Model Operator'S Manual: Non Contact Tonometer
Model Operator'S Manual: Non Contact Tonometer
Model
OPERATOR’S MANUAL
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 SOCIETE ANONYME : Europarc 13, rue Auguste Perret, 94042 CRETEIL, France
(EU Authorized Representative) Telephone: 33-1-49 80 97 97
Facsimile: 33-1-49 80 32 08
August 2008
18536-P902A
Printed in JAPAN
This operator’s manual contains information necessary for the operation of the NIDEK
NON CONTACT TONOMETER Model NT-510. This manual includes the operating
procedures, safety precautions, and specifications.
This manual is necessary for proper use. Especially, the safety precautions and
operating procedures must be thoroughly understood prior to operation of the device.
There are no user-serviceable parts inside the device except printer paper.
If you encounter any problems or have questions about the device, please contact NIDEK
or your authorized distributor.
"CAUTION! Federal Law (US) restricts this device to sale by or on the order of a properly
licensed practitioner."
Safety precautions
In this manual, signal words are used to designate the degree or level of safety alerting. The defini-
tions are as follows.
WARNING • Indicates a potentially hazardous situation which, if not avoided, could result in death or
serious injury.
CAUTION • Indicates a potentially hazardous situation which, if not avoided, may result in minor or
moderate injury or property damage accident.
Even situations indicated by “ CAUTION” may result in serious injury under certain conditions.
Safety precautions must be strictly followed at all times.
I
Use precautions
Before Use
CAUTION • Do not use the device for other than the intended purpose.
NIDEK is not responsible for accidents or malfunctions caused by misuse.
• Be sure to read the manual prior to operation of the device to understand the safety
precautions and operating procedures thoroughly.
Using the device for purposes other than specified in this manual may cause unex-
pected malfunctions and/or adverse events.
• Install the device in an environment that meets the following conditions. The
following conditions must be maintained during use.
Use conditions
Temperature: 10 to 35qC (50 to 95qF)
Humidity: 30 to 90% (Non-condensing)
Pressure: 800 to 1060 hPa
A place not exposed to the water
A dust-free location
A place 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 possi-
bility of injury if the device receives shock and falls down.
• Be sure to use a wall outlet which meets the power specification requirements.
If the line voltage is too high or too low, the device may not perform properly. Malfunc-
tion or fire may occur.
• Connect the power plug to a ground outlet. Or connect a grounding wire to a ground
terminal.
Electric shock or fire may occur in the event of device malfunction or power leakage.
• Completely insert the power plug into the outlet as far as the prongs will go.
Fire may occur if the device is used with a loose connection.
• Never use a table tap or extension cable to supply the device with power.
The electrical safety may be lowered.
II
CAUTION • Do not use a power cord other than the one supplied. Also do not connect the
supplied power cord to any other device.
Failure or fire may result.
• Before connecting cables to the device, turn the device off and disconnect the
power cord from an outlet.
Malfunction may result.
• Before carrying the device, put the device into the packing mode and lock the main
body to the base with the locking lever.
An accidental movement of the measuring unit during transportation may result in mal-
function.
• In installation and operation of the device, observe the following instructions about
EMC (electromagnetic compatibility):
- Do not use the device simultaneously with other electronic equipment to avoid elec-
tromagnetic interference with the operation of the device.
- Do not use the device near, on, or under other electronic equipment to avoid electro-
magnetic interference with the operation of the device.
- Do not use the device in the same room with other equipment such as life-support
equipment, other equipment that has major affects on the life of the patient and
results of treatment, or other measurement or treatment equipment that involves
small electric current.
- Do not use the device simultaneously with portable and mobile radio frequency com-
munication systems because it may have an adverse effect on operation of the
device.
- Do not use cables and accessories that are not specified for the device because that
may increase the emission of electromagnetic waves from the device or the system
and decrease the immunity of the device to electromagnetic disturbance.
