ARK 1a ARK 1 - OME - 30712 P902 B PDF

AUTO REF/KERATOMETER
ARK-1a/ARK-1
OPERATOR’S MANUAL
Original instructions
NIDEK CO., LTD. : 34-14, Maehama, Hiroishi-cho, Gamagori, Aichi 443-0038, Japan
(Manufacturer) Telephone: +81-533-67-6611
Facsimile: +81-533-67-6610
NIDEK CO., LTD. : 3F Sumitomo Fudosan Hongo Bldg., 3-22-5, Hongo,
(Tokyo Office) Bunkyo-Ku, Tokyo 113-0033, Japan
Telephone: +81-3-5844-2641
Facsimile: +81-3-5844-2642
NIDEK INCORPORATED : 47651 Westinghouse Drive, Fremont, California 94539, U. S. A.
(United States Agent) Telephone: +1-510-226-5700
Facsimile: +1-510-226-5750
NIDEK S.A. : Europarc 13, rue Auguste Perret, 94042 Créteil, France
(EU Authorized Representative) Telephone: +33-1-49 80 97 97
Facsimile: +33-1-49 80 32 08
August 2013
30712-P902-B
Printed in Japan
C 2013 NIDEK CO., LTD.
Before Use
This Operator's Manual contains information necessary for the

operation of the NIDEK AUTO REF/KERATOMETER ARK-1a/
ARK-1.
This manual includes operating procedures, safety precautions,
specifications, and information about accessories and mainte-
nance. This manual is necessary for proper use. Especially, the
safety precautions and operating procedures must be thoroughly
understood prior to the operation of the device.
Keep this manual handy for reference.
If you encounter any problems or have questions about the
device, please contact NIDEK or your authorized distributor.
30712-P902-B
I
Table of Contents
1. SAFETY PRECAUTIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
1.1 For Safe Use - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -1
1.2 Usage Precautions - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -2
1.3 Labels and Symbols - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -8
2. INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11
2.1 Device Outline - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 11
2.1.1 Intended use - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 11
2.1.2 Principles - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 11
2.2 Configuration and Functions - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 12
2.2.1 Device configuration - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 12
2.2.2 AR/KM measurement screen description - - - - - - - - - - - - - - - - - - - - - - - - - - - 16
2.2.3 Other measurement screens - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 21
2.3 Packed Contents - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 22
2.4 Before First Use - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 23
3. OPERATING PROCEDURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
3.1 Operation Flow - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 25
3.2 Measurement Method - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 26
3.2.1 Eye Care card use- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 30
3.2.2 Checking the measuring window cleanliness at device start-up- - - - - - - - - - - - - 32
3.2.3 Device shutdown- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 33
3.3 AR (refractive error) and KM (corneal curvature radius) Measurements - - - - - 34
3.3.1 Error messages during AR or KM measurement- - - - - - - - - - - - - - - - - - - - - - - 38
3.3.2 Cataract measurement mode - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 39
3.4 Vision Comparison - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 40
3.5 Retroillumination Image Observation (ARK-1a only) - - - - - - - - - - - - - - - - - - - - 44
3.6 Accommodation Measurement (ARK-1a only) - - - - - - - - - - - - - - - - - - - - - - - - 46
3.7 Manual Measurement - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 48
3.7.1 CS (Corneal Size) measurement - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 48
3.7.2 PS (Pupil Size) measurement - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 50
3.7.3 PD (Pupillary Distance) measurement - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 52
3.8 Sagittal Measurement - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 54
3.9 Contact Lens Measurement - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 57
3.10 Measured Value Printing - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 59
3.11 Operation when Peripheral Devices are Connected - - - - - - - - - - - - - - - - - - - - 61
3.11.1 Device connecting procedure - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 62
3.11.2 Operating procedure - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 63
II
:
4. DEVICE SETTINGS AND MAINTENANCE . . . . . . . . . . . . . . . . . 65

4.1 Troubleshooting - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 65
4.2 Error Messages and Remedies - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 67
4.3 Printer Paper Replacement - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 69
4.4 Chinrest Paper Attachment - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 71
4.5 Device Parameter Settings - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 72
4.5.1 Setting parameters - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 72
4.5.2 Parameter tables - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 74
4.5.3 Setting and confirming the network communication function (LAN) - - - - - - - - - - 83
4.5.4 Setting the date and time- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 86
4.5.5 Entering comments - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 87
4.6 AR/KM Measurement Accuracy Check - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 88
4.7 Cleaning - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 90
4.7.1 Cleaning the measuring window - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 90
4.7.2 Cleaning the printer - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 91
4.8 Consumable List - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 92
5. SPECIFICATIONS AND TECHNICAL INFORMATION . . . . . . . . 93

5.1 Specifications - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 93
5.2 Glossary and Abbreviations - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 95
5.3 EMC (Electromagnetic Compatibility) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 97
III
:
IV
1 SAFETY PRECAUTIONS
1.1 For Safe Use
BEFORE USE, READ THIS MANUAL.
The safety precautions and operating procedures must be thoroughly understood prior to
operation of the device.
The device complies with ISO 10342 subclause 4: 2010 (Ophthalmic instruments - Eye
Refractometers) and ISO 10343 subclause 4: 2009 (Ophthalmic instruments - Ophthalmom-
eters). The dioptric powers are indicated with reference wavelength λd = 587.56 nm.
In this manual, signal words are used to designate the degree or level of safety alert-
ing. The definitions are as follows.
WARNING
Indicates a potentially hazardous situation which, if not avoided, may result in death or seri-
ous injury.
CAUTION
Indicates a potentially hazardous situation which, if not avoided, may result in minor or mod-
erate injury or property damage accident.
Even situations indicated by CAUTION may result in serious injury under certain condi-
tions.
Safety precautions must be strictly followed at all times.
1
SAFETY PRECAUTIONS: Usage Precautions
1.2 Usage Precautions
Safety of LED
CAUTION
• The device is a Class 1 LED product and the LED used for the device is safe under expected use
conditions including situations such as looking into the LED using an optical system. However, it is
recommended to observe the following precautions when using the device:
• Do not direct LED beams to human eyes when unnecessary.
• Do not look into the measuring window (LED light-emitting section) for a prolonged time.
• If the device cannot be used appropriately or any device problem cannot be solved, stop using the
device immediately, and contact NIDEK or your authorized distributor.
Before use
WARNING
• Connect the power plug to a grounded outlet.
Electric shock or fire may occur in the event of malfunction or power leakage.
CAUTION
• Do not use this device for any purposes other than the intended purpose.
NIDEK is not responsible for accidents or malfunctions caused by misuse.
• Be sure to read the operator’s manual prior to operation of the device to understand the safety pre-
cautions and operating procedures thoroughly. Use the accessories specified by NIDEK only.
Use of the device outside the scope of this manual may cause adverse events.
• Do not modify the device and do touch the interior of the device.
There are no parts within the device that requires servicing by the user other than printer paper.
• Install the device in an environment that meets the following conditions.
The following conditions must be maintained during use.
Ambient temperature: 10 to 35°C (50 to 95°F)
Humidity: 30 to 90% (Non-condensing)
Atmospheric pressure: 800 to 1,060 hPa
A location with low dust
A location not exposed to water
A location with little external light
A level and stable surface free from vibration and shock
If the device is not installed and used under the above conditions, the reliability of measured results is
impaired, and malfunction may result. In addition, there is a possibility of injury if the device receives
shock and falls down.
• Avoid installing the device near sunny window or directly under a light.
Intense light entering the measuring window may interfere with proper measurement.
2
CAUTION
• Avoid installing the device where it is exposed to direct air-conditioning flow.
Changes in temperature may result in condensation inside the device or adversely affect measure-
ments.
• Be sure to use a (HOSPITAL GRADE) power outlet which meets the power specification require-
ments.
The device may not perform properly, or malfunction or fire may occur.
• Never use a power strip or extension cable to supply the device with power.
The electrical safety may be lowered.
• Do not use a power cord other than the one provided. Also do not connect the provided power cord
to any other device.
Failure or fire may result.
• Do not place heavy objects on the power cord.
A damaged power cord may cause fire or electric shock.
• Before connecting the cable, turn off the power switch and disconnect the power cord from the
power outlet.
Malfunction of the device may result.
• Install the device so that the outlet that the mains plug is inserted into is easily accessible during
use. In addition, ensure that the power cord can be disconnected without the use of any tool.
Failure to do so may interfere with disconnecting the power from the input power source in case of an
abnormality.
• Insert the plug into the connector according to the proper indication and orientation and do not apply
undue force to make the connections.
• The device should be carried by two persons holding
it at positions (A) and (B) (both right and left sides).
Avoid lifting by the forehead rest or the main unit
instead hold it by the bottom of the base.
If only one person carries the device, or areas
other than the base are used for lifting and the
device falls, there is a possibility of injury or mal-
function.
3
During use
CAUTION
• Before use, perform visual and operation checks. If abnormal conditions are encountered, stop
using the device.
If the device is used under abnormal conditions, intended results may not occur. Also unanticipated mal-
functions or health hazards may occur due to improper measurement.
• Before and after use of the device, and before measuring each patient, clean the chinrest and fore-
head rest with clean gauze or absorbent cotton. If necessary, dampen a cloth with rubbing alcohol
and gently wipe them off.
If chinrest paper is used, remove one piece after each patient.
• Take care not to catch hands or fingers in moving parts (measuring unit, main unit, and chinrest).
Pay particular attention to the measuring unit as it moves in each direction during auto alignment. Be
sure to also caution patients.
Hands or fingers may be pinched and may result in injury.
• Keep the measuring window free of fingerprints and dust. Also confirm that it is not dirty before use.
The measurement accuracy may decrease substantially.
• In the event of smoke or strange odors, immediately turn off the device and disconnect the power
plug from the power outlet. After it is certain that the smoke has stopped, contact NIDEK or your
authorized distributor.
Use of the device under such abnormal conditions may cause fire or electric shock. In case of fire, use a
dry chemical (ABC) extinguisher to extinguish the fire.
• Before measurement, explain the measurement purpose and method sufficiently to patients.
• Instruct the patient to look at the picture of a balloon with their eyes wide open. Start measurement
after confirming that the instruction is properly followed by the patient. Be careful not to perform
measurement while the device is misaligned to the patient's eye.
Proper measurement may not be performed.
• When the patient comes off from the device after measurement, instruct the patient not to stand up
while holding the chinrest support.
The device may topple over resulting in injury.
• Never press on the LCD with a hard object such as a ball-point pen. Keep magnetic objects away
from the LCD.
Malfunction of the device may result.
• There may be a few dead or constantly-lit pixels on the LCD. This does not represent failure of the
LCD; it is due to the structure of the LCD.
• Should the device fail, disconnect the power cord from the power outlet and contact NIDEK or your
authorized distributor without touching the interior of the device.
• After a long period of disuse, check for any abnormality before use.
4
CAUTION
• This device has been tested and found to comply with the limits of the standard for medical devices,
IEC 60601-1-2: 2007. These limits are designed to provide reasonable protection against harmful
interference in a standard medical installation. This device generates, uses and can radiate radio
frequency energy and, if not installed and used in accordance with the instructions, may cause
harmful interference to other devices in the vicinity.
However, there is no guarantee that interference will not occur in a particular installation. If this
device does cause harmful interference to other devices, which can be determined by turning off
and on the device, the user is encouraged to try to correct the interference by one or more of the fol-
lowing measures:
If this device does cause harmful interference to other devices, which can be determined by turning
off and on the device, the user is encouraged to try to correct the interference by one or more of the
following measures:
Reorient or relocate the receiving device.
Increase the separation between the devices.
Connect the device to an outlet on a circuit different from that to which the other device(s) are con-
nected.
Consult the manufacturer or field service technician for help.
• The International Electrotechnical Commission sets the essential requirements for electrical and
electronic equipment that may disturb, or be disturbed by, other equipment. The device complies
with these requirements as shown in the tables in “5.3 EMC (Electromagnetic Compatibility)”
(page 97). Follow the guidance in the tables for use of the device in an electromagnetic environ-
ment.
• During installation and operation of the device, observe the following instructions about EMC (elec-
tromagnetic compatibility):
Do not use the device simultaneously with other electronic equipment to avoid electromagnetic interfer-
ence with the operation of the device.
Do not use the device near, on, or under other electronic equipment to avoid electromagnetic interfer-
ence with the operation of the device.
Do not use the device in the same room as other electronic equipment such as life-support equipment,
equipment that has major effects on the life of the patient and results of treatment, or any other mea-
surement or treatment equipment that involves small electric current.
Do not use the system with portable and mobile radio frequency communication systems because that
may have an adverse effect on operation of the device.
Do not use cables or accessories that are not specified for the device because that may increase the
emission of electromagnetic waves from the device and decrease the immunity of the device to electro-
magnetic disturbance.
• If the device is connected to a PC that does not comply with IEC 60601-1 (except one that uses an
AC adapter that meets the Class II requirements of IEC 60950-1), supply power to the device and
PC through isolation transformers.
Electric shock may result. Contact NIDEK or your authorized distributor for installing isolation transform-
ers.
• When connecting to peripheral equipment such as a PC through LAN port via a medical facility net-
work, insert or connect an isolation transformer between the medical electrical equipment and net-
work devices (HUB etc.), or the network devices and other electrical equipment.
Depending on the types or numbers of other electrical equipment connected to the network, electric
shock or malfunction/failure of the electrical equipment may occur. For installation of the network isola-
tion transformer, consult NIDEK or your authorized distributor.
• This device is classified as Group 1 set by ISO 15004-2:2007 Light Hazard and conforms to the
standard.
5
CAUTION
• Use devices that comply with IEC 60601-1 in the patient
environment. If any device that does not comply with IEC
60601-1 is to be used, use an isolating transformer or
common protective grounding.
The patient environment is the volume of space in
which contact can occur between the patient and any
part of the device or between the patient and any other
person(s) touching the device. Use devices that comply
with IEC 60601-1 in the patient environment. If any
device that does not comply with IEC 60601-1 is to be
used, use an isolation transformer or common protec-
tive grounding.
After use
CAUTION
• This device uses a heat-sensitive printer paper. The paper degrades over time and the printed char-
acters may become illegible. If glue containing organic solvents or adhesives such as on adhesive
tape comes in contact with the printer paper, the printed characters may become illegible.
To keep the printed data for a long period of time, make copies of the printouts or write down the mea-
sured results by hand.
• When the device is not in use, turn off the power switch and place the dust cover over the device.
Dust may affect the measurement accuracy.
• Make sure that the power switch is turned off before connecting or disconnecting the power cord to
or from the power outlet.
If the power cord is connected or disconnected with the power switch on, device malfunction may occur.
• If the device is not to be used for a long time, disconnect the power cord from the power outlet.
• Maintain the surrounding temperature and humidity in the following ranges during transport and stor-
age of the device.
Ambient temperature: -10 to 55°C (14 to 131°F)
Humidity: 10 to 95% (Non-condensing)
Atmospheric pressure: 700 to 1,060 hPa
A location with low dust
A location not exposed to water
A location not exposed to direct sunlight
• When transporting, set the mode to packing mode and pack the main unit in the specified packing
material with the fixing lever unlocked. In addition, avoid vibration or shock to the device.
Excessive vibration or shock may reduce the device reliability.
Setting packing mode “O Shutdown for transportation” (page 33)
6
Maintenance
CAUTION
• Maintenance of the device must be performed every 6 months.
For maintenance details, contact NIDEK or your distributor. If maintenance cannot be performed by the
user, request assistance from NIDEK or your distributor.
• Only service personnel trained by NIDEK can repair the device.
NIDEK will not be responsible for accidents caused by improper servicing.
• Before performing maintenance, wipe the surface of the device properly for disinfection.
• When the device is sent back to NIDEK for repair or maintenance, wipe the surfaces of the device
(especially, the areas that come into contact with the patient) with a clean cloth dampened with rub-
bing alcohol.
• If the AR-measured results are substantially different from subjectively measured results, contact
NIDEK or your authorized distributor to check whether the device needs measurement accuracy cal-
ibration.
• Do not use the device beyond its service life.
Even with proper maintenance and check, after time, the device reliability or safety may become
degraded and fail to achieve the target values.
Disposal
CAUTION
• Follow local governing ordinances and recycling plans regarding disposal or recycling of device
components, particularly when disposing of the lithium ion battery, circuit board, plastic parts that
contain brominated flame retardant, LCD, or power cord.
Inappropriate disposal may contaminate the environment.
• When disposing of packing materials, sort them by material and follow local ordinances and recy-
cling regulations.
Inappropriate disposal may contaminate the environment.
7
SAFETY PRECAUTIONS: Labels and Symbols
1.3 Labels and Symbols
 To call attention to users, labels and indications are provided on the device. If labels are peeling off,
characters are fading, or otherwise becoming illegible, contact NIDEK or your authorized distributor.
Indicates that the operator is advised to refer to the related instructions in the operator’s
manual.
Indicates that the degree of protection against electric shock is of a Type B Applied Part.
The applied parts are the forehead rest and chinrest. “2.2.1 Device configuration”
(page 12)
Indicates that the state of the power switch. When this symbol side of the switch is
pressed down, power is not supplied to the device.
Indicates that the state of the power switch. When this symbol side of the switch is
pressed down, power is supplied to the device.
Indicates that the device must be supplied only with alternating current.
Indicates the year of manufacture.
Indicates the manufacturer.
CE marking
Indicates that the product conforms fully to the requirements of the Medical Device
Directive (93/42/EEC).
This device is classified as a Class IIa product according to the Medical Device Direc-
tive.
Indicates that this product is to be disposed of in separate collection of electrical and elec-
tronic equipment in EU.
Indicates an input terminal.
Indicates an output terminal.
8
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9
10
2 INTRODUCTION
2.1 Device Outline
 The NIDEK AUTO REF/KERATOMETER ARK-1a/ARK-1 measures spherical, cylindrical refractive

errors, and cylinder axis from the refractive status of the patient’s eye.
 The keratometer measures the corneal curvature radius (corneal refractive power), principal meridian
directions, and corneal cylindrical power.
2.1.1 Intended use

<ARK-1a>
The AUTO REF/KERATOMETER ARK-1a is a medical device which measures objective refractive
errors and corneal curvature radius of the patient’s eye. This device also offers retroillumination mode
for observing the condition of the ocular media, and measures the amplitude of accommodation.
<ARK-1>
The AUTO REF/KERATOMETER ARK-1 is a medical device which measures objective refractive
errors and corneal curvature radius of the patient’s eye.
2.1.2 Principles
Objective refractive error measurement
Fine measurement beams are projected on the fundus of the patient’s eye by a projecting optical
system and then the ring image obtained from the reflected beams is used for computation to
determine the refractive errors (SPH, CYL, AXIS) of the patient’s eye.
Corneal curvature radius measurement

The image of the mire ring projected on the patient’s cornea is captured and used for computa-
tion to determine the corneal curvature radius (refractive power) and the principal meridian direc-
tions.
Retroillumination mode (ARK-1a only)

Light is shone into the eye and an image obtained by the reflected light from the fundus allows
the condition of the ocular media to be observed.
Accommodation measurement (ARK-1a only)

Continuous refractive error measurement based on the objective refractive errors taken of the
patient’s eye while fixated on a moving a chart allows accommodation to be determined.
11
INTRODUCTION: Configuration and Functions
2.2 Configuration and Functions
2.2.1 Device configuration
±
¸
²
´
¹
µ
±°
¶
±±
±²
· ±³
1 LCD
6.5-inch color LCD. Pulling the bottom of the display panel provides
an adjustable viewing angle.
2 Function buttons
Sets the device and switches the screen. Functions assigned to the function buttons are displayed by
icons on the screen. (page 16)
3 Memory indicator
Indicates that measured data is being saved in memory. The indicator illuminates when data is being
saved in memory. In sleep mode*1, the indicator blinks.
4 Printer cover
*1. The device goes into sleep mode (LCD OFF) automatically to save power if no button has been pressed for a certain period of
time with power on. The time that the device goes into sleep mode can be selected from 5 minutes, 10 minutes, 15 minutes, or
NO (not enter sleep mode) by the “63. SLEEP” parameter. (The factory setting is 5 minutes.)
12
5 Start button
When the start button is pressed, measurement starts regardless of the alignment or focusing condi-
tion.
6 Joystick
Used for alignment and focusing. (page 27)
7 Eye Care card slot

