 1 5 Stimulus location amount and stimulation time a Stimulus location amo
14. able Storage Disk Defragmenter Disk Management 88 Services and Applications 3 Right click at USB Driver and Click Update Driver as followed pic View Window Help Open Explore Search Map Network Drive Disconnect Network Drive Create Shortcut Delete Rename Properties 5 610285 2 2 Computer Disk drives Display adapters Human Interface Devices IDE controllers Imaging devices gP USB Device gt Keyboards Mice and other pointing devices Monitors 88 Network adapters 9 Ports COM amp LPT Processors Sound video and game controllers Storage volumes System devices 2 Universal Serial Bus controllers j 19 g Computer Management im Fie Action View Window eo E Computer Management Local SK A6102B5E2CF2 FA System Tools Computer m Event Viewer cgp Disk drives amp kJ Shared Folders Display adapters Local Users and Groups Human Interface Devices Performance Logs and Alert ATA ATAPI controllers Device Manager oi Imaging devices Bo qum 8 Removable Storage C Keyboarc Disk Defragmenter 7 Mice and Disable Disk Management Monitors Uninstall x Ge Services and Applications 8 Network Ports Processo Properties Sound vid Storage volumes System devices Universal Seria
15. and dry room 3 3 The instrument must be installed in the dark room where nothing can be seen within one meter 3 4 The instrument must be installed with special ground wire 3 5 The instrument require the exclusive ground wire 4 Hardware setup 4 1 Connect Perimeter and Computer with the new USB Serial Port Wires we provide USB connecting Power on off Power supply port 4 2 Connect the Power of the Perimeter 4 3 Take out the fixed foam inside the Perimeter Fix the Responder into the connector ERA ME 4 4 Connect the USB cable to computer and install computer and printer accordingly S Software setup 5 1 Windows System Requirements English Simplified Chinese Version Window XP 32 bit Professional English Simplified Chinese Version Windows 7 32bit 64bit Professional English Simplified Chinese Version Windows 7 32bit 64bit Ultimate or English Simplified Chinese Version Windows 8 32bit 64bit Professional PS Our perimeter software only support English Simplified Chinese Version Windows system if user running others language Windows system there will be unreadable code showed during install 17 procedure on software or other unpredictable error will be occur Please use relevant system we recommended Please note the software will be default installed in folder C automatically 5 2 Hardware Requirements Before you install PERIMETER V 2 0 make sure your computer meets the
16. applications Retinal disease glaucoma Test Range 30 60 Test points 60 dots PIMOS 11720830100 186 056 1188 0438190230 108658 12080400 210035 9 252055 PAWS 82555 P 28 658 41 5 Macula program Main applications Macular disease Test Range 0 5 Test points 16 dots 6 Nasal step program Main applications Glaucoma Test Range 302 50 Test points 14 dots 42 6 8 2 Screening test program 1 C 40 Main applications Common test Test Range 02 30 Test points 40 dots 2 C 76 Main applications Common test glaucoma optic nerve disease Test Range 02 30 Test points 76 dots m a aa RA P t lt lt o ina gt a s e wap B a Darr ee a sr u b a7 Pg a s Ping Uu ng Po D Pi E D ser Berens A N t 4 D N He LI N 4 1 1 A E LJ i 4 b E D P Pa Y p 5 LI 4 D LAT my PL o bo Pa e 43 3 FF 81 Main applications Full field screening test retinal disease glauco
17. at hort tect lt initial strategy Aae Threchald Short Wave Detec Off Stimulation Color Fast Auto Threshold Fixation Mode entei Stimulation Size Fixation Loss Monitor Off Blackground color White Eye Move Alarm Mode Action Notes The program and strategy will automatically resume to default value once currently testing finished System will not memory your last program and strategy setting Operator need to proceed this process if default value needed to be changed 6 3 Then click to start testing During the testing doctor can use the function of Auto Puil monitoring so that do not need to monitor the whole process personally The system will adjust the chinrest the headrest automatically 6 4 Pause and Stop testing During testing operator can Pause and Stop testing by clicking icon locate at right side of tesing interface 6 5 After testing you should save the test result by clicking at and then you can diagnosis 36 Query Threshold Q B5 IO 2 Patent rumba agnes agnas 20140327001 Let awirya swim 20140327003 Let sakura soku 20140327004 Let yolendelll 20140327010 Lek agnes agne 20140327012 Let Tote Deviaton Potem Dawaton amp 6 4 4 2 4 7 6 5 18 sjs 3 2 5 4 3 16 n 1 1 4 80 5 1 2 10 sis a 2 67 4 g 0 410 2 2 o 0 1 a ra po BA 0 84 0 3 2 3 5 4 t