III
During Use
WARNING • Before starting measurement, set the safety stopper for each patient to prevent the air
nozzle from touching the patient’s eye.
Contact between the air nozzle and the eye may damage the cornea.
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
unexpected malfunctions or health hazards may occur due to improper measurement.
• Refrain from use on patients who have corneal surface disorder or anamnesis.
• Be sure not to touch the patient’s face during alignment or when switching the right
and left of the patient's eye.
• Be sure to connect an interface cable, checking the symbols of input (IN: ) and
output (OUT: ).
• Take care not to catch hands or fingers in moving parts (measurement part and chin
rest). Be sure to give this caution to patients.
Hands or fingers may be pinched and may result in injury.
• Measure when fixation and alignment are sufficiently performed. Do not measure
while misaligned.
Proper measurement may not be performed.
• Before or after use, and before measuring patients, wipe the forehead rest and chin
rest with a clean cloth such as gauze dampened with rubbing alcohol. For tough
stains, do not repeatedly wipe with a dry cloth, rather with a clean cloth dampened
with rubbing alcohol.
If chinrest paper is used, remove one piece for each patient.
• After use on the patients with an infection, be sure to clean the air nozzle with a
cotton swab dampened with rubbing alcohol.
Infected tears may be scattered and come into contact with the air nozzle then scat-
tered again, causing a secondary infection.
• Before and after use, check that there are no contaminations like dust on the air
nozzle.
The measurement accuracy may decrease substantially.
IV
CAUTION • In the event of smoke or strange odors, immediately turn off the device and
disconnect the power plug from the outlet. After you are sure that the smoke has
stopped, then contact NIDEK or your authorized distributor.
Usage 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.
• Immediately replace the power cord if the internal wires are exposed, the device turns
on or off when the power cord is moved, or the cord and/or plug are too hot to be held
with hands.
This may result in electric shock or fire.
In the event of malfunction, disconnect the power cord from the wall outlet. Never touch
the inside of the device and contact NIDEK or your authorized distributor.
• Never press the LCD display with a hard object such as a ball-point pen. Keep
magnetic objects away from the LCD display.
The device may be damaged.
• There may be a few constantly-lit, missing, or dead pixels in your LCD which are a
characteristic of the LCD. This does not represent failure of the LCD; continuously
use the display.
• This device has been tested and found to comply with the limits for medical devices
to the IEC 60601-1-2: 2001+A1:2004, and Medical Device Directive 93/42/EEC.
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 the device off and on, the user is encouraged to try to
correct the interference by one or more of the following measures:
If this device does cause harmful interference to other devices, which can be
determined by turning the device off and on, 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 connected.
Consult the manufacturer or field service technician for help.
• Never use the device with cables or accessories other than the designated ones.
Malfunction caused by improper electromagnetic compatibility (EMC) characteristics
may result.
V
CAUTION • Never use portable or mobile radio frequency (RF) devices in the vicinity of this
device.
These devices may adversely affect medical electrical equipment and malfunction may
result.
• When connecting the device to the PC* that is not corresponded to IEC60601-1, be
sure to supply power through the isolation transformer.
*Expect for the PC that adopts the class II AC adapter certificated with IEC60950-
1.
Electric shock may occur. For installation of the isolation transformer, consult NIDEK or
your authorized distributor.
• When using Intraocular Pressure Correction function, set the correction factors
Param1 and Param2 beforehand.
• The results obtained from the Intraocular Pressure Correction function are reference
values only, so they should be used at the discretion of the user.
• The device uses thermal paper for printer. When saving the printings, make a copy of
it.
Thermal paper may become difficult to read due to aged deterioration.
• This device is classified as Group 1 set by ISO 15004-2:2007 Light Hazard and
conforms to the standard.
VI
After Use
CAUTION • When the device is not in use, turn off the power switch and put the dust cover over
the device.
If not, dust may affect the measurement accuracy.
• Do not yank the power cord to disconnect it from a wall outlet but hold the plug.