An Eye Care card is inserted here. (page 30)
8 Measuring unit
9 Cover open lever
Lift this lever to open the printer cover.
10 Main unit
11 Locking lever
Secures the main body to the base.
12 Base
13 Power switch
13
±´
±µ
±·
±¶
±¸
±¹
14 Forehead rest
15 Measuring window
16 Chinrest
17 Eye level marker
The height of the chinrest should be adjusted so that the patient’s eye roughly aligns with this line.
18 Chinrest up/down button ( / )
When the chinrest is at the highest (or lowest) mechanical limit, the limit indicator (or ) is dis-
played on the screen.
19 PD window
An LED is provided to detect the PD value.
14
²°
²±
²³
²²
CAUTION
• Equipment connected to the analog or digital interfaces must be certified according to the represen-
tative appropriate national standards (such as EN 60601-1 and IEC 60601-1). Furthermore, all con-
figurations shall comply with the system standard IEC 60601-1. Anyone who connects additional
equipment to the signal input part or signal output part configures a medical system, and is therefore
responsible that the system complies with the requirements of the system standard IEC 60601-1. If
in doubt, consult the technical service department of your local representative.
20 USB port
The optional barcode scanner or magnetic card reader is connected here. (page 62)
21 LAN port
A LAN cable is connected here to export measured data to an external computer over a LAN connec-
tion.
22 RS-232C port
A communication cable is connected here to send/receive measured data to/from an optometry
device or such.
23 Power inlet
15
2.2.2 AR/KM measurement screen description

● ARK-1a screen display
The screen for AR (refractive error) and KM (corneal curvature radius) measurements is comprised of
three pages.
The pages differ only in the function icons displayed to the right of each screen.
µ ¶ · ¸
± ᵏ
¹
±° ±±
²
6$*
²
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´ 㸿ࠉࠉࠉࠉࠉ㸰ࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉ㹎㹂ࠉࠉ㸴㸰
1 Patient’s eye (R/L)

2 Function icons
The functions assigned to the function buttons on the right and left sides of the screen are displayed
as icons.
R/K Selects measurement mode (AR/KM, AR, or KM).
Auto Selects auto tracking mode (3D, 2D, OFF) and auto shot mode (ON, OFF).
Clear Holding down the button for about a second erases all the measured data.
Pressing the button while the memory indicator is lit prints the measured results.
Print
Pressing the button while the memory indicator is not lit advances printer paper.
Accommodation
Displays the accommodation measurement screen (ACCOMMODATION).
measurement
Retroillumination Displays the retroillumination image observation screen (RETRO ILLUMINA-
image TION).
Pressing the button while the ring image thumbnail is shown displays the ring
Ring image
image in full screen.
/ / Page
Switches the measurement screen among Page 1, Page 2, and Page 3.
switch
CS/PS/PD Switches from AR/KM measurement to CS/PS/PD measurement.
Sagittal Displays the sagittal measurement screen (SAGITTAL).
Eye print Prints the eye diagram of measured data.
16
Vision comparison Displays the vision comparison screen (COMPARE).
CYL mode Switches cylinder (cylindrical refractive error) mode.
Holding down the button for about a second displays the parameter setting
Parameter
screen.
3 Measured results display

The latest measured results are displayed.
Á Ã
㹐㸸㸱ࠉ㸦㸷㸧ࠉ㹉㸸㸱 Å E PS: Pupil Size
F CS: Corneal Size
㹁㸫ࠉ㸮㸵㸳ࠉ㹐㸰ࠉࠉ㸵㸬㸳㸷ࠉࠉ㸶㸱ࠉ㹁㹑㸯㸱㸬㸳 Æ
㸿ࠉࠉࠉࠉࠉ㸰ࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉ㹎㹂ࠉࠉ㸴㸰
Ä G PD: Pupillary Distance
Ç
Â
A R: Number of AR measurements C K: Number of KM measurements
AR latest values
KM latest values
S: Spherical refractive error
R1: Corneal curvature radius and axis angle in the
C: Cylindrical refractive error
B D steepest meridian direction
A: Cylinder axis
R2: Corneal curvature radius and axis angle in the flat-
* The number in parentheses indicates a
test meridian direction
confidence index.
• KM latest values can be changed to “AVE, CYL” by the “12. KM DISPLAY” parameter.
AVG: Average of R1 and R2
CYL: Corneal cylindrical power and corneal cylinder axis angle
4 Heater indication
Displayed when the anti-fog heater of the measuring window is operating. The heater is activated or
deactivated automatically.
5 Measurement ring image thumbnail

A thumbnail of the latest measurement ring image is displayed when AR measurement is performed.
(page 37)
When the screen returns from the ring image full screen to the normal screen, no thumbnail is displayed.
6 Auto tracking icon

Indicates the setting of the auto tracking function (alignment in the up, down, left, and right, directions
and focusing in the forward and backward direction). (page 27)
Auto tracking in the forward-backward, side-to-side, and up-and-down directions

becomes active.
Auto tracking in the side-to-side and up-and-down directions becomes active.
(No icon) Alignment and focusing are manually performed.
17
7 Auto shot icon

Indicates the setting of the auto shot function.
Measurement starts automatically as soon as alignment and focusing become optimum.
(No icon) Pressing the start button starts measurement.
8 CYL mode
Indicates the selected cylinder mode (CYL+, CYL-, CYL±). (page 28)
9 Indication icon
An icon indicating the device or measurement status is displayed at the top of the screen.
Cataract measure-
Indicates that the eye has been measured in cataract measurement mode.
ment mode icon
Eye Care card icon Displayed when an Eye Care card is inserted.
Displayed when patient ID has been input with the barcode scanner or mag-
ID icon netic card reader.
When an Eye Care card is not inserted, patient ID is displayed instead.
Indicates that KM measurement has been performed and sagittal
Sagittal icon
measurement is possible.
10 Minimum pupil diameter mark

If the pupil diameter is smaller than this mark or eyelashes are on this mark, measurement may not be
possible.
11 Mire ring
Used as an alignment reference ring.
12 Target
Used as a guide to locate the patient’s eye in the center of the screen. Align the target with the mire
ring projected on the patient’s eye.
When the mire ring is detected, the indication changes. ( )
13 Focusing indicator
Indicates the distance between the measuring unit and the patient’s eye. (page 35)
18
● ARK-1 screen display

The contents are the same as those of the ARK-1a except for function buttons and auto tracking icon.
± ±
6$*
㹐㸸㸱ࠉ㸦㸷㸧ࠉ㹉㸸㸱
1 Function icons
The functions assigned to the function buttons on the right and left sides of the screen are displayed
as icons.
R/K Selects measurement mode (AR/KM, AR, or KM).
Auto Selects auto tracking mode (UpDown, OFF) and auto shot mode (ON, OFF).
Clear Holding down the button for about a second erases all the measured data.
Pressing the button while the memory indicator is lit prints the measured results.
Print
Pressing the button while the memory indicator is not lit advances printer paper.
CS/PS/PD Switches from AR/KM measurement to CS/PS/PD measurement.
Sagittal Displays the sagittal measurement screen (SAGITTAL).
Pressing the button while the ring image thumbnail is shown displays the ring
Ring image / image in full screen.
parameter Holding down the button for about a second displays the parameter setting
screen.
/ Page switch Switches the measurement screen between Page 1 and Page 2.
CYL mode Switches cylinder (cylindrical refractive error) mode.
Vision comparison Displays the vision comparison screen (COMPARE).
Eye print Prints the eye diagram of measured data.
19
2 Auto tracking icon

Indicates the setting of the auto tracking function (alignment in the up and down direction. (page
27)
Auto tracking in the up-and-down direction becomes active.
(No icon) Alignment and focusing are manually performed.
20
2.2.3 Other measurement screens

Various measurements can be performed by switching from the AR/KM measurement screen.
Vision comparison screen (COMPARE) ᵉ

To compare the vision between AR corrected values and &203$5(
uncorrected values (or LM data) (page 40)
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Retroillumination image observation screen (RETRO ILLUMI- ᵏ 5(752,//80,1$7,21

NATION)
To observe the retroillumination image (page 44)
(ARK-1a only)
&$3785(
/,*+7
Accommodation measurement screen (ACCOMMODATION) ᵏ

To conduct accommodation measurement (page 46) $&&2002'$7,21
(ARK-1a only)
67$57
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Manual CS/PS/PD measurement screen ᵏ &251($/6,=(
To manually measure the Corneal Size (CS), Pupil Size
(PS), or Pupillary Distance (PD)
Corneal Size (CS) measurement (page 48)
Pupil Size (PS) measurement (page 50)
Pupillary Distance (PD) measurement (page 52)
&$3785(
Sagittal measurement screen (SAGITTAL) ᵏ 6$*,77$/

To conduct sagittal measurement (page 54) 8
5 /
'
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ࠉࠉࠉࠉࠉࠉࠉࠉ㹐㸰ࠉࠉ㸵㸬㸳㸷ࠉࠉ㸶㸱
21
INTRODUCTION: Packed Contents
2.3 Packed Contents
 The following are included in the standard configuration. Check the contents before use.
Part name Quantity Appearance
Printer paper 3 rolls
Chinrest paper 1 pack
Fixing pins for chinrest paper 2 units
Power cord 1 unit
Spherical model eye / Contact lens

1 set
holder (integral type)
Dust cover 1 unit
Operator’s manual 1 volume

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੥
ᝢ
஥
ం
22
INTRODUCTION: Before First Use
2.4 Before First Use
 Place the device on a stable table and connect its power cord.
1 Place the main body on a stable table.
2 Pull the main unit fully to the side to which the device is to be laid down, lock the main
unit to the base with the locking lever and lay the device down gently.
² ³
3 Connect the power cord to the power inlet.
4 Connect peripheral devices if necessary. (page 61)
5 Stand the device upright.
6 Confirm that the power switch is turned off ( ) and plug the power cord into the
power outlet.
WARNING
• Connect the power plug to a grounded outlet.
Electric shock or fire may occur in the event of malfunction or power leakage.
7 Turn on ( ) the power switch.

Wait until the measurement screen appears without any operation.
23
INTRODUCTION: Before First Use
In a few seconds after the device is turned on, the initial screen appears and then the screen changes
to the measurement screen.
Initial screen (ARK-1a) Initial screen (ARK-1)
ᵏ ᵏ
6$*
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㸿ࠉࠉࠉࠉࠉ㸮㸿ࠉࠉࠉࠉࠉ㸮
Measurement screen (ARK-1a) Measurement screen (ARK-1)
• When the device is used for the first time, the error message “OUT OF PAPER” appears indicating
that no paper is loaded.
8 Set the printer paper. (page 69)
This completes the setup procedure.
• Set the parameters as necessary or desired. “4.5 Device Parameter Settings” (page 72)
24
3 OPERATING PROCEDURE
3.1 Operation Flow
Device power ON
“3.2 Measurement Method” (page 26)
Turn on power to the device and change the parameter settings of the device if necessary.
Prepare the patient.
Measurement
“3.3 AR (refractive error) and KM (corneal curvature radius) Measurements” (page 34)
“3.4 Vision Comparison” (page 40)
“3.5 Retroillumination Image Observation (ARK-1a only)” (page 44)
“3.6 Accommodation Measurement (ARK-1a only)” (page 46)
“3.7 Manual Measurement” (page 48)
“3.7.1 CS (Corneal Size) measurement” (page 48)
“3.7.2 PS (Pupil Size) measurement” (page 50)
“3.7.3 PD (Pupillary Distance) measurement” (page 52)
“3.8 Sagittal Measurement” (page 54)
Printing
“3.10 Measured Value Printing” (page 59)
When transferring data to the connected devices
“3.11 Operation when Peripheral Devices are Connected” (page 61)
Device power OFF

“3.2.3 Device shutdown” (page 33)
To prescribe spectacle lenses or such for correction of visual acuity, the patient’s vision is subjectively tested with
reference to AR-measured data.
• Instructions for operation mainly use screen samples of the ARK-1a.
25
OPERATING PROCEDURE: Measurement Method
3.2 Measurement Method
1 Turn on ( ) the power switch.

Wait until the screen switches to the measurement screen.
When the ARK-1a is turned on, the measuring unit makes small forward-backward, side-to-side
movements for initialization of auto tracking.
• When the “61. WINDOW CHECK” parameter is set to “YES” or “DAY”, the check screen is displayed
before the measurement screen is displayed. (page 32)
2 The measurement screen is displayed.

ᵏ ᵏ
6$*
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㸮㸮ࠉ㹐㸰ࠉࠉ㸮㸬㸮㸮ࠉࠉࠉ㸮
Measurement screen (ARK-1a) Measurement screen (ARK-1)
3 Perform checks before use.

Perform the following checks before use.
• No error message appears.
• The measuring window is clean.
• The main unit moves smoothly using the joystick.
• The chinrest moves up and down by pressing the chinrest up/down button.
• Printer paper is sufficient.
If any abnormality is found, stop using the device, then refer to “4.1 Troubleshooting” (page 65).
4 Set the measurement conditions.
● Measurement mode
Press the R/K button for selection.
Measurement mode Details of setting
AR/KM measurement KM (corneal curvature radius) and AR (refractive error) measurements are
mode successively taken.
AR measurement mode Only AR (refractive error) measurement is taken.
KM measurement mode Only KM (corneal curvature radius) measurement is taken.
When power is turned on, the measurement mode is set to the mode last used when power was
turned off.
26
The measurement items corresponding to the selected measurement mode are displayed on the
screen.
ᵏ ᵏ ᵏ
㹐㸸㸮ࠉ㸦ࠉ㸧ࠉ㹉㸸㸮㹐㸸㸮ࠉ㸦ࠉ㸧 ࠉࠉࠉࠉࠉࠉࠉࠉ㹉㸸㸮

㹑㸩ࠉ 㸮㸮ࠉ㹐㸯ࠉࠉ㸮㸬㸮㸮ࠉࠉࠉ㸮㹑㸩ࠉ㸮㸬㸮㸮
㹑㸩ࠉ 㸮㸮 ࠉࠉࠉࠉࠉࠉࠉࠉ㹐㸯ࠉࠉ㸮㸬㸮㸮ࠉࠉࠉ㸮
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ࠉࠉࠉࠉࠉࠉࠉࠉ㹐㸰ࠉࠉ㸮㸬㸮㸮ࠉࠉࠉ㸮
AR/KM measurement mode AR measurement mode KM measurement mode
● Auto tracking function and auto shot function

Activation of auto tracking that automatically achieves alignment in the up-and-down, side-to-side
directions and focusing in the forward-backward direction, and auto shot that starts measurement
automatically is set by pressing the auto button.
● ARK-1a
3D 2D OFF
Auto tracking
Alignment in the side-to-

side and up-and-down Auto Auto Manual
directions
Focusing in the forward-
Auto Manual Manual
backward direction
Measurement starts automatically as soon as alignment and

ON
Auto shot focusing become optimum.
OFF Pressing the start button starts measurement.
● ARK-1
Up/Down OFF
Auto tracking
Alignment in the up-and-

Auto Manual
down direction
Alignment in the side-to-side
direction and focusing in the Manual Manual
forward-backward direction
Measurement starts automatically as soon as alignment and

ON
Auto shot focusing become optimum.
OFF Pressing the start button starts measurement.
27
• Selectable contents by pressing the auto button differ depending on the “62. TRACKING SW”
parameter setting. (page 72)
● Parameter-set measurement conditions

Various conditions such as measurement, printing, and output can be set by the corresponding
parameters.
“4.5 Device Parameter Settings” (page 72)
● CYL mode
The display format of the CYL value (cylindrical refractive error) is selected by pressing the CYL mode
button.
Screen display CYL mode Details

CYL- - reading Indicates the cylindrical refractive error by - reading.
CYL+ + reading Indicates the cylindrical refractive error by + reading.
Indicates the cylindrical refractive error by + reading when the refrac-
CYL± Mix reading tive error is positive for any axis angle. Indicates the cylindrical refrac-
tive error by - reading in other cases.
• Cylinder mode can be changed even after measurement.

• All saved data is printed out according to the CYL mode set at the time of printing.
5 Prepare the patient.

1) If necessary, read the patient ID using the optional
*A
barcode scanner or magnetic card reader.*1
Reading Patient ID (page 63)
(*A)
2) Wipe the forehead rest and chinrest (*B) with
*B
clean absorbent cotton or gauze dampened with rub-
bing alcohol.
When using the chinrest paper, remove one sheet of
paper.
• Reassure the patient before measurement by explaining the following.

“This device measures your eye with infrared rays to find which kind of lens fits you. The infrared rays do
no harm to your eyes.”
3) Instruct the patient to remove their glasses or contact lenses and sit on the chair.
*1. Patient ID may be read at any time prior to printing.
28
4) Have the patient place their chin on the chinrest as

far forward as possible with their forehead resting *C
gently on the forehead rest.
5) Adjust the height of the chinrest with the chinrest up/

down button ( / ) so that the patient’s eyes are
roughly aligned with the eye level marker (*C).
Always look at the patient when moving the chinrest
up or down.
For rough height adjustment, have the patient move
away from the forehead rest and chinrest.
6 Start AR/KM measurement.

Details of AR/KM measurement  “3.3 AR (refractive
error) and KM (corneal curvature radius) Measurements” (page 34)
• Instruct the patient not to blink during measurement. Additionally, instruct the patient to blink and
open their eyes widely just before measurement to avoid measurement failure.
• Instruct the patient to open both eyes wide during measurement.
Closing one eye may cause an unstable fixation and the other eye will not open widely enough.
7 Perform various measurements if necessary.
Vision comparison Vision comparison with corrective lenses (page 40)

Accommodation mea-
surement
Accommodation measurement (ARK-1a only) (page 46)
Retroillumination image Retroillumination image observation (ARK-1a only) (page 44)

CS/PS/PD Manual CS/PS/PD measurement (page 47)
Sagittal measurement Sagittal measurement (page 54)
8 Print the measured results.

Printing operation differs depending on the “31. PRINT” parameter setting.
AUTO When measurement is complete, printing starts automatically.
MANUAL Pressing the print button starts printing.
Data is not printed.

NO Pressing the print button saves data on the Eye Care card and exports
data to the external connected devices.
Contents of printing “3.10 Measured Value Printing” (page 59)

Data in the device is automatically erased when the next measurement begins.
9 To measure the next patient, repeat from Step 5.

To finish measurement “3.2.3 Device shutdown” (page 33)
29
3.2.1 Eye Care card use

AR-measured data saved on the optional Eye Care card can be transferred to the RT, PC, or such.
Data is saved to the Eye Care card at the following times.
Eye Care card is inserted before measurement. Saved upon printing.

Eye Care card is inserted after measurement. Saved when the card is inserted.
1 Insert a card into the Eye Care card slot before

measurement.
Insert the Eye Care card as far as it will go with the symbol
(▼) pointing toward the device.
Confirm that the Eye Care card is properly inserted by referring to the Eye Care card icon ( ) on
the screen.
Yellow display Accessing Eye Care card

Blue display Blank Eye Care card inserted
Blinking blue display Eye Care card with data inserted
Accessing Eye Care card failed
Blinking yellow display
Card may be damaged.
• To compare vision with LM data using the vision comparison function in subjective measurement,
insert an Eye Care card with the LM data measured by a lensmeter.
• When an Eye Care card containing LM data is inserted into the Eye Care card slot with the “76. LM
DATA PRINT” parameter set to “YES”, the data is automatically printed.
• Both AR-measured and LM-measured data of one patient can be written to one Eye Care card.
Either set of data may be written first. The data must be from the same patient.
2 Perform AR measurement as normal.
3 Print the measured results.