18. e ability of the patient to maintain gaze by the experimenter s observation 39 6 8 Introduction of test parameter 895028 88402 45 12025 NIG 182021 6 8 1 Threshold test program 1 30 2 recommend Main applications Common test L oms ijs PED glaucoma optic nerve disease i k retinal disease Test Range 0 30 nas amp amp AE iod TS Test points 76 dots 3 11992 ARIE 020025 P i o A 1188021 8191015 225 64 1349015 8302 28928 920018025013 2 DQ 031501330018 8351023 epos 1 na 8205020 00197 259 015 8 281 915 00018 8315021 305 Pak f 1285025 820 023 8250021 8278021 1293048 8305028 8 264 25 8 276 025 8 288 28 2 24 2 Main applications Common test glaucoma optic nerve disease f Test Range 0 24 h weis ie 1402 Test points 54 dots 198021 gon 15105 108 09 Ir en neg 1169015 nag Seal pasa meis en 6028 LI IT f I 24006 02901 0018 3502 1 0 262 2 8278218 93023 40 3 10 2 Main applications Macular disease retinal disease optic nerve disease advanced glaucoma Test Range 0 10 Test points 68 dots 1250249 11348 M09 P4507 PIS 915258 15005 0 3564 IUOS RINDI 8140495 pigs 010807 019195 1198693 bee 205 64 84509 2507 824006 4 60 4 Main
19. e shroud 4 Put the patient s jaw on the right side of the chin rest when examining the left eye put the patient s jaw on the left of the chin rest when examining the right eye If the patient testing Esterman binocular program patient can either put their chin on left or right chinrest but doctor need to adjust the cross in monitoring window aimed at center of patient s nose bridge 5 Put his forehead on the ribbon of the forehead bracket slightly 6 The eyeball shall stare at the center fixation light and cannot move only glance to perceive echt and respond to it b the stimulus li pressing the responder tnumber Patent name yanda yclandat Sex Eye Lett 6 Starting Checking 6 1 Before you start the test you should Click the Register icon on the main interface to setup the patient profile and input the info of patient a patient profile will be saved automatically after you clicking Save 34 Patient Infomation Waiting Room Serial number 20140328001 x First Name Doris OL Family Stefan Birth 1974 1 10 v Sex yolanda yole 20140327009 Left e yolanda011 20140327011 Left M la Doctor Agnes Zhao 20140327013 Left Right Left agnes agne 201 4032701 4 Left IOP 1 0 CD m2 1 0 ABS 3 1415326 agnes agnes 20140327015 Left CDR sphere Cyinder Ais Patient with myopia hyperopia and
20. ent Local SK A6102BSE2CF2 System Tools Computer g Event Viewer Disk drives Shared Folders Display adapters Local Users and Groups Human Interface Devices Performance Logs and Alert C3 IDE controllers Device Manager 338 Imaging devices 5 yj Storage EIE Removable Storage 5 gt Keyboards Disk Defragmenter Mice and other pointing devices Disk Management Monitors E Services and Applications 8 Network adapters Y Ports COM amp LPT Processors Sound video and game controllers Storage volumes System devices Universal Serial Bus controllers If you run Win7 system please install the capture card driver as followed steps 1 Open the profile Driver 1 findows E 2 Double click at profile DEY to open it and double click at to start installation 22 USB Video Audio Device Driver InstallShield Wizard O O Welcome to the InstallShield Wizard for USB Video Audio Device Driver The InstallShield Wizard will install USB Video Audio Device Driver on your computer continue click Next InstallShield lt Back Cancel 3 Click Next to continue USB Video Audio Device Driver InstallShield Wizard InstallShield Wizard Complete Setup has finished installing USB Video Audio Device Driver on your computer installs 4 Click Finish icon restart the computer o 5