Data is saved on the card at the same time.
• When printing is performed with an Eye Care card containing saved data inserted, the AR data is
overwritten and saved.
30
4 Remove the Eye Care card.
CAUTION
• Be careful when handling the Eye Care card so that malfunction does not occur.
Be sure not to eject the Eye Care card while it is being accessed (solid yellow display ).
Never bend or damage the card.
Never let the IC terminal area (gold part) of the card get wet or dirty.
Keep the card away from high temperature environments or static electricity.
Do not press on the card too firmly with objects such as a pen when inscribing.
31
3.2.2 Checking the measuring window cleanliness at device start-up

It is possible to set the parameter whether or not to check the cleanliness of the measuring window
before measurement.
Window check contents at device start-up differ depending on the “61. WINDOW CHECK” parameter
setting.
DAY The measuring window is checked at the first startup of the day.
YES The measuring window is checked every startup.
NO The measuring window is not checked.
An unclean measuring window has considerable influence on the measured results. In addition to
visual inspection, this checking function should be used for measurement with a clean measuring win-
dow.
• When checking the measuring window, be sure that its front is not blocked by objects or exposed to
interference light.
Even if the window is not smudged, it may be determined that it is smudged due to objects or interfer-
ence light.
• At device start-up, do not stand or put objects in front of the measuring window.
If something is present in front of the measuring window within 1 m, the measuring window may not be
properly checked for cleanliness.
1) “MEASURING WINDOW / CHECKING” is displayed and

the measuring window is checked for cleanliness. 㹋㹃㸿㹑㹓㹐㹇㹌㹅ࠉ㹕㹇㹌㹂㹍㹕
Wait until a message appears. 㹁㹆㹃㹁㹉㹇㹌㹅
2) A message appears.
㹋㹃㸿㹑㹓㹐㹇㹌㹅ࠉ㹕㹇㹌㹂㹍㹕
“WINDOW CHECK OK!”
The measuring window is clean. 㹁㹆㹃㹁㹉㹇㹌㹅
“CHECK MEASURING WINDOW”

㹕㹇㹌㹂㹍㹕ࠉ㹁㹆㹃㹁㹉ࠉ㹍㹉㸟
“CHECK MEASURING WINDOW” is printed out as dis-
played on the screen.
Check that the measuring window is clean. If not, clean it.
3) At the completion of the check, the screen switches to

the measurement screen.
• To clean the measuring window “4.7.1 Cleaning the measuring window” (page 90)
32
3.2.3 Device shutdown
O Normal shutdown
1 To finish measurement, turn off ( ) the power switch.

Power may be turned off with any screen displayed.
2 Check the measuring window and clean the window if necessary. (page 90)
3 Clean the forehead rest and chinrest and place the supplied dust cover on the
device.
Use clean gauze or absorbent cotton dampened with rubbing alcohol for cleaning.
Always keep them clean for the next use.
• Be sure to place the dust cover on whenever the device is not in use.
O Shutdown for transportation

Before the device is transported, put the device in packing mode. In packing mode, the measuring unit
and chinrest are automatically set in the transport position (lowest position).
1 Turn off ( ) the power switch to shut off the device once.
2 While holding down the chinrest down button ( ), turn on ( ) the power switch.
Hold down the chinrest down button until the “PACKING MODE” message appears on the screen.
3 When the “PACKING POSITION IS COMPLETED / ᵏ ǽ
SHUT DOWN PLEASE” message is displayed, turn ǽǽᵍᴾᵀᵈᵆᵋᵄǽᵊᵌᵁᵂ
off ( ) the power switch. ǽ

ǽᵍᴾᵀᵈᵆᵋᵄǽᵍᵌᵐᵆᵑᵆᵌᵋ
Ensure that the chinrest and measuring unit are at their low- ǽǽǽᵆᵐǽᵀᵌᵊᵍᵉᵂᵑᵂᵁ
est mechanical limits. ǽᵐᵅᵒᵑǽᵁᵌᵔᵋǽᵍᵉᵂᴾᵐᵂǽ
ǽ
ǽ
4 Pull the main unit fully to the side on which the main unit is to be laid down, fix the
main unit with the locking lever and gently lay down the device, then disconnect the
power cord, interface cable, and such.
5 Raise the device and flip up the locking lever to unlock the main unit.
6 Pack the device with the specified packing material.
33
OPERATING PROCEDURE: AR (refractive error) and KM (corneal curvature radius) Measurements
3.3 AR (refractive error) and KM (corneal curvature radius) Mea-

surements
 Perform AR (refractive error) and KM (corneal curvature radius) measurements.

The measurement items of the measurement mode (AR/KM measurement, AR measurement, or KM
measurement) specified by pressing the R/K button are displayed on the screen.
1 Give the following instructions to the patient. “Look

through the measuring window. You will see the picture
of a balloon. Look at the center of it without straining”.
2 Manipulate the joystick to display the patient’s

eye on the screen.
By manipulating the joystick right, left, forward, and back-
ward, the main unit moves right, left, forward, and back-
ward. By rotating the upper part of the joystick, the
measuring unit moves up and down.
Adjust the measurement position with right, left, up and
down movements and the focus with forward and back-
ward movements.
• Auto tracking or auto shot may not function on keratoconus or postoperative corneas.
In such a case, turn off the auto tracking and auto shot functions before measurement.
3 Perform alignment and focusing.

Manually align the device with the mire ring (*A) and bring the ᵏ
eye into focus.
*A *C
The methods of alignment and focusing differ depending on
the “62. TRACKING SW” parameter setting.
Setting contents  “3.2 Measurement Method” (page
26)
*B
Perform alignment by positioning the target within the mire
ring reflected on the patient’s eye(*B). 㹑㸫ࠉ㸯㸬㸰㸳ࠉ㹐㸯ࠉࠉ㸵㸬㸷㸶ࠉ㸯㸵㸱
㹑㸫ࠉ㸯㸰㸳ࠉ㹐㸯ࠉࠉ㸵㸬㸷㸶ࠉ㸯㸵㸱
㹁㸫ࠉ㸮㸬㸵㸳ࠉ㹐㸰ࠉࠉ㸵㸬㸳㸷ࠉࠉ㸶㸱
㹁㸫ࠉ㸮㸵㸳ࠉ㹐㸰ࠉࠉ㸵㸬㸳㸷ࠉࠉ㸶㸱
Perform focusing according to the indication of the focusing 㸿ࠉࠉࠉࠉࠉ㸰ࠉ
indicator (*C) displayed on the screen.
34
• If eyelashes obstruct the minimum pupil diameter mark, correct AR measurement may not be possi-
ble. If the eyelid or eyelashes obstruct the mire ring, KM measurement may not be possible.
In such cases, instruct the patient to open their eye wider.
If the patient cannot open their eye wider, lift the patient’s lid, paying attention not to press against the
eyeball.
● Focusing indicator display

For manual focusing, refer to the focusing indicator ( ) and manipulate the joystick forward and
backward for the optimum condition.
*A Too close to the patient’s eye
*A *B Optimum focusing condition

*B
*C Too far from the patient’s eye
*C
• When the “67. MAN FOCUS DISP” parameter is set to “NO”, the focusing indicator is not displayed
in manual mode (auto tracking OFF + auto shot OFF).
● When alignment or focusing is not within the working range of auto tracking:
The limit indicator (red arrows) is displayed. Manipulate ᵏ
the joystick in the direction of the arrows.
Limit indicators are displayed in each direction of up/
down ( / ), right/left ( / ), or for-

ward/backward ( / ). (ARK-1a)
Limit indicators are displayed in the up or down ( / 㹐㸸㸮ࠉ㸦ࠉ㸧ࠉ㹉㸸㸮

㹑㸩ࠉ㸮
ࠉ㸮㸬㸮㸮ࠉ㹐㸯ࠉࠉ㸮㸬㸮㸮ࠉࠉࠉ㸮
㸮㸮ࠉ㹐㸯ࠉࠉ㸮㸬㸮㸮ࠉࠉࠉ㸮
㹁㸫ࠉ㸮㸬㸮㸮ࠉ㹐㸰ࠉࠉ㸮㸬㸮㸮ࠉࠉࠉ㸮
㹁㸫ࠉ㸮㸮㸮ࠉ㹐㸰ࠉࠉ㸮㸬㸮㸮ࠉࠉࠉ㸮
㸿ࠉࠉࠉࠉࠉ㸮ࠉࠉ
) direction. (ARK-1)
4 Measurement starts.
Measurement starts automatically when alignment in the up, down, right, left, and left directions and
focusing in the forward-backward direction become optimum (when auto shot is on).
When the auto shot function is off, press the start button to start measurement.
Measurement is performed in the order of KM measurement and AR measurement.
• The operator can start measurement by pressing the start button.

Press the start button to start measurement when measurement has difficulty starting for patients who
blink often.
35
• When an error or error data appears, the cause may be one of the following. If errors appear again
after repeating measurement, check whether:
• The patient blinked during measurement.
• The eyelid or eyelashes are on the minimum pupil diameter mark during AR measurement.
• The eyelid or eyelashes are on the mire ring during KM measurement.
• The patient’s pupil is smaller than the minimum pupil diameter mark.
Have the patient sit in a dark room for a while and wait until the pupil diameter becomes large enough for
measurement.
• Retinal reflection is extremely low due to an optical disease such as a cataract.
• There is some unusual reflection on the cornea during measurement.
• There is an extreme distortion on the cornea.
• If the device gets out of alignment and focus during measurement, the measurement is interrupted. If
measurement is retried, the measured results are added to the former results and saved.
• The device can save up to 10 measurements each for the right and left eyes. If measurements
exceed 10, the data is erased in order from the oldest.
5 Measurement finishes.
When the specified number of measurements is obtained, ᵏ
“<<FINISH>>” is displayed on the screen and measurement
finishes. ࠓ),1,6+ࠔ
㹑㸫ࠉ㸯㸬㸰㸳ࠉ㹐㸯ࠉࠉ㸵㸬㸷㸶ࠉ㸯㸵㸱
㸿ࠉࠉࠉࠉࠉ㸰
● Number of AR measurements and KM measurements
The number of AR measurements differs depending on the “5. AI MODE*1 ” parameter setting.
When the number of measurements specified by the “6. AR CON-
AI MODE
TINUE” parameter is performed and the data is stable (no varia-
/ YES
AR mea- tions), measurement automatically finishes.
surement When the number of measurements specified by the “6. AR CON-
AI MODE
TINUE” parameter is performed, measurement automatically fin-
/ NO
ishes.
KM mea- When the number of measurements specified by “14. KM CONTINUE” is per-

surement formed, measurement finishes.
• When the specified number of KM measurements is not obtained, “<<KM?>>” is displayed on the
screen. When the start button is pressed, KM measurement stars again. As soon as the specified
number of KM measurements is performed, “<<FINISH>>” is displayed on the screen.
• To continue the measurement, press the start button again. “<<FINISH>>” disappears and auto
tracking starts again for measurement (except when the “21. COMPARE SW” parameter is set to
“AUTO” or the “31. PRINT” parameter is set to “AUTO”).
*1. In this mode, AR measurement automatically finishes as soon as the specified number of stable data sets and the median values
are obtained.
36
● Full screen display of measurement ring image

A thumbnail of the measurement ring image is displayed ᵏ
when AR measurement is complete. If necessary, press
the ring image (ring image / parameter for
the ARK-1) button to switch to the full screen display.
Observe the size, shape, and such of the ring image.
After checking the ring image, press the return but-
ton to return to the measurement screen.
● Large area AR measurements

In the AR measurement process, AR central measurement (inner measurement ring) is per-
formed concurrently with AR large area measurement (outer measurement ring).
Large area measured values are AR-measured values over a large range (approx. 6 mm in
diameter). By referring to the large area measured values, the influence that a large pupil has on
vision, such as at night, can be identified.
Large area measured values can be checked on the printed results and data contents can be set by the
“47. L. DATA PRINT” parameter.
L. DATA Large area measured values
Differentiation between central measured values (normal AR values) and
L. DIFF
large area measured values
Central measurement Large area measurement

The above images are to illustrate the measurement range, not to explain the measurement principle.
• If large area measured values have not been obtained due to a small pupil size, “NO DATA” is
printed out instead of the measured values (L. DATA or L. DIFF).
6 Measure the other eye in the same manner. ᵉ
ࠓ),1,6+ࠔ
㹑㸫ࠉ㸯㸬㸮㸮ࠉ㹐㸯ࠉࠉ㸵㸬㸷㸶ࠉ㸯㸵㸱
㹑㸫ࠉ㸯㸮㸮ࠉ㹐㸯ࠉࠉ㸵㸬㸷㸶ࠉ㸯㸵㸱
37
• Instruct the patient to close their eye before starting the next measurement.
Let the eye rest to avoid measurement failure by blinking.
3.3.1 Error messages during AR or KM measurement

Error messages during AR measurement or KM measurement are displayed in the numeric fields of
the measured values.
O Error messages during AR measurement
Error message Details and remedies

Measurement failed due to blinking of the patient’s eye or such.
Instruct the patient not to blink or not to move the eye until measurement
BLK
is complete.
(Error due to blinking)
After the eye has stopped blinking, perform measurement again.
This error also may occur when reflected light from the fundus is low.
Alignment is not proper.
ALM Perform alignment and measurement again.
(Alignment error) In manual mode (auto tracking OFF + auto shot OFF), this message is
not displayed.
+OVR
The sphere value is over the measurable limit of the + side.
(Outside SPH positive range error)
-OVR
The sphere value is over the measurable limit of the - side.
(Outside SPH negative range error)
COVR
The cylinder value is over the measurable limit.
(Outside CYL range error)
Low-confidence data is obtained.
CONF
Measure the subject again.
(Measured data confidence index error)
* When the “44. ERROR DATA” parameter is set to “NO”.
Low-confidence data is obtained.
S, C, A data displayed in yellow
Measure the subject again.
(Measured data confidence index error)
* When the “44. ERROR DATA” parameter is set to “YES”.
O Error messages during KM measurement
Error message Details and remedies

Measurement failed due to blinking of the patient’s eye or such.
BLK Instruct the patient not to blink or not to move the eye until measurement
(Error due to blinking) is complete.
After the eye has stopped blinking, perform measurement again.
ALM Alignment is not proper.
(Alignment error) Perform alignment and measurement again.
FAR
Focusing is not proper.
(Focus error: Too far from the patient’s
Perform focusing and measurement again.
eye)
NEAR
Focusing is not proper.
(Focus error: Too close to the patient’s
Perform focusing and measurement again.
eye)
+OVR
The corneal curvature radius is too large and over the measurable
(Outside corneal curvature radius positive
limit.
range error)
38
-OVR
The corneal curvature radius is too small and not within the mea-
(Outside corneal curvature radius negative
surable limit.
range error)
COVR
The cylinder value is over the measurable limit.
(Outside CYL range error)
3.3.2 Cataract measurement mode

When measurement is not possible due to cataract or abnormal eyes during AR (refractive error)
measurement, the device enters cataract measurement mode automatically.
In cataract measurement mode, measurement conditions are changed so that measurement results
can be easily obtained.
When the device is placed in cataract measurement mode, ᵏ

“ ” is displayed on the screen and then measurement
starts.
The auto tracking and auto shot functions work in the
same manner as in normal measurement mode.
㹐㸸㸱ࠉ㸦㸵㸧ࠉ㹉㸸㸱
㸿ࠉࠉࠉࠉࠉ㸰ࠉ
Any of the following operations cancels cataract measurement mode:

• Switching the eye to be measured between the right eye and left eye.
• Pressing the clear button.
• Pressing the print button.
• In cataract measurement mode, take note that measurement variations may occur more commonly
in comparison with normal measurement mode.
O Printout sample in cataract measurement mode

According to the “45. CAT MARK” parameter setting, “*” indi-
cating that measurement has been taken in cataract mea-
surement mode is printed as shown on the right.
The factory setting is “NO”.
39
OPERATING PROCEDURE: Vision Comparison
3.4 Vision Comparison
 A vision comparison function allows the patient to compare the current vision (uncorrected eye vision
or that corrected with LM data) with the vision corrected by AR measurement (or large area measure-
ment*1). By changing the distance to the chart, the patient can also experience the vision for near dis-
tance.
For comparison with the vision corrected with LM data, the power of the patient’s glasses needs to be
read beforehand using an Eye Care card.
• The vision power experienced during the vision comparison function of the ARK-1 is comprised of
only spherical components without any cylindrical components. Thus, instead of AR measured val-
ues, Spherical Equivalent (SE) values or highest powers (spherical power + cylindrical power) are
used.
Whether to use the Spherical Equivalent (SE) value or highest power (-SPH) is set by the “22. COM-
PARE(AR)” parameter. When the vision is corrected with LM data power read from a lensmeter, spheri-
cal equivalent values are used.
1 Perform AR measurement as normal. ᵉ

Perform monocular or binocular measurement. ࠓ),1,6+ࠔ
2 Press the vision comparison button to set the vision corrected by AR measure-
ment.
The screen switches to the vision comparison screen (COMPARE). The patient sees a scenery chart
with the vision corrected objectively.
ᵉ ᵉ
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㹑㹃㹑㹃
ࠉ㸫ࠉ㸯
㸫ࠉ㸯㸬㸳㸮
㸳㸮 ࠉ㸩ࠉ㸮㸬㸮㸮
ࠉ㸩ࠉ 㸮㸮
㹊㸸㸱㹊㸸㸱
㹑㸫ࠉ㸯
㸫ࠉ㸯㸬㸮㸮
㸮㸮㹑㸫ࠉ㸯
㸫ࠉ㸯㸬㸮㸮
㸮㸮
㹁㸫ࠉ㸮
㸫ࠉ㸮㸬㸵㸳
ࠉ㸮㸬㸮㸮
㸮㸮㹁㸫ࠉ㸮
㸫ࠉ㸮㸬㸵㸳
ࠉ㸮㸬㸮㸮
㸮㸮
㸿ࠉࠉࠉࠉࠉ ࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉ㸿ࠉࠉࠉࠉࠉ㸮㸿ࠉࠉࠉࠉࠉ㸰ࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉ㸿ࠉࠉࠉࠉࠉ
ARK-1a ARK-1
• When the “21. COMPARE SW” parameter is set “AUTO”, the screen automatically switches to the
vision comparison screen after measurement of both eyes.
*1. The measured value to be used is selected by the “25. L. DATA SELECT” parameter.
40
3 Press the recall (or ) button to switch between the vision of the distance VA
chart with the corrected distance values and the uncorrected vision (or vision cor-
rected with LM data) to check the vision difference.
The S, C, and A values in the lower right field are displayed in pink indicating that the uncorrected eye
vision (or that corrected with LM data) is presented at the moment.
The pink indications show which vision is presented at the moment.
Pressing the recall button switches between the vision corrected by AR measurement and the
uncorrected eye vision (or that corrected with LM data).
When LM data is not contained
Recall The distance VA chart is viewed with an uncorrected eye.
When LM data is contained
Recall A lens for the distance vision as corrected with the patient’s own glasses is
inserted and the distance VA chart is viewed at that distance power.
ᵉ ᵉ
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㹊㸸㸱㹊㸸㸱
㹑㸫ࠉ㸯
㸫ࠉ㸯㸬㸮㸮
㸮㸮㹑㸫ࠉ㸯
㸫ࠉ㸯㸬㸮㸮
ࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉ㹑㸩ࠉ㸮㸬㸮㸮
㸮㸮
㹁㸫ࠉ㸮
㸫ࠉ㸮㸬㸵㸳
ࠉ㸮㸬㸮㸮
㸮㸮㹁㸫ࠉ㸮
㸫ࠉ㸮㸬㸵㸳
ࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉ㹁㸫ࠉ㸮㸬㸮㸮
㸮㸮
㸿ࠉࠉࠉࠉࠉ ࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉ㸿ࠉࠉࠉࠉࠉ㸮㸿ࠉࠉࠉࠉࠉ㸰ࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉ㸿ࠉࠉࠉࠉࠉ
Corrected distance values Uncorrected vision (0 D) or LM values
• The vision comparison function must be performed with the target aligned in every direction and
focused in the same manner as during measurement.
• If the patient’s eye is hyperopic, the vision does not change as much as that of a myopic eye. This is
because the patient can see the chart with accommodation even with an uncorrected eye.
4 If necessary, switch vision for near distance.

1) Press the near button. ᵉ
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The working distance to the chart changes from the nor- ᴹ´°ãíᴻ
mal distance (5 m-equivalent) to 40 cm-equivalent*1 is
displayed in the top of the screen.
Pressing the near button again returns the working
distance to the normal distance (5 m-equivalent).
㹊㸸㸱
2) Press the recall (or ) button to toggle the 㹑㸫ࠉ㸯
㸫ࠉ㸯㸬㸮㸮
㸮㸮
㹁㸫ࠉ㸮
㸫ࠉ㸮㸬㸵㸳
ࠉ㸮㸬㸮㸮
㸮㸮
vision and then check the vision difference. 㸿ࠉࠉࠉࠉࠉ㸰ࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉ㸿ࠉࠉࠉࠉࠉ
*1. The near working distance to the chart can be set between 35 and 70 cm (5 cm increments) or 14 and 28 inches (2-inch incre-
ments) by the “56. WORKING D.” parameter.
41
3) If necessary, switch vision with addition power. ᵉ

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Pressing the ADD button adds the addition power of ᴹ´°ãíᴻ
*1
1.75D and “ADD+1.75” is displayed in the center of the
screen.
Pressing the ADD button again clears the vision
with the addition power. 㸿㹂㹂
ࠉ㸩ࠉ㸯㸬㸵㸳
㹊㸸㸱
4) Press the ADD button to toggle the vision and 㹑㸫ࠉ㸯
㸫ࠉ㸯㸬㸮㸮
㸮㸮
㹁㸫ࠉ㸮
㸫ࠉ㸮㸬㸵㸳
ࠉ㸮㸬㸮㸮
㸮㸮
then check the vision difference. 㸿ࠉࠉࠉࠉࠉ㸰ࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉ㸿ࠉࠉࠉࠉࠉ
• To display the ADD icon, set the “23. ADD SW” parameter to “Yes” (factory setting).
Pressing the near or recall (or ) button cancels the addition power.
5 Press the return button to finish the vision comparison function and return to the
measurement screen.
6 Measure the other eye in the same manner.

When using the vision comparison function after AR measurement of both eyes, start it after align-
ment with the patient’s eye.
*1. The addition power can be selected from “1.5D”, “1.75D”, or “2.0D” by the “24. ADD SELECT” parameter.
42
O Importing LM Data
To present the vision with their glasses rather than that with uncorrected eyes using the vision com-
parison function, LM data needs to be imported before testing.
● Importing data using the Eye Care card

Importing of LM data automatically starts as soon as an Eye Care card containing LM data written by the
lensmeter is inserted into the Eye Care card slot of the device. (page 30)
● Importing data from a connected lensmeter

When the print button (or data button) of the lensmeter is pressed after measurement using the lensme-
ter, the measured LM data is imported. (page 61)
• The LM data on the Eye Care card is automatically erased under either of the following conditions:
When LM data is transferred to an AUTO OPTOMETRY SYSTEM
When LM data is overwritten (LM data is erased from card and new data is written)
• When saving LM data and AR-measured data on an Eye Care card, be careful not to mix data from
a different patient.
43
OPERATING PROCEDURE: Retroillumination Image Observation (ARK-1a only)
3.5 Retroillumination Image Observation (ARK-1a only)
 Whether opacity exists on crystalline lenses or vitreous body can be observed.
CAUTION
• Opacity indexes should be taken as a reference value.
When images are captured under the following conditions, actual indexes may not be presented.
• The border of a pupil is darkly displayed due to the alignment position.
• The opacity is out of focus.
• Bright spots of observation light reflected from the corneal vertex appear.
Depending on the position of the opacity, correct pupil detection may not be possible resulting in the
circle position indicating the 3 mm range in diameter to be deviated. Actual indexes may not be pre-
sented in such a case, either.
1 After KM measurement, press the retroillumination ᵏ 5(752,//80,1$7,21

image button to display the retroillumination
image observation screen (RETRO ILLUMINA-
TION).
The device enters retroillumination image observation mode.
The auto tracking and auto focusing functions turn off and the
light quantity (LIGHT) is controlled automatically. &$3785(
/,*+7
To change the light intensity manually, press the lamp ᵏ 5(752,//80,1$7,21

button. As the light intensity automatic control is deactivated,
change the light intensity with the displayed up button or
down button.
&$3785(
/,*+7
2 Manipulate the joystick so that the opacity is in ᵏ 5(752,//80,1$7,21

focus and the corneal luminous spot is not promi-
nent, and then press the start button for image cap-
ture.
The captured retroillumination image (still image) is displayed
and the “ANALYZING...” message indicating that the opacity
indexes are being calculated is displayed for a few seconds.
$1$/<=,1*
44
OPERATING PROCEDURE: Retroillumination Image Observation (ARK-1a only)
When analysis is complete, the opacity indexes for the center ᵏ 5(752,//80,1$7,21
(COI. H, COI. A) and periphery (POI) and a circle indicating
the 3 mm range in diameter are displayed
Opacity size within a diameter of 3 mm of

COI. H
the center (vertical diameter): mm
Opacity proportion within a diameter of 3
COI. A
mm of the center: %
Opacity proportion within the entire &2,+PP
POI &2,$
periphery: % 32,
If the pupil of the image to be captured cannot be detected,

“PS+OVER” or “PS-OVER” is displayed. Capture the image again.
When the pupil size is 3 mm or less in diameter, “----” is displayed in the opacity index POI for the
periphery.
Pressing the start button before image capture returns to the Step 1 display.
Prints the opacity indexes and retroillumination image only. Prints the opacity
Print indexes and retroillumination images of the right eye and left eye when both eyes
have been captured.
Return Returns to the AR (AR/KM) measurement screen.
Shows or hides the angle scale and ᵏ

corneal cylinder axis.

Corneal cylinder axis

Red: Steepest meridian
Blue: Flattest meridian
Scale
When KM-measured values have
not been obtained or the center of
the retroillumination image cannot
be detected, the scale icon is
not displayed.
3 Switch the eye to be measured and perform retroillumination image observation for
the other eye in the same manner.
• To print the retroillumination image on the normal measured results, set the “57. RETRO IMAGE
PRINT” parameter.
45
OPERATING PROCEDURE: Accommodation Measurement (ARK-1a only)
3.6 Accommodation Measurement (ARK-1a only)
1 After AR measurement, press the accommodation measurement button to dis-

play the accommodation measurement screen (ACCOMMODATION).
The initial measurement conditions are “HOME (reference ᵏ
position) = SPH value” and “TPOS (initial position) = SPH $&&2002'$7,21
value +0.50 D*1” (0.01 D increments each).
To change the reference position, use the up button or

down button (0.25 D increments). 67$57
A scenery chart is presented to the patient. Instruct the

patient to begin and continue looking at the chart from the 㹑㸫ࠉ㸯㸬㸵㸯ࠉ㹆㹍㹋㹃
㸫ࠉ㸯㸬㸵㸯
㸵㸯
start of measurement. Measurement continues for a maxi- 㹁㸫ࠉ㸮㹁㸫ࠉ㸮㸬㸱㸳ࠉ㹒㹎㹍㹑
㸱㸳ࠉ㹒㹎㹍㹑㸫ࠉ
㸫ࠉ㸯㸬㸰㸯
㸰㸯
㸿ࠉࠉࠉࠉ㸲㸶ࠉ㹒㹇㹋㹃ࠉࠉ㸮㸭㸱㸮
mum of 30 seconds.
2 Manipulate the joystick to perform alignment and focusing of the patient’s eye.
3 Press the start button on the joystick to start mea- ᵏ

surement. $&&2002'$7,21
With auto shot on, measurement does not start unless align- 6723
ment and focusing are achieved.

While the chart is moved from the initial position, successive
AR measurements are taken. If the patient’s eye cannot
accommodate to the chart position (TPOS) for a continuous 6
㹑㸫ࠉ㸵
㸫ࠉ㸵㸬㸯㸵
㸯㸵ࠉ㹎㹑ࠉ
ࠉ㹎㹑ࠉ㸲㸬㸶
seconds, measurement finishes. (The elapsed time is dis- 㹑㸫ࠉ㸯㸬㸵㸯ࠉ㹆㹍㹋㹃
㸫ࠉ㸯㸬㸵㸯
㸵㸯
㹁㸫ࠉ㸮㸱㸳ࠉ㹒㹎㹍㹑㸫ࠉ㸵
㸫ࠉ㸵㸬㸮㸳
㸮㸳
played in the TIME field.) 㸿ࠉࠉࠉࠉ㸲㸶ࠉ㹒㹇㹋㹃ࠉ㸯㸲㸭㸱㸮
Once measurement starts, AR-measured values and the ᵏ

pupil size are successively displayed along with the graph. $&&2002'$7,21
When measurement is complete, a beep sounds and the
screen display stops updating.
5(6(7
㹑㸫ࠉ㸵
㸫ࠉ㸵㸬㸯㸵
㸯㸵ࠉ㹎㹑ࠉ
ࠉ㹎㹑ࠉ㸲㸬㸶
㹑㸫ࠉ㸯㸬㸵㸯ࠉ㹆㹍㹋㹃
㸫ࠉ㸯㸬㸵㸯
㸵㸯
㹁㸫ࠉ㸮㸱㸳ࠉ㹒㹎㹍㹑㸫ࠉ
㸫ࠉ㸷㸬㸳㸱
㸳㸱
㸿ࠉࠉࠉࠉ㸲㸶ࠉ㹒㹇㹋㹃ࠉ㸰㸴㸭㸱㸮
STOP Displayed during measurement. Press the corresponding button to interrupt mea-
6723
surement. “RESET” is displayed above the joystick icon. Pressing the start button
resets the chart and returns to the pre-measurement condition.
Return Returns to the AR (AR/KM) measurement screen.
Graph Displays the graph display screen.
*1. The setting of TPOS (shift amount from SPH) can be set by the “132. T. POSITION” parameter.
46
OPERATING PROCEDURE: Accommodation Measurement (ARK-1a only)
4 Press the graph button to display the graph display screen.

The detailed graph, accommodation*1, maximum&minimum ᵏ
AR-measured values, and maximum&minimum pupil size val- $&&2002'$7,21
ues are displayed. ᵘᵁᵚ ᴴᴫᴱᴱ ᵘííᵚ
The horizontal axis indicates the elapsed time in one-second

㸴㸬㸲
increments. 㸫㸷㸬㸯㸯
㸲㸬㸱
㸫㸯㸬㸴㸵
5 Press the graph button to return to the accommodation measurement screen.
6 Switch the eye to be measured and measure the other eye in the same manner.
• “ACC (accommodation)”, AR-measured “MIN (minimum value)”, “MAX (maximum value)”, pupil size
“MIN (minimum value)”, and “MAX (maximum value)” are printed out as measured results.
The greatest minus AR-measured value indicates “MAX (maximum value)”.
• To print the graph, set the “58. ACC GRAPH PRINT” parameter.
O Graph display screen
ᵏ
1 Accommodation (D)
$&&2002'$7,21
2 Maximum AR-measured value (D)
± ·
ᵘᵁᵚ ᴴᴫᴱᴱ ᵘííᵚ
3 Minimum AR-measured value (D)
¶ 4 Maximum pupil size (mm)

㸴㸬㸲 ´
² 㸫㸷㸬㸯㸯
5 Minimum pupil size (mm)
㸲㸬㸱 6 Pupil size graph

µ
7 Graph indicating chart position (TPOS)
³ 㸫㸯㸬㸴㸵 Graph indicating change in AR-
8 measured values
(Accommodation graph)
¸
• Graph display of pupil size and AR-measured values

Interruptions on the graph indicate there were times that no measurement was obtained due to
blinking, alignment error, or such during measurement.
*1. Accommodation increments is set by the “131. STEP” parameter independent from the display increments of the AR-measured
values.
47
OPERATING PROCEDURE: Manual Measurement
3.7 Manual Measurement
 The Corneal Size (CS), Pupil Size (PS), and Pupillary Distance (PD) can be manually measured by
looking at the eye image. Even if auto measurement*1 is set, manual measurement is possible.
• When the CS (Corneal Size) measurement, PS (Pupil Size) measurement, or PD (Pupillary Dis-
tance) measurement has been both manually and automatically performed, the manually measured
value is used.
3.7.1 CS (Corneal Size) measurement
1 Press the CS/PS/PD button to enter CS mea- ᵏ &251($/6,=(

surement mode.
“CORNEAL SIZE” and guide lines are displayed on the
screen.
&$3785(
2 Manipulate the joystick to perform alignment and focusing of the patient’s eye.
The auto tracking function automatically turns off. Manually perform alignment and focus.
3 Press the start button to capture the image. ᵏ &251($/6,=(

The screen switches from a live image to a still image.
After image capture, instruct the patient to rest comfortably.
4 Press the right button or left button to align ᵏ &251($/6,=(

the guide lines on the edge of the patient’s cornea.
The guide line to be aligned is displayed in pink. Press the
down button to change the selected guide line.
*1. Auto measurement is set by the “68. AUTO PD”, “69. AUTO PS”, or “70. AUTO CS” parameter.
48
5 Press the start button to confirm the measurement. ᵏ &251($/6,=(

A CS value (0.1 mm increments) is displayed in the lower part
of the screen.
PP

Switching the eye to be measured displays the Step 1 screen display.
To perform PS (Pupil Size) measurement at the same time, press the CS/PS/PD button to
switch to the PS measurement screen.
• When performing both CS (Corneal Size) measurement and PS (Pupil Size) measurement, switch
the eye to be measured only after CS measurement and PS measurement of a single eye are com-
plete.
Only a single image capture is needed for each capture.
• When the “5. AI MODE” parameter is set to “YES” and the “31. PRINT” parameter is set to “AUTO”,
perform manual CS measurement before AR and/or KM measurement to print the data together with
AR- and/or KM-measured data.
7 Press the return button to exit from CS mea- ᵏ

surement mode.
ࠓ),1,6+ࠔ
The screen returns to the measurement screen.
6$*
The CS-measured value is displayed on the screen indicating

the completion of CS measurement.
㹁㸫ࠉ㸮㸬㸵㸳ࠉ㹐㸰ࠉࠉ㸵㸬㸳㸷ࠉࠉ㸶㸱ࠉ㹁㹑㸯㸯㸬㸳
㹁㸫ࠉ㸮㸵㸳ࠉ㹐㸰ࠉࠉ㸵㸬㸳㸷ࠉࠉ㸶㸱ࠉ㹁㹑㸯㸯㸬㸳
49
3.7.2 PS (Pupil Size) measurement

The following is the procedure to measure the Pupil Size (PS). When continuing PS (Pupil Size) mea-
surement from CS (Corneal Size) measurement, start from Step 5.
• When the mode is switched to PS measurement mode while a still image is displayed on the CS
(Corneal Size) measurement screen, the image displayed is still.
• To recapture the patient’s eye after turning on or off the lamp button, press the start button
twice.
The screen switches to the Step 1 screen display.
1 Press the CS/PS/PD button to enter PS mea- ᵏ 383,/6,=(

surement mode. /$0321
“PUPIL SIZE” and guide lines are displayed on the screen.
&$3785(
2 When measuring the pupil size under reduced lighting, turn off the chart-illuminating
lamp in the measuring window.
Press the lamp button to turn on or off the chart-illuminating lamp.

When the chart-illuminating lamp is not lit, “LAMP:OFF” is displayed.
Instruct the patient not to look around and watch ahead without straining.
LAMP:ON Measures the pupil size during AR measurement
LAMP:OFF Measures the size of the pupil dilated in darkness
3 Manipulate the joystick to perform alignment and ᵏ 383,/6,=(

focusing of the patient’s eye. /$0321
The auto tracking function automatically turns off.
Manually operate the joystick to perform alignment and focus-
ing according to the patient’s eye.
4 Press the start button to capture the image.

The screen switches from a live image to a still image. After image capture, instruct the patient to rest
comfortably.
50
5 Press the right button or left button to align ᵏ 383,/6,=(

the guide lines on the pupil of the patient’s eye. /$0321
The guide line to be aligned is displayed in pink. Press the
down button to change the selected guide line.
6 Press the start button to confirm the measurement. ᵏ 383,/6,=(

A PS value (0.1 mm increments) is displayed in the lower part /$0321
of the screen.
PP

Switching the eye to be measured displays the Step 1 screen display.
• When the “5. AI MODE” parameter is set to “YES” and the “31. PRINT” parameter is set to “AUTO”,
PS measurement must be performed before AR and/or KM measurement to print the data together
with AR- and/or KM-measured data.
8 Press the return button to exit from PS mea- ᵏ

surement mode.
ࠓ),1,6+ࠔ
6$*
The PS-measured value is displayed on the screen indicating

the completion of PS measurement.
To perform PD (Pupillary Distance) measurement at the same 㹐㸸㸱ࠉ㸦㸷㸧ࠉ㹉㸸㸱

㹑㸫ࠉ㸯㸬㸮㸮ࠉ㹐㸯ࠉࠉ㸵㸬㸷㸶ࠉ㸯㸵㸱ࠉ㹎㹑ࠉ㸲㸬㸳
㹑㸫ࠉ㸯㸮㸮ࠉ㹐㸯ࠉࠉ㸵㸬㸷㸶ࠉ㸯㸵㸱ࠉ㹎㹑ࠉ㸲㸬㸳
time, press the CS/PS/PD button to display the PD 㹁㸫ࠉ㸮㸬㸵㸳ࠉ㹐㸰ࠉࠉ㸵㸬㸳㸷ࠉࠉ㸶㸱
measurement screen.
51
3.7.3 PD (Pupillary Distance) measurement
• In manual PD measurement, five measurements can be saved. The latest PD value is displayed on
the measurement screen. The measured PD values (five measurements at the maximum) are
printed on the printed results in the order measured.
1 Press the CS/PS/PD button to enter PD mea- ᵏ 3'

surement mode.
“PD”, “R”, “C”, and “L” are displayed on the screen.
(17(5
5&/
2 Instruct the patient not to move their head or eyes during measurement.
3 After each proper alignment of the right eye and left 3' ᵉ
eye, press the start button.
Pressing the start button after proper alignment with the mid-
dle (bridge) of the PD allows monocular PD along with the
binocular to be measured.
(17(5
/
• If the patient’s head is tilted, straighten it before starting measurement.

To locate in the exact middle position, have the patient wear the frames marked in the middle and bring
the mark in focus.
• “R” (Right), “C” (Center) or “L” (Left) on the LCD disappears in order by pressing the start button to
indicate that detection of each position has been completed.
4 When measurement is complete, the measured PD 3' ᵉ

is displayed on the screen.
When the R (Right) or L (Left) indication disappears, mea-
surement finishes.
To measure the monocular PD, press the start button in the
center (C).
(17(5
3'
52
5 Press the return button to exit from PD mea- ᵉ

surement mode.
ࠓ),1,6+ࠔ
The measured PD is displayed on the screen indicating the
completion of measurement.
• When PD is measured with the “55. NEAR PD PRINT” parameter set to “YES”, the near PD is
printed out along with the distance PD.
53
OPERATING PROCEDURE: Sagittal Measurement
3.8 Sagittal Measurement
Set the “81. SAGITTAL” parameter to “YES” in advance. When the “31. PRINT” is set to “AUTO”,
reset it to “MANUAL”.
1 As soon as KM-measured values are obtained, the ᵏ

SAG icon is displayed. Press the SAG but-
ࠓ),1,6+ࠔ
ton to display the sagittal measurement screen.
6$*
Indications of “U (Up)”, “R (Right)”, “D (Down)”, and “L (Left)” ᵏ 6$*,77$/

are displayed on the screen. The blinking “L (Left)” indication
8
shows the position of the illuminated fixation target viewed by
the patient.
5 /
'
• The latest KM-measured values are displayed on the screen.
• To exit from sagittal measurement mode, press the return button.
2 Instruct the patient to look at the green light on the left without moving their head.
3 Manipulate the joystick up, down, right, or left to ᵏ 6$*,77$/

position the target within the mire ring. 8
4 Manipulate the joystick forward or backward until 5 /

the mire ring is focused.
'
54
5 Press the start button to start measurement. ᵏ 6$*,77$/

The sagittal radius of the left position is measured. “L” 8
changes to “*” and then “R” starts blinking.
5
'
• If the measurement is erroneous, “L” changes to “E”. In such cases, press the start button to start
measurement again. If “E” remains after remeasurement, press the down button to proceed to
measurement of the R side.
6 Instruct the patient to look at the green light on the right without moving their head
and measure the right side in the same manner as the left.
7 Take measurements for D (Down) and U (Up) in the ᵏ

same manner.
ࠓ),1,6+ࠔ
When all the four measurements for a single eye are com- 6$*
plete, the device returns to the AR/KM measurement screen

(or KM measurement screen) and the eccentricity (E) value is
displayed.
ࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉ㹃㸫㸮㸬㸲㸮
• Throughout the measurement process, median values for each side (L, R, U or D) are obtained indi-
vidually. The eccentricity data is obtained by calculation based on the four median values and KM
data (either median or the latest data). When the “82. SAGIT AXIS” parameter is set to “AXIS”, these
values will be converted for the angle of the steepest meridian which has been obtained during KM
measurement.
• When “E” is displayed for a particular side, the value of the opposite side on the same meridian is
used for the calculation of eccentricity.
• If the eccentricity is displayed as “E ERR”, press the SAG button to conduct sagittal measure-
ment again. Taking remeasurement, however, clears the previous data.