21. f 1 4 t 2 8 88 1 810 8 2 22 14 0 4 0 4 3 5 1 114 16 T GHT Barderira 156 50 3 95 Weiting Room Y Cancel yolanda yole 20140327008 Let wolendal ll 201403270 1 Let Agnes Zhao 20140327013 Let agnes agne 20140327014 Let agnes agne 20140327015 Let Bos Sex Program 124 2 Srategy Threshold Cursor Sae 6 6 Click at the choose the test report you need and preview There are Single 3in1 and Overview test report optional 6 7 If your patient have come to you and test for several times you should use the Overview report to see the progressing of patient For doing more than one test with a same patient you should click 3 to proceed For GPA analysis at least 3 reports of 24 2 or 30 2 of same client shall be generated before running this function 6 8 Patient List uM Through this section you can delete a patient profile by clicking the icon of Q and find recall a patient profile by clicking the icon of 12 after you inputting the keywords Query O 5 Lj agnes agnes 20140327001 Left swinya swiny 20140327003 Left sakura 20140327004 Left yolanda011 20140327010 Left agnes agne 20140327012 Left 37 6 7 Test report reliability Number of testing dots means the total number of testing dots of the perimeter 1 False Negative Errors False NEG Errors False Negative errors occur when the patient does not respond t
22. f the instrument or we will not take the consequences 2 8 Ifyou need restart the instrument you can open the perimeter after 5 seconds and open the computer after 15 seconds after turning off 2 9 Environmental protection clause It will pollute the environment if you discard equipment and the accessories which is breakdown recall or disposal according to the local laws and regulations 2 10 Rated operating loaded and safe working load of chin rest is 5kgs About the instruction 1 If it breaks down please read the guide to fix the breakdown If it does not work yet please contact us 2 We have the right of interpreting and revising this operation instruction 3 Structure components a Hardware It s mainly structure by computer system perimeter stimulus printer and socket b Software The patient information input module Image processing modules Document management modules output amp print module 4 Applicability This instrument 15 used for examining the change of visual field which may be hurt by glaucoma visual disease disease of brain surgery and disease of retina 5 Notes To avoid being damaged by the environment Damp Dusty Liquid under the sun and so on the instrument should be putted at the dry place Do not let the liquid or any other small objects run into the instrument otherwise these objects may make the inner parts of the instrument short circuit and even make the users get an elect
23. following minimum requirements CPU Mainboard Intel chipset Processor gt 1 7Ghz multicore Dual core 4 threaded Memory minimum gt 2GB Hard disk Rotational Speed gt 7200 RPM Solid state drives without this parameter Caching gt 2 Space 2500GB Display Supporting 1440 900 resolution or greater 1440 900 recommended Perimeter software show normally on resolution of 1440 900 1600 900 1920 1080 USB 2 0 Port A Make sure there are at least 2 partition C and D existing in the hard disk Otherwise the software will run error Software will go wrong Make sure there is at least 5GB free space for data storage in partition D otherwise the software will go wrong 5 3 After you install the computer system software Insert install disk we provided into CD ROM and copy all the files we provide to your computer s D partition After the installation please Do keep the disc well 5 4 Software installation procedure 5 4 1 Install USB capture card driver for computer A If you run Win XP system please install the capture card driver as followed steps 1 Right click at My computer select Manage and enter in Computer Management Computer Management im File Action mi Computer Management Local 5 r System Tools Event Viewer Shared Folders Local Users and Groups Performance Logs and Alert Device Manager 53 Storage Remov
24. h dependability and steady performance Software support Windows XP WIN7 and Win 8 system with easy operation interface Kinds test program and strategy standard test report and analysis software Provide auxiliary diagnosis for vision damage related diseases 2 Notice for use 2 1 For your security and benefit please read Operation Instruction as well as all the datum of the instrument carefully before using it If you do not operate the instrument according to the Operation Instruction we shall not take any responsibility 2 2 Use it in a darkroom and it can only be operated by those who have been trained by engineers of us 2 3 The stimulus and PC system can be used in patient environment printer should be used outside of patient environment 2 4 The voltage must be up to the given standard If the voltage is not steady please install Constant Voltage Regulator We will not take responsibility for the damage caused by the voltage 2 5 Do not use this instrument in the inflammable hot and dusty environment and pay attention to keep it clean and dry To avoid being damaged by the environment Damp Dusty Liquid under the sun and so on 2 6 Do not let the liquid or any other small objects run into the instrument otherwise these objects may make the inner parts of the instrument short circuit and even make the users get an electric shock or even cause a fire hazard 2 7 Without the permission of us do not open the box o
25. in the installation If you want to review or change any of your installation settings click Back Click Cancel to exit the wizard InstallShield perimeter InstallShield Wizard InstallShield Wizard Completed The InstallShield Wizard has successfully installed perimeter Click Finish to exit the wizard 5 5 Database backup Once the software running and have patient to be checked there will be patient database generate automatically For database safety or while upgrading software or reinstalling the Windows system needed all patient database should be backup up as followed steps Find perimeter program installation directory which as proceeded in 5 4 2 find the location of 26 Perimeter file and open it copy the file dbfs which 15 the database file and backup it safety Operator can recover the data by copy and paste this file back to Perimeter file and overwrite 4 mfg MSOCache PerfLogs perimeter e X k Program Files 1 Program Files xt ProgramData SolidWorks Data cn P a a gt Ji dbfs Je en Hz about bantam d BDE32 Cl 5 6 After the software installed you rarely need to maintain it 1f there 15 new software for update all you need to do 15 install the new software again Virus serious wrong operate or hardware system failure may cause damage of the equipment If the software damaged seriously please do as following step
26. l Bus controllers Scan for hardware changes Launches the Hardware Update Wizard for the selected device A window will pop up select Yes this time only and continue by clicking Next Computer Management m Action View Window slg x eo Bj lt 610285 2 m Computer Management Local System Tools 154 Event Viewer Shared Folders Local Users and Groups 1 Performance Logs and Alert Hardware Update Wizard Welcome to the Hardware Update Wizard Device Manager Storage Windows will search for current and updated software by looking on your computer on the hardware installation CD or on Removable Storage the Windows Update Web site with your permission Disk Defragmenter Read 3 Disk Management E Services and Applications Can Windows connect to Windows Update to search for software Yes this time only O Yes now and every ect a device No this time Click Next to continue 5 A window Hardware Update Wizard will pop up select Install the software automatically Recommended click Next 20 C Computer Management 4 File Action View Window Help TS m Computer Management Local SK A6102BSE2CF2 z T i System Hardware Update Wizard Shared Folders Local Users and
27. ma optic nerve disease Test Range 0 60 Test points 81 dots 4 FF 120 Main applications Full field screenin test retinal disease glaucoma optic nerve disease Test Range 0 60 Test points 120 dots 44 5 FF 135 Main applications Full field screening test Test Range 0 55 Temporal side 87 Test points 135 dots 6 8 3 Specialty test program 1 Esterman monocular Main applications Driver test for single eye Test Range 0 60 Temporal side 75 Test points 100 dots 45 2 Esterman binocular Main applications Driver test for double eyes Test Range Double temporal side 150 Test points 120 dots 3 Superior 36 Main applications Screening upper visual field Main applications upper visual field 60 Test points 36 dots 46 6 8 4 Test Strategy 1 Threshold Strategy 1 Full Threshold Strategy It adopt 4 2 as standard for response 2 Auto Threshold Strategy recommend Calculate and correct the stimulate value in the whole process of testing Based on the response 3 Fast Auto Threshold Strategy Calculate and correct the stimulate value in the whole process of testing variation range will be 50 faster than auto threshold strategy Based on the response 2 Screening Strategy 4 Zone 2 Stimulate with superior threshold value Responded treat as normally 5 Zone 3 Stimulate with superior threshold value Responded treat as normally If the patient do not response