It is possible to start binocular radius measurement after KM measurement of both eyes.
9 Press the print button to print the sagittal measurement results.
55
• Before measuring another patient, be sure to press the print button to print data or press the
clear button to erase data.
O Sample printout
The following are sample printouts for the left eye and explanations of each data item.
● Sample printout 1
When the “83. SAGIT PRINT” parameter is set to “ALL”
< SAGITTAL > = Sagittal radius on each side

SUP. = Superior side
INF. = Inferior side
TEM. = Temporal side
NAS. = Nasal side
A = Axis of steepest meridian (KM measurement)
(FIX ANGLE = Fixation angle)
S = Sagittal data which the dRo value is added to or subtracted from sag-
ittal radius values
e = Eccentricity values of each sagittal radius
eh = Eccentricity on horizontal meridian
ev = Eccentricity on vertical meridian
E = Total Eccentricity
ASTc = Corneal cylinder at the center
ASTp = Corneal cylinder at the periphery
Rh = Average of corneal curvature on horizontal meridian
Rv = Average of corneal curvature on vertical meridian
Ro = Average of corneal curvature at the center
dRo = Difference of corneal curvature between R1 and R2
dAST = Difference of corneal cylinder between the center and the periph-
ery
When the “83. SAGIT PRINT” parameter is set to “SHORT”
56
OPERATING PROCEDURE: Contact Lens Measurement
3.9 Contact Lens Measurement
 To measure hard contact lenses, use the provided contact lens holder.
The contact lens holder is incorporated in the spherical model eye.
1 Fill the concave top of the contact lens holder with water.
Use a commercial pipette to fill the concave top of the CL holder completely with water.
± ²
2 Place a contact lens on the contact lens holder with the surface to be measured fac-
ing upward.
When measuring the concave surface, place the lens with the concave surface up. Conversely, when
measuring the convex surface, place the lens with the convex surface up.
• Prevent any bubbles from forming. In addition, avoid water or dust to the measurement surface.
3 Remove the two fixing pins and the stack of chinrest paper from the chinrest.
³ ´
4 Place the contact lens holder with the surface of the contact lens to be measured fac-
ing toward the measuring window and insert the fixing pins.
57
OPERATING PROCEDURE: Contact Lens Measurement
5 Select KM measurement mode and measure the contact lens in the same manner as
KM measurement.
• When the convex surface of a contact lens is measured, the axis angle can be read directly. When
the concave surface is measured, however, the measured axis is reflected over the Y axis.
• Soft contact lenses cannot be measured.
58
OPERATING PROCEDURE: Measured Value Printing
3.10 Measured Value Printing
 Measured values are printed out by pressing the print button after measurement.
The printing contents can be changed by parameter options “PRINT1” to “PRINT3”. Set the
parameters as necessary or desired. “4.5 Device Parameter Settings” (page 72)
• When the “31. PRINT” parameter is set to “AUTO”, printing starts automatically when measurement
of both eyes is complete.
• When the RT or such is connected, printing and data communication are performed at the same
time.
Standard printing Printing of eye diagram

A sample printout of AR/KM measurement with
Pressing the eye print button prints the eye
the print parameters set to default
diagram based on the AR median values (or the
latest values when median values have not been
obtained).
59
OPERATING PROCEDURE: Measured Value Printing
Patient ID
1 Patient ID scanned by the optional barcode scanner or magnetic
± card reader
2 Vertex distance
² 3 Near working distance
³ AR-measured values (center)
S: Spherical refractive error
´ 4 C: Cylindrical refractive error
µ A: Cylinder axis
5 Confidence index
¶
6 AR median values
·
7 SE value
¸ 8 Printing of eye diagram

9 Trial lens data
10 Contact lens conversion value
¹
11 AR large area measured values
±°
PS (Pupil Size) measured value
±± When measurement is performed with the chart-illuminating
12
lamp turned off during manual PS measurement, “(LAMP=OFF)”
±²
is printed out.
±³
Accommodation measured values
MIN: AR-measured minimum value
MAX: AR-measured maximum value
±´ (PS MIN: Pupil size minimum value, MAX: Pupil size maximum
13
value)
An accommodation graph is printed out depending on the “58.
ACC GRAPH PRINT” parameter setting.
Retroillumination analysis values
±µ
COI. H: Central Opacity Index Height
14 COI. A: Central Opacity Index Area
POI: Peripheral Opacity Index
±¶ KM median values
R1: Flattest meridian
R2: Steepest meridian
15
deg: Corneal cylinder axis
AVG: Average of R1 and R2
CYL: Corneal cylindrical error
16 CS (Corneal Size) measured value
±· PD (Pupillary Distance)
17
Distance PD, monocular PD, near PD
±¸ Comments
18
Characters and symbols can be freely entered.
60
OPERATING PROCEDURE: Operation when Peripheral Devices are Connected
3.11 Operation when Peripheral Devices are Connected
 The device can export data to an external device such as the NIDEK motorized refractor and PC. It
can also import data from the NIDEK lensmeter.
LAN
±
µ
¶
²
³
Connecting device Connection port Function

RS-232C connector LM data is imported and then printed while at the
NIDEK lensmeter
input (IN: ) same time exported to the RT.
1
Connectable devices: LM-500, LM-600/600P/600PD, LM-970, LM-990/990A, LM-1000/1000P, LM-
1200, LM-1800P/1800PD
RS-232C connector AR and KM data are exported.
2 PC
output (OUT: ) Measured data is managed by database software.
RS-232C connector AR data is exported.

NIDEK motorized
AR data is used as objective values in the subjec-
3 refractor output (OUT: )
tive test by the RT.
Connectable devices: RT-1200 series, RT-2100 series, RT-5100 series
AR data and KM data are exported.
4 PC LAN port
Measured data is managed by database software.
Barcode scanner
5
(optional)
USB port Patient ID is read.
Magnetic card reader
6
(optional)
CAUTION
• Never connect devices other than the optional barcode scanner or magnetic card reader to the
device.
ID cannot be read correctly or device malfunction may result.
• Be sure to perform LAN connection via a network hub.
Data communication may not be properly performed.
61
3.11.1 Device connecting procedure
CAUTION
• Before connecting a communication cable, be sure to turn off each device.
Connecting the cable with the power on may cause malfunction.
± ³
Connect the cable with the device on its side. Ensure that the plug is inserted into the connector in the
proper orientation.
To disconnect the plug of the RS-232C cable (Number 2 above) or LAN cable (Number 3 above),
hold the plug while pressing the button (or lock) indicated by “*” and pull out the plug.
Attach a ferrite core (optional) to the end of the communi-

cation cable connected to the device.
• An RS-232C communication cable (optional) differs depending on the connecting device. Contact
NIDEK or your authorized distributor for details.
• Before network connection (LAN connection), set parameters of the device and PC under confirma-
tion of the network administrator of the facility.
62
3.11.2 Operating procedure

● Importing data from a lensmeter (LM) (RS-232C connection)
ARK-1a/ARK-1 parameter setting NIDEK LM parameter setting

73. BAUD-RATE = 9600 Printer = AR print
74. BIT LENGTH = 8 RS-232C = NIDEK
76. LM DATA PRINT = YES Baud rate = 9600
Parity = Odd
Data bits = 8
Stop bits = 1
1) After measurement by a lensmeter, press the print button.
● Exporting data to the RT (or PC) (RS-232C connection)

After measurement, press the print button.
1) Transmit data to the RT (or PC).

When the device is connected to the RT, it receives data number (ID number) from the RT.
When the device is connected to a PC, it does not receive data number (ID number).
2) The measured data is printed.
When the device is connected to the RT, the data number (ID number) is also printed.
● Exporting data to the PC (network connection [LAN])

After measurement, press the print button.
The measured data is printed and data is transmitted to the PC.
● Reading the patient ID with the barcode reader or magnetic card reader
• Although patient ID can be read before or after measurement, read it before printing the measured
results.
If patient ID is read after measured data has been printed and is still displayed, the device considers the
displayed data to be that of a former patient and erases it automatically.
• The device considers the latest patient ID read before printing to be the patient ID of the printed data.
If an incorrect patient ID has been read, read the correct ID again.
• A beep sounds when the device is turned on with the barcode scanner or magnetic card reader con-
nected.
63
Place the scanner window over the barcode and press

the trigger button. (Barcode scanner)
When the barcode has been read successfully,
the confirmation LED lights up.
Swipe the card with the magnetic card reader. (Mag-

netic card reader)
A beep sounds and the green LED goes out.
When the card has been read successfully, the
LED lights up.
When the barcode has been read successfully, the ᵏ

device displays the ID icon indicating that the
patient ID has been read.
When an Eye Care card is not inserted, the ID number
is displayed instead of the ID icon.
• For the barcode, use “CODE39”.

• Use a magnetic card utilizing a magnetic stripe format compliant with ISO 7811, AAMVA, CA DMV.
• For the patient ID, alphanumeric characters, spaces, “_” and “-” symbols can be used.
Other symbols are not recognized by the device. All unrecognized symbols are converted to “~”.
64
4 DEVICE SETTINGS AND MAINTE-
NANCE
4.1 Troubleshooting
 Should the device function improperly, attempt to correct the problem according to the following table
before contacting NIDEK or your authorized distributor.
When Remedy
• The power cord may not be correctly connected.
Reconnect it securely.
The LCD does not turn on.
• Check whether proper voltage is applied to the power outlet.
• The power switch may not have been turned on. Check the power switch.
The LCD does not turn on (not • The sleep function may have been activated. Press any button to exit
clear) even though power is on. from sleep mode.
The screen disappears sud- • Sleep mode may have been activated. Press any button to exit from sleep
denly. mode.
The main unit cannot be • The locking lever may be locked.
moved laterally. Flip up the locking lever in front of the joystick.
• Check the printer paper. If the paper has been used up, load new printer
paper.
Printing does not start.
• The “31. PRINT” parameter may be set to “NO”.
Reset the parameter.
The printer does operate, how-
• The printer paper may be loaded with the incorrect side up.
ever, printed results cannot be
Set it with the correct side up.
obtained.
When power is turned on or the • Check whether the printer cover is securely closed.
Open the printer cover and close it securely.
print button is pressed,
“ERROR” or “OUT OF PAPER” • The print button may have been pressed too soon after the printer
appears even though printer cover was closed.
paper is loaded. After the printer cover is closed, it takes time for the printer to be ready.
• Printer paper may be loaded in tilted or the core of the roll may not be
Printer paper does not feed placed properly.
properly. Open the printer cover and make sure that printer paper is properly
loaded.
65
DEVICE SETTINGS AND MAINTENANCE: Troubleshooting
When Remedy
• The auto tracking function or auto shot function may not have been
turned on.
Turn them on with the auto button.
• Room illumination may be reflecting on the cornea.
Change the location and try measurement again.
The auto tracking function or • The auto tracking function or auto shot function may not work on some
auto shot function does not eyes such as keratoconus or recently-operated cornea.
work. In such cases, turn off the auto tracking function and start measurement.
• With patients who have substantial ocular ataxia or who cannot fixate
their eyes, the auto tracking function may not work.
In such cases, turn off the auto tracking function and start measurement.
• If the device is installed in the vicinity of a window resulting in exposed to
sunshine, light interference may adversely affect these functions.
Change the installed position of the device and start measurement again.
“PD ERR” is displayed on the
• Check whether the PD measuring window is not blocked.
screen.
• The patient may have blinked during measurement.
Instruct the patient not to blink and try measurement again.
• The eyelid or eyelashes may obstruct measurement.
Instruct the patient to open their eye wider.
If the patient cannot open wider, gently lift the patient’s lid, paying atten-
A measurement error appears.
tion not to press against the eyeball.
• The pupil may be too small for measurement.
Have the patient sit in a dark room for a while until the pupil enlarges
enough and try measurement again.
• The data may exceed the measurable limit.
The “CHECK MEASURING • Clean the measuring window. (page 90)

WINDOW.” message is printed • If the measuring window is not dirty, make sure that the measuring win-
out at device start-up. dow is not blocked at device start-up.
* If the symptom cannot be corrected by the above actions, contact NIDEK or your authorized distribu-
tor.
66
DEVICE SETTINGS AND MAINTENANCE: Error Messages and Remedies
4.2 Error Messages and Remedies
 If one of the following error codes is displayed on the screen or printed out, follow the suggestions in
the cause and remedy column.
The error code, detailed indications and serial number of your device are helpful for proper servicing.
Error message Cause and remedy
ERR001 • Loss of backup memory (EEPROM) data due to exogenous noise such as static electric-
EEPROM ERR ity or malfunction of the backup memory on the electric circuit board is probable.
• If the same error code is displayed again even after the device is turned off and on again,
shut off the device and contact NIDEK or your authorized distributor.
ERR002 • Because the built-in battery has been discharged after about one month or longer of non-
CLOCK ERR use, the date and time settings may have become incorrect, or malfunction of the electric
circuit board or timer IC on the electric circuit board is probable.
• If the same error code is displayed again even after the date and time have been reset in
parameter setting mode, shut off the device and contact NIDEK or your authorized dis-
tributor.
PD ERR • If the PD window is blocked, remove the obstacle. If dust settles on the PD window,
dampen a cloth with rubbing alcohol and gently wipe the dust off.
• Install the device in a location where the device is not exposed to external light.
• Shut off the device and contact NIDEK or your authorized distributor.
ERR011 to ERR018 COM • Check whether the communication cable is properly connected to the output port.
(OUT) ERR • Check whether the parameters related to communication are properly set.
NO DATA • No measured data to be transmitted exists.
• Conduct communication after measurement.
ERR021 to ERR028 COM • Check whether the communication cable is properly connected to the input port.
(IN) ERR • Check whether the parameters related to communication are properly set.
OUT OF PAPER • If the printer is short of paper, refill paper.
If the printer cover is open, close it securely.
• If the same error code is displayed even after replacement of printer paper roll, shut off
the device and contact NIDEK or your authorized distributor.
ERR501 • Malfunction of the Eye Care card is probable.

ICC POWER ERR • Replace the Eye Care card and write data again.
ERR502 • The card was removed during writing.
ICC HOLD ERR • Insert the Eye Care card and write data again.
ERR503 • Error related to an Eye Care card
ICC WRITE ERR • Insert the Eye Care card and write data again.
ERR601 • A USB device connected to the USB-A connector was not properly recognized.
USB DEVICE ERR • Check the connecting cable for proper connection.
• If the same error code is displayed even after another USB device is connected, shut off
the device and contact NIDEK or your authorized distributor.
The following are errors related to the mechanism inside the device. Shut off the device and contact NIDEK or your autho-
rized distributor.
ERR031 TRACKING U/D ERR ERR101 AR SENSOR ERR

ERR032 TRACKING R/L ERR ERR111 THERMISTOR ERR
ERR033 TRACKING F/B ERR ERR112 AR MOTOR ERR
ERR034 CHIN MOTOR ERR ERR121 CYL1 ERR
ERR043 PRINT HARD ERR ERR122 CYL2 ERR
ERR044 PRINT CONNECT ERR ERR123 CHART ERR
67
DEVICE SETTINGS AND MAINTENANCE: Error Messages and Remedies
● Network communication
Error message Cause and remedy
ERR700
• Error related to Windows file sharing
CIFS ERR
ERR703 • Error related to the IC board
NETWORK ERR IC was damaged by some cause such as electrostatic discharge.
• If the same error code is displayed again even after the device is turned off and on again,
shut off the device and contact NIDEK or your authorized distributor.
ERR704 • Error related to DHCP

DHCP The IP address cannot be obtained.
ERR750 • Error related to network access

CAN'T ACCESS NET Enabling access to the network may require some time after the device start-up.
• Check the connection of the LAN cable. Check that the set IP address and subnet mask
are correct.
ERR751 • Write-protection is enabled or no free space is left.

CAN'T WRITE PC • Check whether write permission is granted to the destination folder in the PC and suffi-
cient free space is left.
ERR754 • PC with the specified name does not exist.

PC NAME • Check the connection of the LAN cable. Or check that the specified PC name is correct.
ERR756 • Logging on to the PC is not allowed. (The user name or password is incorrect.)
CAN'T LOGON PC • Check the user name and password and input correctly.
ERR757 • No shared folder exists in the PC. (The name of the shared folder is incorrect.)
NO SHARED FOLDER • Check the folder name and whether the folder is set to share.
ERR758 • The PC did not finish the process in a specified time.
NETWORK TIMEOUT • Send the data again.
ERR759 • The data cannot be deleted. (Deletion was attempted for data with the read-only attri-
CAN'T DELETE PC bute.)
• Disable write-protection.
ERR760 • Network initialization occurs. (This may require some time after the device start-up.)
NET INITIALIZING • Retry access to the network later.
ERR761 • The file sharing setting of the PC is not proper.
ACCESS DENIED • Check the file sharing setting of the PC.
ERR762 • The account is disabled. (The user setting is not proper.)
ACOUNT DISABLED • Check the network setting of the device.
ERR763 • Data cannot be imported.
CAN’T READ PC • Check the setting of the PC.
ERR766 • Because a file with the same name exists in the PC, writing is not possible.
SAME NAME ERR • Change the file name or delete the file.
ERR771 • The LAN cable is not connected.
NO NETWORK CABLE • Check the connection of the cable. Check the connection of the connector.
ERR772 • Reply error
NO RESPONSE The file is deleted within 5 seconds or not renamed.
• Check whether the capture software on the PC is properly activated.
68
DEVICE SETTINGS AND MAINTENANCE: Printer Paper Replacement
4.3 Printer Paper Replacement
 When a red line appears along the edge of the printer paper, it means that the paper is running short.
In such a case, stop using the printer and replace the printer paper with a new roll.
CAUTION
• Be sure to use only the printer paper (80620-00001) specified by NIDEK.
If printer paper other than those specified is used, the printer head may be damaged due to printing fail-
ure or paper jam.
1 Pull up the cover open lever to open the printer cover and remove the remaining
paper.
±± ±²
2 Insert a new printer paper roll.

Load the printer paper as shown in the picture below. If the roll is loaded with the paper upside down,
printing is not possible.
Set printer paper so that its end extends from the cover.
² ³
• Be sure that printer paper is not loaded in a tilted angle and that the core of the roll is properly
placed.
Printer paper may not be fed properly.
3 Close the printer cover.

Press the printer cover on both sides to close the cover securely.
69
DEVICE SETTINGS AND MAINTENANCE: Printer Paper Replacement
• Be sure that the cover is securely closed.

If the cover is insecurely closed, the auto cutter may not operate properly. In addition, when the print
button is pressed, “ERROR” or “OUT OF PAPER” may appear and printing will not occur.
70
DEVICE SETTINGS AND MAINTENANCE: Chinrest Paper Attachment
4.4 Chinrest Paper Attachment
1 Remove the two fixing pins from the chinrest.
2 Remove a suitable number of chinrest papers from the pack.

An entire pack of chinrest paper cannot be attached. Attach a stack with a thickness of 6 mm of less.
3 Pass the fixing pins through the chinrest paper stack.

Pass the fixing pins through the holes on either side of the stack of paper.
4 Attach the stack of chinrest paper onto the chinrest.