28. mory lost or damaged Insert again or replace the system doesn t work computer memory card Infect virus Use anti virus software to scan virus Crashes while working or Open too many show that the program is wrong application programs re start the computer Hard disk is damaged Replace the hard disk Nothing in the screen LCD monitor doesn t display any Properly connect the wire when opening it switch on power Connection wire is damaged Replace the Connection The responder does gren not work Pressing button 15 Pressing button is damaged Replace the pressing Replace the pressing key The controlling card in the Replace or maintain the stimulator does not work controlling card 5 2 Maintenance 5 2 1 You should firstly turn on the power switch of the monitor and then turn on the power switch of the main frame when opening the machine When closing it you should firstly log out and then turn off the power supply of the monitor and the main frame 5 2 2 Scan disk and arrange pieces in a certain period 5 2 3 Keep air clean dry use air conditioner 1f possible 5 2 4 If the instrument has not been used for a long time you should supply power for the main frame at intervals Usually three times a week four hours one time 5 2 5 If there is something wrong with the instrument please contact us immediately or ask the special maintainers to maintain Notes You should clean chin rest before and after each time
29. o a suprathreshold stimulus in an area where the threshold has already been measured The interpretation of false negative errors 15 not as clear as that of false positive ones because they can be produced by a variety of sources Visual field test results of patients whose false negative errors exceed 33 are not considered reliable 2 False Positive Errors False POS Errors False positive errors occur if patients respond when no stimulus is presented For the purposes of this study we define a false positive response as randomly occurring independent of stimulus presentation and hence independent of any monitored response window The system will count it and if it s over 20 the test report will be treated as unreliable Visual field test results of patients whose false positive errors exceed 33 are not considered reliable 3 Fixation Loss Fixation losses occur when the patient s eye wanders from the fixation target Visual field test results of patients whose fixation losses exceed 20 are not considered reliable 4 Percentage Expressed as Letter P Less than 5 people within 100 people have this kind of visual situation Less than 2 people within 100 people have this kind of visual situation Less than people within 100 people have this kind of visual situation Less than 0 5 people within 100 people have this kind of visual situation 5 Total deviation The difference between a patient s threshold sensitivity
30. of entire visual field consistency decline When use kinetic checking it shows all visual isopter shrink centripetalism when use static checking it shows the dB value decline consistency the threshold value 15 generally higher 6 8 6 Data Recover and Backup 1 Medical record Test report backup The software will be default installed in C Perimeter and the data will be stored in C perimeter dbfs For most of time the system is safe and reliable But as the report is very important to avoid lose data because of virus or computer failure we advice to backup the the report data weekly or monthly Ware copy the whole folder of C perimeter dbfs pas Backup method Quit from perimeter and paste it to the target folder we suggest to discs data and label the date on it 2 Medical record Test report recover Normally you don t have to recover the data But sometimes the computer may broken because of virus and system failure you have to format folder C which will lead to data lose while reinstall the system after fixed the computer you have to reinstall the system and recover the data from the back up folder Firstly select the one you want to recover from the back up copy and paste them to the same folder of C perimeter 49 Chapter 5 Maintenance 5 1 Common Problems Treating methods Failed to setup USB device Re set USB device Voltage isn t enough or too Replace power high Can t start system Me
31. or shaped Depression Wedge shaped Defect The board line of the visual field defect will move along two ways of the visual field the defect will look like a sector the tip is point to the physiologic blind spot Its meanly appeared in the bitamporal defect 47 Tetarfanopia Depression Its also named quadrantanopia the two board line of the defect is one vertical diameter line and one horizontal diameter line the defect area occupied a whole quadrant Hemoanopia There are vertical and horizontal hemoanopia two types For vertical the board line is central vertical for horizontal the board line 1s horizontal diameter line Macular Sparing Its mainly appeared in the vertical hempanopia which will retain about 5degree visual at the center area the macular sparing is remind the defect location is at visual pay off Scotoma Means the abnormal visual field reduce area or vision disappear area that is the sensitivity of this area is lower than other area around all the scotomas except the blind spot and verse shadow are abnormal Centralcecal Scotoma The scotoma which covered the fixation point accompany with hypopsia that means the sickness have been influenced the retina or the fibre bundle of the optic nerve Blind Area Scotoma The center scotoma which covered the bind spot which 1s remind the damage of macular fibre Paracentral Scotoma It means the visual defect in the area of center5 25degree the diameter is bigger than Sdegree the de
32. pth is bigger than 5dB Arcuate Scotoma The arcuate shaped scotoma which connected the area which around fixation point upper and lower and the blind spot The nasal side will wider than bitamporal and suddenly disappear at horizontal meridian line Ring Scotoma The connected the horizontal joint of upper and lower arcuate scotoma surround nasal side of central fixation area Relative Scotoma When the stimulate light get stronger the scotoma will disappear Absolute Scotoma When the stimulate light adjusted to the most brightness the patient cannot see it still the physiologic scotoma 15 a topical absolute scotoma Junctional Scotoma Caused by the damage of the junction area of one side optic nerve and optic chiasma Shown as hemianopsia at ipsilateral central scotoma and contralateral bitamporal upper quadrant Nasal Step The threshold value of up and down side of nasal vision horizontal meridian are entirely different Localized Depression The light sensitivity reduce at locality but not form to scotoma its named 48 localized depression its shown as visual isopter localized depression which is different to scotoma the scotoma are surrounded by relatively normal vision field but at least one direction of the localized depression without clearly board line Normally its telecentric direction Nasal step bitamporal visual isopter and wedge shape depression are the typical localized depression Generalized Depression Light sensitivity
33. refraction system then the retinal generate the photochemical reactions which produce the bioelectrical which transmitted through the visual pathway to visual cortex so that the brain could generate the vision through a comprehensive analysis Any part of the distribution and the trend of the nerve fibers from the retina to the visual cortex could indicate the lesions which happened on the visual pathway The lesion part the characteristic and prognosis can be all analyzed by applying the clinic test results according to 15 visual transform Chapter 3 Installation 1 Hardware EPR 3600 projection perimeter have already been inspected and tested before leaving factory Please check if all accessories listed on list provided or not any question please contact with seller immediately Please check accessories on list ff Picture of Whole instrument A Main Spare Parts Printer USB Wire Power wire 15 A The Front Picture of the Stimulator Forehead Rest A The Back Picture of the Stimulator Power On Off USB Port Ir 2 Working Environment Power Supply Environment temperature 5 40 Relative humidity lt 85 Atmospheric pressure range 760 hPa 1060 hPa Power a c l00 240V Frequency 50Hz Inputting power 300VA 3 Installation environment 3 1 The instrument must be installed in the flat ground with no slope 3 2 The instrument must be installed in the clean quiet
34. ribed to have generalized reduction of sensitivity when both conditions for outside normal limits are not met and the best region of the VF 15 depressed to a level at the 99 5th percentile within individuals of the normative database Abnormally high sensitivity The GHT 15 described as having abnormally high sensitivity when the overall sensitivity in the affected region of the VF is better than 99 5 of individuals within the normative population Within normal limits VFs are described as being within normal limits when none of the above conditions are met 9 Mean Defects MD The average of the examination value of all spots minus normal value it shows the condition of the patient s vision sensitivity comparing with those of the same age 10 Short Floating SF It shows the light sensitivity deviation appearing 1 one perimeter examination process it shows the reaction consistency in the course of examining The bigger the value 15 the worse the cooperation the patient shows The short wave will become height in the scope of abnormal visual field When more scope in the visual field become abnormal or the degree of abnormal increases the whole wave will become higher 11 Decibel dB In perimetry the intensity of a stimulus expressed as 0 1 log unit of attenuation of the maximal available stimulus the higher the dB the dimmer the stimulus intensity 12 Fixation monitoring Assessing th