1) Insert the pin into the hole of the chinrest while holding both fixing pin and stack of paper.
2) Push the other pin into the hole of the chinrest.
71
DEVICE SETTINGS AND MAINTENANCE: Device Parameter Settings
4.5 Device Parameter Settings
4.5.1 Setting parameters

Various device parameter settings can be changed in the parameter setting screen (PARAMETER
SETTING).
1 Hold down the parameter (ring image / parameter for the ARK-1) button for
about a second to display the parameter setting screen.
2 Press the up button or down button to select a parameter to be changed and

then press the enter button to display the next screen.
O Parameter setting screen operation
ᵏ 㹎㸿㹐㸿㹋㹃㹒㹃㹐ࠉࠉ㹑㹃㹒㹒㹇㹌㹅
㸿㹐
Ԙ 㹉㹋
㹁㹍㹋㹎㸿㹐㹃 ԛ
㹎㹐㹇㹌㹒㸯
㹎㹐㹇㹌㹒㸰
㹎㹐㹇㹌㹒㸱
ԙ 㹄㹓㹌㹁㹒㹇㹍㹌
㹁㹍㹋㹋㹓㹌㹇㹁㸿㹒㹇㹍㹌
㹑㸿㹅㹇㹒㹒㸿㹊
Ԛ 㹐㹃㸿㹂㹃㹐 Ԝ
㹌㹃㹒㹕㹍㹐㹉㸯
㹌㹃㹒㹕㹍㹐㹉㸰
㸿㹁㹁㹍㹋㹋㹍㹂㸿㹒㹇㹍㹌
㹁㹊㹍㹁㹉ࠉ㹑㹃㹒
㹁㹍㹋㹋㹃㹌㹒ࠉ㹑㹃㹒
1 Enter Displays the next screen of the selected parameter option.

Saves parameter settings and returns to the measurement
2 Return
screen.
Prints all parameter setting contents.
3 Print
The program version of the device is also printed.
4 Up/ Down Moves the current parameter selection up or down.
Displays the information screen (INFORMATION) that shows
5 Information license information of JPEG or MD4.
AR to ACCOMMO- Displays the parameter details screen. (Step 3) or later

DATION * ACCOMMODATION is for the ARK-1a only.
Displays the clock setting screen (CLOCK SET) to set the date and time
CLOCK SET
to be printed. (page 86)
Displays the comment setting screen (COMMENT SET) to set comments

COMMENT SET
to be printed. (page 87)
3 Select the desired parameters in the parameter details screen and change the set-
ting contents.
72
O Parameter details screen operation
ᵏ 㹎㸿㹐㸿㹋㹃㹒㹃㹐ࠉࠉ㹑㹃㹒㹒㹇㹌㹅
ࠉࠉࠉࠉࠉ㹙㹎㹐㹇㹌㹒㸯㹛
㸱㸯㹎㹐㹇㹌㹒ࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉ㹋㸿㹌㹓㸿㹊
㸱㸰㹃㹁㹍㹌㹍㸬ࠉ㹎㹐㹇㹌㹒ࠉࠉࠉࠉࠉࠉࠉ㹌㹍
± 㸱㸱㹎㹐㹇㹌㹒㸤㹁㹊㹃㸿㹐ࠉࠉࠉࠉࠉࠉࠉࠉ㹌㹍 ³
㸱㸲㹎㹐㹇㹌㹒ࠉ㹂㹃㹌㹑㹇㹒㹗ࠉࠉ㹋㹃㹂㹇㹓㹋
㸱㸳㹎㸿㹒㹇㹃㹌㹒ࠉ㹌㹍㸬ࠉࠉࠉࠉࠉࠉࠉ㹗㹃㹑
㸱㸴㹑㹃㹒ࠉ㹎㸿㹒㹇㹃㹌㹒ࠉ㹌㹍㸬ࠉࠉ㸮㸮㸮㸯
² 㸱㸵㹌㸿㹋㹃ࠉ㹎㹐㹇㹌㹒ࠉࠉࠉࠉࠉࠉࠉࠉ㹗㹃㹑
㸱㸶㹂㸿㹒㹃ࠉ㹄㹍㹐㹋㸿㹒ࠉࠉࠉࠉࠉ㹋㸭㹂㸭㹗 ´
㸱㸷㹎㹐㹇㹌㹒ࠉ㹁㹍㹋㹋㹃㹌㹒ࠉࠉࠉࠉࠉ㹗㹃㹑
Page up Returns or advances the screen a single page.

1 The parameter details screens of AR to NETWORK2 are dis-
Page down played.
2 Return Returns to the parameter setting screen.
3 Up/ Down Moves the current parameter selection up or down.

Returns or advances the parameter setting a single content.
4 Right/ Left For parameters to be set by displaying the next screen, the
enter icon is displayed instead.
4 To finish all parameter settings, press the return button to return to the parameter
setting screen.
5 Press the return button to return to the measurement screen.
• The parameter settings are maintained in memory even though the device is turned off.
• After changing parameter settings, do not turn off the device before pressing the return button.
Otherwise, parameter settings are not saved.
73
4.5.2 Parameter tables
• Underlined options indicate factory settings.
● AR (AR measurement)
Parameter option Setting contents

1. STEP
0.01D / 0.12D / 0.25D
(AR measurement incre-
Selects the display increments of SPH or CYL for AR measurement.
ments)
2. VERTEX D. 0.00mm / 10.50mm / 12.00mm / 13.75mm / 15.00mm / 16.50mm
(Vertex distance) Selects the distance between the corneal vertex to the spectacle lens when the
patient wears glasses.
3. AXIS STEP 1° / 5°
(Axis increments) Selects the display increments of AXIS for AR measurement.
4. MEAS MODE CON. / NOR.
(Measurement mode) Selects the manner of fogging for AR successive measurement.
CON.: The scenery chart is fogged only once at the start of measurement.
NOR.: The scenery chart is fogged every measurement.
5. AI MODE YES / NO
(AI mode) Sets whether AI mode is used for AR measurement.
YES: When the number of measurements specified by the “6. AR CONTINUE”
parameter is performed and the median values have been obtained, measure-
ment finishes (FINISH). When the median values have not been obtained, addi-
tional measurement is performed.
NO: When the number of measurements specified by the “6. AR CONTINUE”
parameter is complete, measurement finishes (FINISH).
6. AR CONTINUE
3 to 10 (The default setting is 3.)
(AR successive mea-
Sets the number of measurements to complete the measurement cycle (FINISH).
surement)
7. AR THUMBNAIL YES / NO / LOW CONF
(AR thumbnail display) Sets the thumbnail display of the measurement ring image.
YES: A thumbnail of the measurement ring image is displayed to the upper left of
the screen when measurement is complete. Pressing the ring image (ring
image / parameter ) button displays the ring image in full screen.

NO: A thumbnail of the measurement ring image is not displayed. Pressing the
ring image (ring image / parameter ) button displays a thumbnail of

the measurement ring image. Pressing the button again displays the ring image in
full screen.
LOW CONF: When the confidence index is 7 or lower after AR measurement, a
thumbnail of the measurement ring image is displayed.
8. CYL CORRECT
YES / NO
(CYL correction) *ARK-
Sets whether the chart is presented with astigmatism correction.
1a only
74
● KM (KM measurement)

11. KM UNIT mm / D
(Display unit of corneal Selects the display unit of the corneal curvature radius from “corneal curvature
curvature radius) radius (mm)” or “corneal refractive power (D)”.
12. KM DISPLAY
R1. R2 / AVG. CYL
(Corneal curvature
Selects the measurement display from “R1 (flattest meridian) and R2 (steepest
radius measurement dis-
meridian)” or “AVG (averages of R1 and R2) and CYL (corneal cylindrical power)”.
play)
13. REF. INDEX
1.3380 / 1.3375 / 1.3360 / 1.3320 / 1.3315
(Corneal refractive
Selects the corneal refractive index for KM measurement.
index)
14. KM CONTINUE
3 to 10 (The default setting is 3.)
(KM successive mea-
Sets the number of measurements to complete the measurement cycle (FINISH).
surement)
15. KM STEP 0.01D / 0.12D / 0.25D
(KM increments) Selects the display increments of corneal refractive power (dioptric power converted
from corneal curvature radius) for KM measurement.
● COMPARE (Vision comparison function)
21. COMPARE SW AUTO / MANUAL / NO

(Vision comparison but- Selects the method of displaying the vision comparison screen.
ton) AUTO: The vision comparison screen is automatically displayed when binocular
measurement is complete.
MANUAL: The vision comparison screen is displayed by pressing the vision com-
parison button.
NO: The vision comparison screen is not displayed. The vision comparison
icon is not displayed in the measurement screen.
22. COMPARE(AR) SE / -SPH

(Vision comparison AR Selects the SPH value setting used for the vision with AR-measured values in the
value): ARK-1 only vision comparison function.
SE: The Spherical Equivalent (SE) value is used.
-SPH: The highest power (spherical power + cylindrical power) is used.
23. ADD SW YES / NO

(Addition button) Sets whether addition power is added during the near vision experience.
When “YES” is set, the ADD icon is displayed during the near vision experi-
ence.
24. ADD SELECT 1.50D / 1.75D / 2.00D

(Addition power) Selects the addition power used during the near vision experience.
25. L. DATA SELECT YES / NO

(Corrective lens data) When “YES” is selected, large area measured values are used for the corrective
lens to be used in the vision comparison function.
When large area measured values are not obtained, AR-measured values are
used.
75
● PRINT1 (Print setting 1)

31. PRINT MANUAL / AUTO / NO

(Printing) MANUAL: Pressing the print button starts printing.
AUTO: Printing starts automatically when measurement is complete.
NO: Printing does not occur. (Data communication occurs.)
32. ECONO. PRINT YES / NO
(Economical printing) When “YES” is selected, printing occurs with reduced line-spacing to save printer
paper.
33. PRINT&CLEAR YES / NO
(Erasing of data after Erases measured data automatically after printing.
printing) When “NO” is selected, the measured data is erased when the next measurement
is performed after printing.
34. PRINT DENSITY LOW / MEDIUM / HIGH
(Density of printed text) Density of printed text
35. PATIENT NO.
YES / NO
(Printing of patient num-
Sets whether to print the patient number.
ber)
36. SET PATIENT NO. 0001 to 9999
(Setting of patient ID) Sets the patient number in the range from 0001 to 9999.
Pressing the left button at the beginning resets the counter to 0001.
37. NAME PRINT YES / NO

(Printing of name) Sets whether to provide printing spaces for the patient’s name and sex.
38. DATE FORMAT Y/M/D / M/D/Y / D/M/Y / NO
(Date format) Y/M/D: Year, Month, Day M/D/Y: Month, Day, Year D/M/Y: Day, Month, Year
NO: Date is not printed.
39. PRINT COMMENT YES / NO
(Printing of comments) Sets whether to print comments.

41. AR PRINT ALL / SHORT
(Print format of AR data) Selects the print format of AR data.
ALL: All data and median values are printed.
SHORT: Only median values are printed.
42. KM PRINT ALL / ALL(KM) / SHORT
(Print format of KM data) Selects the print format of KM data.
ALL: All data and median values are printed.
ALL(KM): In KM measurement mode, all data and median values are printed. In
other mode, only median values are printed.
SHORT: Only median values are printed.
43. CONF. INDEX YES / NO
(Printing of confidence Sets whether to print the confidence index.
index) When “NO” is selected, the confidence index is not displayed on the measure-
ment screen, either.
44. ERROR DATA YES / NO
(Erroneous data) Sets whether to display and print erroneous data of AR measurement.
76
● Sample printout of erroneous data

㸫㸫㸫㸫㸫㸫㸫㸫㸫㸫㸮㸮㸳㸴㸫㸫㸫㸫㸫㸫㸫㸫㸫㸫
When the “44. ERROR DATA” parameter is set to “YES”
ࠉ
㹌㸿㹋㹃ࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉ㹋㸭㹄
and the measured results are erroneous, the measured
ࠉࠉ㹄㹃㹀㸭㸰㸶㸭㸰㸮㸯㸱ࠉࠉࠉ㸯㸯㸸㸱㸮
values are displayed in yellow on the screen. ࠉ
㹔㹂㸻㸯㸰㸬㸮㸮㹫㹫
In addition, the printed measured data is preceded by ࠉ
㸺㹐㸼ࠉࠉࠉࠉ㹑ࠉࠉࠉࠉࠉ㹁ࠉࠉࠉࠉࠉࠉ㸿
“Err”.
㹃㹰㹰ࠉ㸫㸯㸰㸬㸲㸳ࠉ㸫㸷㸬㸵㸵ࠉࠉࠉ㸴㸵ࠉ㸨㹃
㹃㹰㹰ࠉ㸫㸯㸰㸬㸲㸯ࠉ㸫㸷㸬㸰㸮ࠉࠉࠉ㸴㸷ࠉ㸨㹃
ࠉࠉࠉࠉ㸫㸯㸯㸬㸱㸳ࠉ㸫㸵㸬㸮㸱ࠉࠉࠉ㸵㸲ࠉ㸨㸳

ࠉࠉࠉࠉ㹌㹇㹂㹃㹉ࠉࠉࠉ㸿㹐㹉㸫㸯㹟
• When the “43. CONF. INDEX” parameter is set to “YES”, “E” is printed out as a confidence index.
45. CAT MARK YES / NO

(Cataract indication) Sets whether to print “*” representing that measurement has been performed in cat-
aract measurement mode.
46. ERROR PRINT YES / NO
(Error print) Selects whether to print failed AR data.
47. L. DATA PRINT DATA / NO / DIFF
(AR large area mea- Sets the print contents of large area measured values for AR measurement.
sured data) DATA: The large area measured values (L. DATA) are printed.
NO: Only the central measured values (normal AR values) are printed. (Large
area measured values are not printed.)
DIFF: The differentiation (L. DIFF) between the central measured values (normal
AR values) and large area measured values is printed.
48. PRINT FORMAT (ARK-1a)
(Print format) R→L / AR→KM / R→L(B) / AR→KM(B)
R→L: Printing occurs in the order of the right eye (AR value / accommodation
value / retroillumination analysis value / KM value) and left eye (AR value /
accommodation value / retroillumination analysis value / KM value).
AR→KM: Printing occurs in the order of AR value (right), accommodation value
(right), retroillumination analysis value (right), AR value (left), accommodation
value (left), retroillumination analysis value (left), and KM value (right/left).
R→L(B): Printing occurs in the order of the right eye (AR value / KM value /
accommodation value / retroillumination analysis value) and left eye (AR value /
KM value / accommodation value / retroillumination analysis value).
AR→KM(B): Printing occurs in the order of AR value (right/left), KM value (right/
left), accommodation value (right/left), and retroillumination analysis value (right/
left).
(ARK-1)
AR→KM / R→L
AR→KM: Printing occurs in the order of AR-measured values (right/left) and KM-
measured values (right/left).
R→L: Printing occurs in the order of the right eye (AR/KM-measured values) and
left eye (AR/KM-measured values).

51. SE PRINT YES / NO
(Printing of median val- Sets whether to print SE values based on the median values (or the latest values
ues) when the median values have not been obtained).
52. EYE PRINT YES / NO
(Printing of eye diagram) Sets whether to print eye diagrams.
77

53. TL PRINT YES / NO
(Printing of trial lens Sets whether to print trial lens data based on the AR median values (or the subjec-
data) tively measured values when the subjective measurement has been performed).
54. CL PRINT YES / NO
(Printing of contact lens Sets whether to print contact lens conversion values based on the AR median val-
conversion data) ues (or the subjective measured values when the subjective measurement has
been performed) and SE value based on the conversion values.
YES: Conversion values and SE value are printed.
NO: Conversion values and SE value are not printed.
55. NEAR PD PRINT YES / NO
(Printing of near PD) Sets whether to print the near PD value.
56. WORKING D. 35cm to 70cm (5 cm increments) (The default setting is “40cm”.)
(Near working distance) 14inch to 28inch (2-inch increments) (The default setting is “16inch”.)
Sets the near working distance referred to for calculation of near PD.
The setting is also used as the near working distance during the vision comparison
function.
57. RETRO IMAGE
PRINT
YES / NO
(Printing of retroillumina-
Sets whether to print the retroillumination image.
tion image): * ARK-1a
only
58. ACC GRAPH PRINT
(Printing of accommoda- YES / NO
tion graph) * ARK-1a Sets whether to print the accommodation graph.
only
● FUNCTION (Various functions)

61. WINDOW CHECK YES / NO / DAY
(Measuring window Sets whether to automatically check the measuring window for soiling.
check function) DAY: The measuring window is checked at the first startup of the day.
YES: The measuring window is checked every startup.
NO: The measuring window is not checked.
62. TRACKING SW NORMAL / ALL
(Tracking button) Selects the type of the auto tracking function (3D/2D/OFF) and auto shot function
(ON/OFF) by pressing the auto button.
For ARK-1a
NORMAL: Select from “3D/ON”, “3D/OFF”, or “OFF/OFF”.
ALL: Select from “3D/ON”, “3D/OFF”, “2D/ON”, “2D/OFF”, “OFF/ON”, or “OFF/
OFF”.
For ARK-1
NORMAL: Select from “UpDown/ON”, “UpDown/OFF”, or “OFF/OFF”.
ALL: Select from “UpDown/ON”, “UpDown/OFF”, “OFF/ON”, or “OFF/OFF”.
63. SLEEP 5MIN / 10MIN / 15MIN / NO
(Sleep time) Selects the time to enter sleep mode when the device has not been used.
64. BEEP LOW / HIGH / NO
(Beep sound) Selects the pitch of the beep sound (electronic sound) produced during measure-
ment or such.
65. LCD BRIGHTNESS LOW / MEDIUM / HIGH
(Brightness of LCD) Sets the brightness of the LCD.
78

66. ICON OFF YES / NO
(Icon display) Sets whether to display function icons on the measurement screen.
YES: Function icons are not displayed during measurement. Function icons are
automatically displayed when measurement is complete. Function icons are dis-
played after a specified period of time or function button is pressed.
NO: Function icons are always displayed.
67. MAN FOCUS DISP YES / NO
(Manual focusing indica- Sets whether to display the focusing indicator in manual mode (auto tracking OFF +
tor display) auto shot OFF).
68. AUTO PD YES / NO
(Automatic PD measure- Sets whether to measure the Pupillary Distance (PD) automatically for AR mea-
ment) surement.
69. AUTO PS
YES / NO
(Automatic PS measure-
Sets whether to measure the Pupil Size (PS) automatically for AR measurement.
ment)
70. AUTO CS
YES / NO
(Automatic CS measure-
Sets whether to measure the Corneal Size (PS) automatically for AR measurement.
ment)
● COMMUNICATION (RS-232C communication function)

71. I/F MODE NIDEK / NCP10
(Communication mode) Communication setting of connected device
NIDEK: Communication with a NIDEK-brand product
NCP10: Communication with a NCP10-compliant device
72. I/F FORMAT ALL / SHORT
(Communication format) Selects the format of data to be transmitted.
ALL: All data are transferred.
SHORT: Only median values are transferred.
73. BAUD-RATE 9600 / 4800 / 2400 / 1200
(Baudrate) Selects the bit transfer rate for communication.
74. BIT LENGTH 7/8
(Bit length) Selects the bit number of a single character used for communication.
75. CR CODE YES / NO
(CR code) Sets whether to attach CR (carriage return) code at the end of data to be transmit-
ted.
76. LM DATA PRINT YES / NO
(Printing of LM communi- Sets whether to print the data imported from the connected lensmeter using the
cation data) built-in printer of the device.
When “YES” is selected, the data is printed from the device printer by pressing the
print button of the lensmeter. (A lensmeter provided with this function is required.)
In addition, when an Eye Care card containing LM data is inserted into the Eye
Care card slot, the data is automatically printed.
77. RT TYPE 5100 / OLD

(RT to be connected) Selects the type of the RT to be connected.
5100: RT-5100 series
OLD: Prior RT series
79

78. L. DATA YES / NO
(Large area data) Sets whether to include the large area measured values into data transferred to the
RT.
With this parameter set to “YES”, when “5100” is selected for the “77. RT TYPE”
parameter, AR-measured values and large area measured values are transmitted
in a batch. When “OLD” is selected, data is transmitted in two batches.
When “OLD” is selected for the “77. RT TYPE” parameter, this parameter is auto-
matically set to “NO”. When “OLD” is selected, this parameter is set to “YES”.
● SAGITTAL (Sagittal measurement function)

81. SAGITTAL YES / NO
(Sagittal measurement) Sets whether to conduct sagittal measurement after KM measurement. When “YES”
is selected, the SAG icon is displayed in the AR/KM measurement screen.
82. SAGIT AXIS AXIS / FIX

(Sagittal cylinder axis) Sets whether to convert the sagittal measurement for the axis of the steepest merid-
ian which has been obtained by KM measurement.
AXIS: Converted to axis value of KM measurement
FIX: Measured values are used.
83. SAGIT PRINT ALL / SHORT