35. ric shock or even cause a fire hazard 6 Manual Effective for model EPR 3600 7 Product features Fusing parts T2AL 250V Security type It belongs to type instrument The instrument is intermittent working form Symbolic interpretation Notes Look through the manual Power on C Power off Earth wire B type instrument Alternating current Connected Responder Disconnected Responder USB Port Chapter 2 Technical Parameter 2 1 Technical Index 2 1 1 Background light a Background light white intensity 10 b Background light yellow adopt OG530 lens intensity 100cd m 2 1 2 Stimulus testing the allowance under limitation listed in Table 1 Table 1 Stimulus Parameter 20 Table 2 Stimulus Size Paramter sete 1 solid angle Q 6 66E 05 1 00 04 ee 8 00E 05 5 1 29 04 a gt 07 a no a a gt 0 7 6 66E 05 135 _ 115 04 6 22 05 gt 0 6 6 50E 05 7 99E 05 6 30E 05 9 00 05 4 1 4 1 4 1 7 20E 05 6 50E 05 9205 05 Table 3 1 Stimulus contrast ratio White stimulus White background Stimulus Intensity Z L Luminance Z Contrast cd m cd m L Lg Lg ng m 4 3421 0 342 10 2898 5 289 85 2160 5 216 05 1653 7 165 37 1367 2 136 72 1075 2 107 52 854 73 85 47 674 10 67 41 547 33 54 73 426 74 42 67 333 40 33 34 270 32 27 03 23
36. ting the test 29 Start test Param Setting Common Range Stop the test Strategy Full Threshold Center point detection The initial strategy Age Related z Short Wave Detect Off Stimulation Color Stimulation Color Fixation Mode Save the test result Stimulation Size Fixation Loss Monitor Off Blackground color White Eye Move Alarm Mode Action Setting the parameter gt Select Program mes Select test program gt Test another eye Diagnosis inputting macula Nasal step System setting interface System Eaintain Language Select Enghsh Cancel Hospdal Name abc Double name Double Name For EU USA and AUS etc market which need the first name and family name inputting Gaze Tracking EyeMove Tick on for activating the gaze tracking function which will generate gaze tracking curve and Auto pupil measurement function 30 Strategy Ophion e Delete 11 _ User defined test interface Firstly please click the bottom left in the interface to set up a new programme then input the programme name and click to save the defined programme as following Program Select glaucoma screening The second step is There are four method to choose the dot position for user defined programme AF RRETERERRRERERRERERTEREFEEEEFTAHRTEFSATRTETTTTTS
37. unt cannot less than the requirement listed in table 5 Table 5 eum eo 30 b Stimulus time of duration Kinetic Movement speed 1 sec 9 sec adjustable Move mode Straight line 30 Sample Static Stimulus time of duration 200ms Stimulus interval 1 If no response from patient stimulus interval default as 1000ms 2 If patient response the system will adjust the stimulus interval according to the weighted average of last 5 patient respond speed if patient respond slow then the stimulus interval will be automatically prolong If patient respond fast then the stimulus interval will shorten automatically 2 1 6 The distance between patient eye and the fixation 300 mm 10 mm 2 1 7 The instrument have head location device and configure movable chinrest and forehead rest their travel distance from left right gt 30 mm and the chin rest of chinrest from up down 250 mm 2 1 8 This equipment configure auto calibration function for stimulus intensity device will calibrate the background intensity and stimulus intensity automatically while operator power on the equipment 2 1 9 Input power 300VA 2 2 Flowchart Stimulator 2 3 Working principle KZ The working principle of the perimeter is to examining the sensitivity of the human eye to light stimulus which enable to check the lesions of optic nerve retina visual pathway etc The ambient light enter into retina by
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