(Printing of sagittal data) Selects the format of sagittal measured data to be printed.
ALL: All data are printed.
SHORT: Only sagittal curvature values and the total eccentricity are printed.
● READER (Barcode scanner / Magnetic card reader function)

101. READER START 1 to 250
(Position to start reading) Sets the position to start reading ID when the magnetic card reader is used.
Control codes are included in the number of characters. Set “1” when the barcode
scanner is used.
102. READER LENGTH 1 to 14
(Length of reading) Sets the length of data to be read as ID when the magnetic card reader is used.
This reads the set length of data or reads up to the return code. Control codes are
not included in the number of characters. Set “14” when the barcode scanner is
used.
80
● Checking the setting conditions in the ID field

When a barcode is read by the barcode scanner after setting, the read results under the set con-
ditions are displayed in the ID field. If anything other than alphanumeric characters, space, minus
sign, or underbar is entered, ~ (tilde) is displayed. Control codes are not displayed.
ᵏ 㹎㸿㹐㸿㹋㹃㹒㹃㹐ࠉࠉ㹑㹃㹒㹒㹇㹌㹅 ᵏ 㹎㸿㹐㸿㹋㹃㹒㹃㹐ࠉࠉ㹑㹃㹒㹒㹇㹌㹅
ࠉࠉࠉࠉࠉ㹙㹐㹃㸿㹂㹃㹐㹛 ࠉࠉࠉࠉࠉ㹙㹐㹃㸿㹂㹃㹐㹛
㸯㸮㸯㹐㹃㸿㹂㹃㹐ࠉ㹑㹒㸿㹐㹒ࠉࠉࠉࠉࠉࠉࠉ㸯㸯㸮㸯㹐㹃㸿㹂㹃㹐ࠉ㹑㹒㸿㹐㹒ࠉࠉࠉࠉࠉࠉࠉ㸯
㸯㸮㸰㹐㹃㸿㹂㹃㹐ࠉ㹊㹃㹌㹅㹒㹆ࠉࠉࠉࠉࠉ㸯㸲㸯㸮㸰㹐㹃㸿㹂㹃㹐ࠉ㹊㹃㹌㹅㹒㹆ࠉࠉࠉࠉࠉ㸯㸲
ࠉࠉࠉࠉࠉ㹇㹂㸸 ࠉࠉࠉࠉࠉ㸿㹊㹊㸸
㹼ࠉࠉࠉࠉࠉࠉ㹼
ࠉ㹆㹭㹱㹮㹇㹂ࠉ㹈㸿㹌㸮㸯㸯 ࠉ㸭㹆㹭㹱㹮㹇㹂㹜㹈㹎㹌㸮㸯㸯㸮㸰㸮㸯㸮㸮㸮㸰㸰㸭
㹎㹒㹇㹂㹜㸯㸭㹎㹒㹌㹓㹋㹜㸴㸮㸶㸲㸱ࠉࠉ㸭㹆㹭㹱㹮
㹇㹂㹜㹈㹎㹌㸮㸯㸯㸮㸰㸮㸯㸮㸮㸮㸰㸰㸭㹎㹒㹇㹂㹜㸯
Change 㸭㹎㹒㹌㹓㹋㹜㸴㸮㸶㸲㸱
ࠉ㹜㸟㸨㸡㸢㸣̓㸸㸼㸺㹼㸪㸫㸬㸭㸮㸯㸰㸱㸲㸳㸴㸵㸶
㸷㸩㸹㸺㹜㸼㸽͇㸿㹀㹁㹂㹃㹄㹅㹆㹇㹈㹉㹊㹋㹌㹍㹎㹏
㹐㹑㹒㹓㹔㹕㹖㹗㹘͂㹹㸤㸻
Normal display All data display
Pressing the change button displays all data including digits other than the set digits. Press-
ing the change button again returns to the original display.
● NETWORK 1 (LAN communication function 1)

111. NETWORK NO / YES / ACK
(Network connection) Sets whether to connect a network (LAN).
NO: Network communication does not occur.
YES: Network communication occurs.
ACK: Network communication occurs (Response returned).
After the receiver receives data, the file is deleted or renamed. If the file is not
deleted within 5 seconds, an error occurs.
112. DHCP YES / NO
(DHCP connection) Sets whether to turn on DHCP connection.
When the DHCP server is provided, IP is automatically assigned. To enable the
setting, restart the device after returning to the measurement screen.
113. IP 0 to 255. 0 to 255. 0 to 255. 0 to 255 (The default setting is 192.168. 0. 30.)
(IP address) Input the IP address.
* When the “112. DHCP” parameter is set to “YES”, this parameter cannot be
changed. (The subnet mask obtained from the DHCP server is displayed. When
“0. 0. 0. 0” is displayed, IP has not been obtained from the DHCP).
114. MASK 0 to 255. 0 to 255. 0 to 255. 0 to 255 (The default setting is 255.255.255. 0.)
(Subnet mask) Input the subnet mask.
* When the “112. DHCP” parameter is set to “YES”, this parameter cannot be
changed. (The subnet mask obtained from the DHCP server is displayed. When
“0. 0. 0. 0” is displayed, IP has not been obtained from the DHCP). To enable the
setting, restart the device after returning to the measurement screen.
115. USER A user name can be input up to 17 digits. (Default setting: GUEST)
(User name) Input the user name of the connected PC.
116. PASSWORD A password can be input up to 17 digits. (Default setting: No password)
(Password) Input the login password for the user name of the connected PC.
117. DOMAIN A domain name can be input up to 17 digits. (Default setting: WORKGROUP)
(Domain name) Input the domain name (or workgroup name) of the connected PC.
118. PC NAME A PC name can be input up to 17 digits. (Default setting: PC)
(PC name) Input the PC name (or IP address) on the connected PC.
81

119. FOLDER A shared folder name can be input up to 17 digits. (Default setting: DATA)
(Shared folder name) Input the shared folder name of the connected PC to which measured data is
exported.
• LAN connection can be established with permission from the network administrator of the facility.
• Before connecting the network, obtain the following information from the network administrator of the
facility.
1. DHCP can be set to ON.
2. TCP/IP / IP address of this device, subnet mask
3. File shared name / user name, password, domain
4. Folder setting and name in the PC in which measured data is to be saved
• After setting and changing the network function, return to the measurement screen once then reboot
(power off and on) the device.
The settings become active after rebooting.
● NETWORK 2 (LAN communication function 2)

121. RING IMAGE NO / LOW CONF / YES
(Ring image export) Sets whether to export the image data (JPEG) of a ring image when LAN connec-
tion is established.
NO: Image data is not transmitted.
LOW CONF: When the confidence index is 7 or lower, image data is transmitted.
YES: Image data is transmitted.
122. RETRO IMAGE YES / NO
(Retroillumination image Sets whether to export the image data (JPEG) of a retroillumination image when
export) * ARK-1a only LAN connection is established.
123. ACC GRAPH YES / NO
(Accommodation graph Sets whether to export the image data (JPEG) of an accommodation graph when
output) * ARK-1a only LAN connection is established.
● ACCOMMODATION (Accommodation measurement) * ARK-1a only

131. STEP 0.01D / 0.12D / 0.25D
(Accommodation incre- Selects the accommodation increments displayed in the accommodation measure-
ments) ment screen.
132. T. POSITION 0.0D / +0.5D / +1.0D / +1.5D / +2.0D / +2.5D / +3.0D / +3.5D / +4.0D / +4.5D /
(Chart initial position) +5.0D
Selects the amount by which the chart initial position is shifted from the SPH value
in the plus direction at the start of accommodation measurement.
82
4.5.3 Setting and confirming the network communication function (LAN)

Set the “113. IP” through “119. FOLDER” parameters necessary for connection to a computer via a
network (LAN) according to the procedure below.
O Setting “113. IP”, “114. MASK”

The input procedure for the “113. IP” parameter is described below. The procedure for the “114.
MASK” parameter is the same.
1 Select the “113. IP” parameter in the NETWORK 1 ᵏ ࠉ㹎㸿㹐㸿㹋㹃㹒㹃㹐ࠉࠉ㹑㹃㹒㹒㹇㹌㹅

ࠉࠉࠉࠉ㹙㹌㹃㹒㹕㹍㹐㹉㸯㹛
screen. 㸯㸯㸯㹌㹃㹒㹕㹍㹐㹉ࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉ㹌㹍
㸯㸯㸰㹂㹆㹁㹎ࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉ㹌㹍
㸯㸯㸱㹇㹎ࠉࠉࠉ㸯㸷㸰㸬㸯㸴㸶㸬ࠉࠉ㸮㸬ࠉ㸱㸮
㸯㸯㸲㹋㸿㹑㹉ࠉ㸰㸳㸳㸬㸰㸳㸳㸬㸰㸳㸳㸬ࠉࠉ㸮
㸯㸯㸳㹓㹑㹃㹐ࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉ㹅㹓㹃㹑㹒
㸯㸯㸴㹎㸿㹑㹑㹕㹍㹐㹂ࠉ
㸯㸯㸵㹂㹍㹋㸿㹇㹌ࠉࠉࠉࠉࠉ㹕㹍㹐㹉㹅㹐㹍㹓㹎
㸯㸯㸶㹎㹁ࠉ㹌㸿㹋㹃ࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉ㹎㹁
7(67 㸯㸯㸷㹄㹍㹊㹂㹃㹐ࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉ㹂㸿㹒㸿
2 Press the enter button to display the IP ᵏ ࠉ㹎㸿㹐㸿㹋㹃㹒㹃㹐ࠉࠉ㹑㹃㹒㹒㹇㹌㹅

ࠉࠉ㹙㹌㹃㹒㹕㹍㹐㹉ࠉ㸫ࠉ㹇㹎㹛
address setting screen.
The IP address setting screen is displayed.
㹇㹎ࠉ㸿㹂㹂㹐㹃㹑㹑
㸯㸷㸰㸯㸴㸶ࠉࠉ㸮㸱㸮
&+$1*(6(7
3 Change the IP address.
Forward movement /
Moves the cursor to the right or left.
Backward movement Pressing the start button moves the cursor to the right.
or pressing the start button
Rotating the upper part of the joystick Increases/decreases the numeric value.
4 After setting, press the return button. ᵏ ࠉ㹎㸿㹐㸿㹋㹃㹒㹃㹐ࠉࠉ㹑㹃㹒㹒㹇㹌㹅

ࠉࠉ㹙㹌㹃㹒㹕㹍㹐㹉ࠉ㸫ࠉ㹇㹎㹛
A message to confirm the setting is displayed. Select YES or
NO.
㹁㸿㹓㹒㹇㹍㹌
Select YES or NO by pressing the / button or rotat- 㹑㹃㹒ࠉ㹇㹎ࠉ㸿㹂㹂㹐㹃㹑㹑ࠉ"
ing the joystick.

㹗㹃㹑㹌㹍
5 Press the enter button or start button to determine YES or NO.

The screen returns to the network screen. To return to the IP address input screen, press the
return button.
83
O Inputting “115. USER” to “119. FOLDER”

The input procedure for the “115. USER” parameter is described below. The procedure for the “116.
PASSWORD” to “119. FOLDER” parameters is the same.
1 Press the up button or down button to ᵏ ࠉ㹎㸿㹐㸿㹋㹃㹒㹃㹐ࠉࠉ㹑㹃㹒㹒㹇㹌㹅

select “115. USER”. 㸯㸯㸯㹌㹃㹒㹕㹍㹐㹉ࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉ㹌㹍
㸯㸯㸱㹇㹎ࠉࠉࠉ㸯㸷㸰㸬㸯㸴㸶㸬ࠉࠉ㸮㸬ࠉ㸱㸮
㸯㸯㸳㹓㹑㹃㹐ࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉ㹅㹓㹃㹑㹒
㸯㸯㸴㹎㸿㹑㹑㹕㹍㹐㹂ࠉ
㸯㸯㸶㹎㹁ࠉ㹌㸿㹋㹃ࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉ㹎㹁
7(67 㸯㸯㸷㹄㹍㹊㹂㹃㹐ࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉ㹂㸿㹒㸿
2 Press the enter button to display the user ᵏ 㹎㸿㹐㸿㹋㹃㹒㹃㹐ࠉࠉ㹑㹃㹒㹒㹇㹌㹅

㹙㹌㹃㹒㹕㹍㹐㹉ࠉ㸫ࠉ㹓㹑㹃㹐㹛
name setting screen.
㸮㸯㸰㸱㸲㸳㸴㸵㸶㸷㸿㹀㹁㹂㹃㹄㹅㹆㹇㹈㹉㹊㹋㹌
The screen changes to the user name setting screen. 㹍㹎㹏㹐㹑㹒㹓㹔㹕㹖㹗㹘㹟㹠㹡㹢㹣㹤㹥㹦㹧㹨㹩㹪
㹫㹬㹭㹮㹯㹰㹱㹲㹳㹴㹵㹶㹷㹸ࠉ㸫㸬㹝
㹓㹑㹃㹐ࠉ㹌㸿㹋㹃
㹅㹓㹃㹑㹒
&+$1*(6(7
3 Change the user name.

User name can be input up to 17 digits. (In the parameter details screen, the first 11 characters are
displayed.)
Forward movement / Moves the character to be input (cursor) in the character list field to
the right or left.
Backward movement
Rotating the upper part of the
Moves the cursor in the input field to the right or left.
joystick
Determines the character to be input and moves the cursor to the
Pressing the start button
next position in the character list field.
Clear Erases the character at the cursor position in the character list field.
4 After setting, press the return button. ᵏ 㹎㸿㹐㸿㹋㹃㹒㹃㹐ࠉࠉ㹑㹃㹒㹒㹇㹌㹅

㹙㹌㹃㹒㹕㹍㹐㹉ࠉ㸫ࠉ㹓㹑㹃㹐㹛
A message to confirm the setting is displayed. Select YES or
NO.
㹁㸿㹓㹒㹇㹍㹌
Select YES or NO by pressing the / button or rotat- ࠉ㹑㹃㹒ࠉ㹓㹑㹃㹐ࠉ㹌㸿㹋㹃ࠉ"
ing the joystick.

㹗㹃㹑㹌㹍
5 Press the enter button or start button to determine YES or NO.
84
The screen returns to the network screen. To return to the user name setting screen, press the
return button.
O Confirming network communication

Confirm that network communication occurs properly. ᵏ ࠉ㹎㸿㹐㸿㹋㹃㹒㹃㹐ࠉࠉ㹑㹃㹒㹒㹇㹌㹅
1) After connecting the device using a LAN cable, make 㸯㸯㸯㹌㹃㹒㹕㹍㹐㹉ࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉ㹌㹍
sure that the PC to be connected is turned on. 㸯㸯㸱㹇㹎ࠉࠉࠉ㸯㸷㸰㸬㸯㸴㸶㸬ࠉࠉ㸮㸬ࠉ㸱㸮
㸯㸯㸳㹓㹑㹃㹐ࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉ㹑㸿㹋㹎㹊㹃
2) Press the TEST button to check network communica- 㸯㸯㸴㹎㸿㹑㹑㹕㹍㹐㹂ࠉࠉࠉࠉ㸨㸨㸨㸨㸨㸨㸨㸨ࠉ
tion. 㸯㸯㸶㹎㹁ࠉ㹌㸿㹋㹃ࠉࠉࠉࠉࠉࠉࠉࠉ㹎㹁㸯㸰㸱
㸯㸯㸷㹄㹍㹊㹂㹃㹐ࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉ㹒㹃㹋㹎
A message is displayed for 2 seconds accompanied by 7(67
a beep.

%100'%6+101- 121(7:25.&$%/(
Communication successfully completed. Error occurred.
When an error message is displayed, take remedies according to the message.
“4.2 Error Messages and Remedies” (page 67)
85
4.5.4 Setting the date and time

If the date and time of the printout are incorrect, set the correct date and time.
• If the device has not been turned on for about 3 weeks, the date and time may become incorrect.
O Battery recharging
This device uses a rechargeable lithium battery for the date and time display function. When the
device is operated for the first time after unpacking or when the device has not been operated for a
long time (approximately one month), the battery may have become discharged, and the internal clock
may go incorrect.
In such a case, turn on the device and leave it on to recharge the battery. The battery needs 24 hours
for a full charge. If the device is used for 8 hours a day, the device needs to be kept on for three days
before the battery is fully recharged. Once the battery is fully recharged, the device operates normally
for daily use. (The lithium battery is not user replaceable.)
1 Select “CLOCK SET” in the parameter setting ᵏ ࠉ㹎㸿㹐㸿㹋㹃㹒㹃㹐ࠉࠉ㹑㹃㹒㹒㹇㹌㹅

ࠉࠉࠉࠉࠉ㹙㹁㹊㹍㹁㹉ࠉ㹑㹃㹒㹛
screen and press the enter button.
The CLOCK SET screen is displayed.
㸰㸮㸯㸱㸭㸮㸰㸭㸯㸯ࠉ㸯㸳㸸㸱㸮
&+$1*(6(7
2 Set the date and time in the CLOCK SET screen.
Forward movement / Back- Moves the cursor to the right or left.

ward movement Pressing the start button moves the cursor to the right.
or pressing the start button
Rotating the upper part of the joystick Increases/decreases the numeric value.
To change the display format of the date and time:
/ Changes the time format between the 24-hour and 12-hour.
Change Changes the date format (Y/M/D, M/D/Y, D/M/Y)
3 After setting, press the return button.
Pressing the return button updates the internal clock to the set date and time and then returns to
the parameter setting screen.
86
4.5.5 Entering comments

Comments to be printed can be changed. (The default setting is “NIDEK ARK-1a” / “NIDEK ARK-1”.)
1 Select “COMMENT SET” in the parameter setting ᵏ ࠉ㹎㸿㹐㸿㹋㹃㹒㹃㹐ࠉࠉ㹑㹃㹒㹒㹇㹌㹅

ࠉࠉ㹙㹁㹍㹋㹋㹃㹌㹒ࠉ㹑㹃㹒㹛
screen and press the enter button.
㸮㸯㸰㸱㸲㸳㸴㸵㸶㸷㸿㹀㹁㹂㹃㹄㹅㹆㹇㹈㹉㹊㹋㹌
The COMMENT SET screen is displayed. 㹍㹎㹏㹐㹑㹒㹓㹔㹕㹖㹗㹘㹟㹠㹡㹢㹣㹤㹥㹦㹧㹨㹩㹪
㹫㹬㹭㹮㹯㹰㹱㹲㹳㹴㹵㹶㹷㹸ࠉ㸟͇㸡㸢㸣㸤̓㸦㸧
㸨㸩㸪㸫㸬㸭㸸㸹㸺㸻㸼㸽㸾㹙㻃㹛㹜㹝͂㹹㹪㹻㹼
㹁㹍㹋㹋㹃㹌㹒㸸
ࠉࠉࠉࠉ㹌㹇㹂㹃㹉ࠉࠉࠉ㸿㹐㹉㸫㸯㹟
&+$1*(6(7
2 Set the date and time in the COMMENT SET screen.

In the input field, the currently entered comments are displayed. Up to 24 characters per line with a
maximum of two lines can be input.
After moving the cursor in the character list field to the desired character, press the start button to con-
firm its entry.
Forward movement / Moves the character to be input (cursor) in the character list field to the
Backward movement right or left.
Rotating the upper part of

Moves the cursor in the input field to the right or left.
the joystick
Determines the character to be input and moves the cursor to the next
Pressing the start button
position in the character list field.
Holding down the button for about a second resets comments to its
Reset default.
Clear Erases the character at the cursor position in the character list field.
Print Test prints the comments only.
3 After setting, press the return button.
Pressing the return button saves the comments and returns to the parameter setting screen.
87
DEVICE SETTINGS AND MAINTENANCE: AR/KM Measurement Accuracy Check
4.6 AR/KM Measurement Accuracy Check
 To check the accuracy of measured data, use the provided spherical model eye. The spherical model
eye is incorporated with a contact lens holder.
1 Remove the two fixing pins and the stack of chinrest paper from the chinrest.
± ²
2 Remove the cap from the spherical model eye and put the model eye on the chinrest
with its lens toward the measuring window and then insert the fixing pins.
Check the lens surface of the model eye for soiling.
3 Align the level of the spherical model eye with the eye level marker by operating the
chinrest up/down / button.
4 Set the “1. STEP” parameter to “0.01D”.

Setting Parameters (page 72)
5 Perform AR and KM measurements in the same manner as normal AR and KM mea-

surements.
CAUTION
• If the measured result is higher than the value indicated on the model eye, contact NIDEK or your
authorized distributor.
• Always store the model eye with its cap on.

If the lens surface is soiled or flawed, measurement accuracy cannot be properly checked.
88
DEVICE SETTINGS AND MAINTENANCE: AR/KM Measurement Accuracy Check
● Values marked on the labels of the spherical model eye
VD value
Diopter (Unit: D)
Corneal curvature radius (Unit: mm)
• When the vertex distance is set to a value other than “12.00mm”, set the “2. VERTEX D.” parameter
to “12.00mm” before conducting AR measurement.
• Keep fingers off the lens surface of the spherical model eye. For severe stains, wipe the area with
gauze dampened with alcohol.
89
DEVICE SETTINGS AND MAINTENANCE: Cleaning
4.7 Cleaning
 When the cover or panel of the device becomes dirty, clean it with a soft cloth. For severe stains, soak
the cloth in a neutral detergent, wiring well, and wipe. Finally dry with a soft, dry cloth.
CAUTION
• Never use an organic solvent such as paint thinner or alcohol.
• Lightly wipe the exterior of the LCD. Do not press the LCD using an object with a hard tip and keep
magnetic objects away from the LCD.
It may damage the surface of the LCD. Device malfunction may also result.
• Never use a sponge or cloth soaked in water.
The water may leak into the inside of the device and cause device failure.
4.7.1 Cleaning the measuring window

When the measuring window gets fingerprints or dust on it, the reliability of the measured values is
impaired substantially. Check for dirt on the measuring window before use, and then clean it if it is
dirty.
Only clean it when the “CHECK MEASURING WINDOW.” message is displayed or the lens is visibly
soiled.
1 Blow off any dust on the measuring window with a blower.
2 Wrap lens cleaning paper around a thin stick such as a chopstick (or cotton swab)
and wipe the lens of the measuring window with a material moistened with alcohol.
• Use a thin stick that will not scratch glass lenses.

• Wipe lightly from the center of the measuring window to the outside in a circular motion.
3 Wipe off the glass of the mire ring around the measuring window using gauze or such
dampened with alcohol.
90
DEVICE SETTINGS AND MAINTENANCE: Cleaning
4 Check if the window is cleaned using a penlight. If soiled areas remain, clean the
window again with new cleaning paper.
• When the “61. WINDOW CHECK” parameter is set to “YES” or “DAY”, the measuring window is
checked for cleanliness at device start-up.
4.7.2 Cleaning the printer

After repeated usage, the paper slot of the auto cutter of the printer may become soiled with powdery
paper residue. If paper residue settles, malfunction of the auto cutter may result.
1 Open the printer cover and remove the printer

paper roll.
2 Apply the nozzle of a vacuum cleaner to the auto

cutter to remove paper residue.
Never blow off paper residue with a blower. If paper resi-
due settles on the internal working structure, malfunction
may result.
3 Supply the printer paper as it was.
91
DEVICE SETTINGS AND MAINTENANCE: Consumable List
4.8 Consumable List
Part name Part number Note
Printer paper 80620-00001 Width 58 mm, Length 25 m
Chinrest paper 32903-M047 1 pack
92
5 SPECIFICATIONS AND TECHNICAL
INFORMATION
5.1 Specifications
• Objective refractive error Sphere -30.00 to +25.00 D (VD = 12 mm) (0.01/0.12/0.25 D incre-
measurement ments)
Cylinder 0 to ±12.00 D (0.01/0.12/0.25 D increments)
Axis 0 to 180° (1°/5° increments)
Minimum measurable pupil 2 mm in diameter

diameter
Accuracy: The accuracy specifications are based on the results of eye model testing
performed in accordance with ISO10342, Ophthalmic Instruments- Eye Refractometers.
Maximum scale
Criterion Measurement range
interval Test devicea Tolerance
–15 D to +15 D 0 D, ±5 D, ±10 D ±0.25 D

Spherical vertex
(Maximum meridional 0.25 D
power ±15 D ±0.50 D
vertex power)
Cylindrical vertex
0 D to 6 D 0.25 D Sph: approx. 0 D ±0.25 D
power
Cyl: –3 D
Cylinder axisb for 0° to 180° 1° Axis: 0° 90° ±5°
cylinder power
a The refractive error of the test device shall not differ by more than 1.0 from the nominal value
above.
b Cylinder axis shall be indicated as specified in ISO8429.
• Keratometry measure- Corneal curvature radius 5.00 to 13.00 mm (0.01 mm increments)

ment
Corneal refractive power 25.96 to 67.50 D (n = 1.3375) (0.01/0.12/0.25 D incre-
ments)
Corneal cylindrical power 0 to ±12.00 D (0.01/0.12/0.25 D increments)
Corneal cylinder axis 0 to 180° (1°/5° increments)
The measuring range is in accordance with Code A, ISO 10343 and the measuring accu-
racy in accordance with Code 2, ISO 10343.
• Pupillary distance mea- 30 to 85 mm (1 mm increments)
surement (For near vision: 28 mm to 80 mm when the near working distance is 40 cm)
• Corneal size measure- 10.0 to 14.0 mm (0.1 mm increments)
ment
• Pupil size measurement 1.0 to 10.0 mm (0.1 mm increments)
• Accommodation mea- 0 to 10.00 D (0.01/0.12/0.25 D increments)

surement * ARK-1a only
• Other functions Observation/Display method 6.5-inch color LCD
Printer Thermal line printer with auto cutter
Interface connectors RS-232C: Two ports

USB: One port
LAN: One port
93
SPECIFICATIONS AND TECHNICAL INFORMATION: Specifications
• Power input Voltage, frequency AC 100 to 240 V ±10% 50/60 Hz
Power consumption 100 VA
• Dimensions and mass Dimensions 260 (W) × 495 (D) × 457 (H) mm
Mass 20 kg
• Environmental condi- Temperature 10 to 35°C (50 to 95°F)

tions (during use)
Humidity 30 to 90% (Non-condensing)
Atmospheric pressure 800 to 1,060 hPa
Installation location Indoors
Others A well ventilated place free from hazardous particles,

smoke, or fumes
• Environmental condi- Temperature -10 to 55°C (14 to 131°F)
tions (during transport
Humidity 10 to 95% (Non-condensing)
and storage)
Atmospheric pressure 700 to 1,060 hPa
• Others Expected service life 8 years from the date of initial operation
(defined by manufacturer) * Proper maintenance is necessary.
Packing unit 1 unit
• Classifications Form of protection against electrical shock: Class I
Form of protection against electrical shock (applied parts): Type B applied part
Degree of protection against harmful ingress of water or particulate matter: IPX0
Degree of safety application in the presence of flammable anesthetics and/or flammable

cleaning agents: Device which should be used in an environment where no flammable
anesthetics and/or flammable cleaning agents are present
Degree of suitability for use in an oxygen rich environment: Device which is not intended
for use in an oxygen rich environment
Mode of operation: Continuous operating device
Mode of transportation: Stationary device
Conformity to electromagnetic compatibility standard: In compliance with IEC 60601-1-

2:2007 - EMC
Accessories
• Standard accessories Printer paper (3 rolls), Power cord, Dust cover, Chinrest paper, Fixing pins for chinrest
paper (2 units), Operator’s manual, Spherical model eye / Contact lens holder (integral
type)
• Optional accessories Eye Care card
Barcode scanner
Magnetic card reader
Communication cable
94
SPECIFICATIONS AND TECHNICAL INFORMATION: Glossary and Abbreviations
5.2 Glossary and Abbreviations
 The following terms and abbreviations are used in the device and operator's manual.
O Glossary
Term Details
AI mode For AR measurement, measurement automatically finishes after the specified
number of measurements if the data is stable without variations.
If unstable data is included, two additional measurements are taken and then
measurement finishes.
AR median values The Spherical Equivalent (SE) value is obtained from respective data. The
median SE value is obtained when the values are arranged in order by the
computer. The SPH median value is calculated by the following equation
based on the obtained median values.
SPH median value = (Median SE value) – (Median CYL value / 2)
The CYL and AXIS median values are taken to be the median values when
arranged in order. If the measured data is two values or less, then the latest
value is selected.
Auto shot This function automatically starts measurement as soon as alignment and
focusing become optimum.
Auto tracking, auto focusing A function that automatically controls up, down, right, and left movements for
alignment and forward and backward movements for focusing.
Cataract measurement mode If abnormal optical reflection is detected or the auto shot function does not
work, measurement criteria is changed automatically so that even cataract or
abnormal eyes can be measured.
Comments Characters and symbols can be freely entered. Up to 24 characters per line
with a maximum of two lines can be input.
Confidence index The confidence index is displayed in six levels (9, 8, 7, 6, 5 or E). The lower
the confidence index, the larger the influence of irregular astigmatism. E is
erroneous data.
Measured data obtained in cataract measurement mode is marked with the
preceding “*” symbol.
Contact lens conversion The value from which the AR median values (the latest values when the
value median values have not been obtained) are converted into CL values, with
the vertex distance (VD) at 0 mm.
CS Abbreviation of Corneal Size
Fogging Blurs the patient’s view to prevent focus in order to eliminate accommodation.
KM median values The median value of measurements which are arranged in order in the com-
puter. If the measured data is two values or less, then the latest value is
selected.
Limit indicator When the measuring unit moves out of the working range of auto tracking,
the limit indicator (arrows) is displayed on the screen.
Minimum pupil diameter
Indicates the minimum measurable pupil size.
mark
Near PD PD for a near working distance of 40 cm (factory setting). Used for prescrip-
tions of reading glasses or bifocals.
Near working distance Distance when viewing the near target through reading glasses or bifocal
glasses.
PD Abbreviation of Pupillary Distance
95
SPECIFICATIONS AND TECHNICAL INFORMATION: Glossary and Abbreviations
Term Details
Printing of eye diagram Eye diagram of refractive status of the patient’s eye based on the AR median
values (or the latest values when the median values have not been obtained).
There are eight eye diagram patterns.
Emmetropia Myopia Hyperopia Astigmatism
Simple myopic astigma- Simple hyperopic astig-

Myopic astigmatism Hyperopic astigmatism
tism matism
Term Details
PS Abbreviation of Pupil Size
SE (Spherical Equivalent) The value that is 1/2 of the cylindrical error added to the spherical error. Cal-
value culated for the AR median values (the latest values when the median values
have not been obtained) and CL conversion values.
Sleep mode After the preset time of non-actuation, the screen automatically shuts off to
save power consumption.
Pressing any button restores the screen to the ON condition.
Trial lens data These are the values that were converted automatically from the cylinder val-
ues so that the sphere values for the trial lens become smaller based on the
AR median values (the latest values when the median values have not been
obtained).
Vertex distance The distance between the corneal vertex to the posterior surface of spectacle
lenses
O Abbreviations
AI Artificial Intelligence NTSC National Television System Committee
Electrically Erasable Programmable
EEPROM COI. H Central Opacity Index - Height
Read-Only Memory
EMC Electro-Magnetic Compatibility COI. A Central Opacity Index - Area
CA DMV California Department of Motor Vehicles POI Peripheral Opacity Index
CL Contact Lens RF Radio Frequency
DHCP Dynamic Host Configuration Protocol SE Spherical Equivalent
IC Integrated Circuit UCVA Uncorrected Visual Acuity
ID Identification USB Universal Serial Bus
IP Internet Protocol VA Visual Acuity
JPEG Joint Photographic Experts Group VD Vertex Distance
MD4 Message Digest Algorithm 4 WD Working Distance
NCP10 Nidek Communication Protocol - 10
96
SPECIFICATIONS AND TECHNICAL INFORMATION: EMC (Electromagnetic Compatibility)
5.3 EMC (Electromagnetic Compatibility)
The device complies with the International Electrotechnical Commission standards (IEC 60601-1-2:
2007) for electromagnetic compatibility as listed in the tables below. Follow the guidance in the tables
for use of the device in an electromagnetic environment.
Guidance and manufacturer's declaration - electromagnetic emissions

The device is intended for use in the electromagnetic environment specified below. The customer or the user of the device should assure
that it is used in such an environment.
Emissions test Compliance Electromagnetic environment - guidance
RF emissions CISPR 11 Group 1 The device uses RF energy only for its internal function. Therefore, its RF
emissions are very low and are not likely to cause any interference in nearby
electronic equipment.
RF emissions CISPR 11 Class A The device is suitable for use in all establishments other than domestic and those
directly connected to the public low-voltage power supply network that supplies
Harmonic emissions *1
buildings used for domestic purposes.
IEC 61000-3-2
Voltage fluctuations/ Flicker *2
emissions IEC 61000-3-3
*1 For the regions where the rated voltage is 220 V or greater, this device complies with class A. For the regions where the
rated voltage is 127 V or less, this standard is not applicable.
*2 For the regions where the rated voltage is 220 V or greater, this device complies with this standard. For the regions where
the rated voltage is 127 V or less, this standard is not applicable.
Guidance and manufacturer's declaration - electromagnetic immunity

The device is intended for use in the electromagnetic environment specified below. The customer or the user of the device should
assure that it is used in such an environment.
Immunity test IEC 60601 test level Compliance level Electromagnetic environment - guidance
Electrostatic ±6 kV contact ±6 kV contact Floor should be wood, concrete or ceramic tile. If
Discharge (ESD) IEC ±8 kV air ±8 kV air floors are covered with synthetic material, the relative
61000-4-2 humidity should be at least 30%.
Electrical fast ±2 kV for power supply ±2 kV for power supply Mains power quality should be that of a typical
transient/burst lines lines commercial or hospital environment.
IEC 61000-4-4 ±1 kV for input/output ±1 kV for input/output
lines lines
Surge ±1 kV differential mode ±1 kV differential mode Mains power quality should be that of a typical
IEC 61000-4-5 ±2 kV common mode ±2 kV common mode commercial or hospital environment.
Voltage, dips, short <5% UT (>95% dip in UT) <5% UT (> 95% dip in UT) Mains power quality should be that of a typical
interruptions and for 0.5 cycle for 0.5 cycle commercial or hospital environment. If the user of the
voltage variations on 40% UT (60% dip in UT) 40% UT (60% dip in UT) device requires continued operation during power
power supply input for 5 cycles for 5 cycles mains interruptions, it is recommended that the device
lines IEC 61000-4-11 70% UT (30% dip in UT) 70% UT (30% dip in UT) be powered from an uninterruptible power supply or a
battery.
for 25 cycles for 25 cycles
< 5% UT (> 95% dip in UT) < 5% UT (> 95% dip in UT)
for 5 sec for 5 sec
Power frequency (50/ 3 A/m 3 A/m Power frequency magnetic fields should be at levels
60 Hz) magnetic field characteristic of a typical location in a typical
IEC 61000-4-8 commercial or hospital environment.
NOTE UT is the a.c. mains voltage prior to application of the test level.
97
SPECIFICATIONS AND TECHNICAL INFORMATION: EMC (Electromagnetic Compatibility)
Guidance and manufacturer's declaration - electromagnetic immunity

The device is intended for use in the electromagnetic environment specified below. The customer or the user of the device should assure
that it is used in such an environment.
Immunity test IEC 60601 test level Comliance level Electromagnetic environment - guidance
Portable and mobile RF communications equipment should be used
no closer to any part of the device, including cables, than the
recommended separation distance calculated from the equation
applicable to the frequency of the transmitter.
Recommended separation distance

Conducted RF 3 Vrms 3 Vrms d=1.2 䌮 P 150 kHz to 80 MHz
IEC 61000-4-6 150 kHz to 80 MHz (V1=3)
Radiated RF 3 V/m 3 V/m d=1.2 䌮 P 80 MHz to 800 MHz

IEC 61000-4-3 80 MHz to 2.5 GHz (E1=3) d=2.3 䌮 P 800 MHz to 2.5 GHz
where P is the maximum output power rating of the transmitter in
watts (W) according to the transmitter manufacturer and d is the
recommended separation distance in metres (m).
Field strengths from fixed RF transmitters, as determined by an
electromagnetic site survey,a should be less than the compliance
level in each frequency range.b
Interference may occur in the vicinity of equipment marked with the
following symbol:
NOTE 1 At 80 MHz and 800 MHz, the higher frequency range applies.
NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from
structures, objects and people.
a Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios, amateur
radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic
environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the
location in which the device is used exceeds the applicable RF compliance level above, the device should be observed to verify
normal operation. If abnormal performance is observed, additional measures may be necessary, such as reorienting or relocating the
device.
b Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.
Recommended separation distances between portable and mobile RF communications equipment and the device
The device is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the
user of the device can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF
communications equipment (transmitters) and the device as recommended below, according to the maximum output power of the
communications equipment.
Separation distance according to frequency of transmitter (m)
Rated maximum output power of
transmitter (W) 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2.5 GHz
d=1.2 䌮 P d=1.2 䌮 P d=2.3 䌮 P
0.01 0.12 0.12 0.23
0.1 0.38 0.38 0.73
1 1.2 1.2 2.3
10 3.8 3.8 7.3
100 12 12 23
For transmitters rated at a maximum output power not listed above, the recommended separation distance d in metres (m) can be
estimated using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of the
transmitter in watts (W) according to the transmitter manufacturer.
NOTE 1 At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from
structures, objects and people.
98

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AUTO REF/KERATOMETER

This Operator's Manual contains information necessary for the

4. DEVICE SETTINGS AND MAINTENANCE . . . . . . . . . . . . . . . . . 65

5. SPECIFICATIONS AND TECHNICAL INFORMATION . . . . . . . . 93

1.1 For Safe Use

BEFORE USE, READ THIS MANUAL.

1.2 Usage Precautions

1.3 Labels and Symbols

Indicates the year of manufacture.

Indicates the manufacturer.

Indicates an input terminal.

Indicates an output terminal.

2.1 Device Outline

 The NIDEK AUTO REF/KERATOMETER ARK-1a/ARK-1 measures spherical, cylindrical refractive

2.1.1 Intended use

Corneal curvature radius measurement

Retroillumination mode (ARK-1a only)

Accommodation measurement (ARK-1a only)

2.2 Configuration and Functions

2.2.1 Device configuration

7 Eye Care card slot

18 Chinrest up/down button ( / )

2.2.2 AR/KM measurement screen description

1 Patient’s eye (R/L)

R/K Selects measurement mode (AR/KM, AR, or KM).

CS/PS/PD Switches from AR/KM measurement to CS/PS/PD measurement.

Sagittal Displays the sagittal measurement screen (SAGITTAL).

Eye print Prints the eye diagram of measured data.

Vision comparison Displays the vision comparison screen (COMPARE).

CYL mode Switches cylinder (cylindrical refractive error) mode.

3 Measured results display

5 Measurement ring image thumbnail

6 Auto tracking icon

Auto tracking in the forward-backward, side-to-side, and up-and-down directions

Auto tracking in the side-to-side and up-and-down directions becomes active.

(No icon) Alignment and focusing are manually performed.

7 Auto shot icon

Measurement starts automatically as soon as alignment and focusing become optimum.

(No icon) Pressing the start button starts measurement.

10 Minimum pupil diameter mark

When the mire ring is detected, the indication changes. ( )

● ARK-1 screen display

R/K Selects measurement mode (AR/KM, AR, or KM).

CS/PS/PD Switches from AR/KM measurement to CS/PS/PD measurement.

Sagittal Displays the sagittal measurement screen (SAGITTAL).

CYL mode Switches cylinder (cylindrical refractive error) mode.

Vision comparison Displays the vision comparison screen (COMPARE).

Eye print Prints the eye diagram of measured data.

2 Auto tracking icon

Auto tracking in the up-and-down direction becomes active.

(No icon) Alignment and focusing are manually performed.

2.2.3 Other measurement screens

Vision comparison screen (COMPARE) ᵉ

Retroillumination image observation screen (RETRO ILLUMI- ᵏ 5(752,//80,1$7,21

Accommodation measurement screen (ACCOMMODATION) ᵏ

Sagittal measurement screen (SAGITTAL) ᵏ 6$*,77$/

2.3 Packed Contents

Part name Quantity Appearance

Printer paper 3 rolls

㹐㸸㸮ࠉ㸦ࠉ㸧ࠉ㹉㸸㸮㹐㸸㸮ࠉ㸦ࠉ㸧 ࠉࠉࠉࠉࠉࠉࠉࠉ㹉㸸㸮