This can damage the metal core of the cord and may result in fire, short circuit or elec-
tric shock.
• Occasionally clean the prongs of the main plug with a dry cloth.
If dust settles between the prongs, the dust will collect moisture, and short circuit or fire
may occur.
• If the device will not be used for a long time, disconnect the power cord from the wall
outlet.
Fire may occur.
• When transporting, set the mode to Packing mode and pack the main body in the
original packing material with the fixing lever unlocked.
It may result in failure when excessive vibration and shock are applied.
VII
Maintenance
CAUTION • Only NIDEK service representatives or hospital personnel trained by NIDEK should
attempt to modify or touch the inside of the device and/or upgrade the software.
NIDEK is not responsible for any accidents resulted from improper servicing.
• When the device is sent back to NIDEK for repair or maintenance, wipe the surfaces
(especially, the area where patients contact) of the device with a clean cloth
dampened with ethyl alcohol for disinfection.
Disposal
CAUTION • Follow local governing ordinances and recycling plans regarding disposal or
recycling of device components. The device contains the circuit board with a lithium
battery mounted. Because the disposal method of lithium batteries varies according
to the local government, follow the local governing ordinates and recycling plans
when disposing of the circuit board with the lithium battery.
It is recommended to commission the disposal to a designated industrial waste disposal
contractor.
• When disposing of packing materials, sort them by material and follow local
governing ordinances and recycling plans.
VIII
{ Patient environment
The patient environment represents a space where there is a possibility of direct contact between the
patient or the operator and third person.
When another type of device is used in the patient environment, use a device that complies with IEC
60601-1. If the devices that do not comply with IEC 60601-1 are used, it is necessary to use an isolat-
ing transformer as a power supply or to connect the devices to additional protective grounding.
4CFKWUQH 1.5 m
2.5 m
1.5 m 1.5 m
IX
X
Table of Contents
1. BEFORE USE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
1.1 Outline of device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1
1.2 Indications for Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2
1.3 Principles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3
1.4 Device Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4
1.5 Measurement Screen Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9
1.6 Labels and Indications on Device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
1.7 Checking Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
1.8 Before First Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14
2. OPERATING PROCEDURES . . . . . . . . . . . . . . . . . . . . . . 17
2.1 Operation Flow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
2.2 Preparation for Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18
2.3 Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24
2.3.1 Measuring puffed air pressure check during startup. . . . . . . . . . . . . . . . . . . . . . . .31
2.4 Completion of Measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33
2.4.1 Normal shutoff. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33
2.4.2 Shutoff before transporting the device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34
2.5 Selecting Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35
2.5.1 Sleep mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35
2.5.2 Eyelid detection mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36
2.6 Printing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37
2.6.1 Printing measured data. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37
2.6.2 Printing parameter settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38
2.7 Parameter Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39
2.7.1 Parameter tables. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42
2.7.2 Setting Network function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48
2.7.3 Setting date and time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53
2.7.4 Entering comments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55
XI
:
4. MAINTENANCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
4.1 Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
4.2 Error Messages and Countermeasures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
4.3 Replacing Printer Paper . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
4.4 Fixing Chinrest Paper . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
4.5 Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
4.5.1 Cleaning air nozzle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
4.5.2 Cleaning printer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
4.5.3 Cleaning forehead rest and chinrest. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
4.6 List of Replacement Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
7. GLOSSARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
8. INDEX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
XII
1. BEFORE USE
1
BEFORE USEIndications for Use
The NON CONTACT TONOMETER NT-510 is a medical apparatus which performs measurement of
intraocular pressure.
2
BEFORE USEPrinciples
1.3 Principles
In subsequent measurements, the APC function activates to perform the measurement with the
minimum air pressure based on the former measurement data.
As the patient's eye is protected from excessive air pressure, discomfort of the patient can be
decreased and continuous measurement can be performed smoothly.
3
BEFORE USEDevice Description
{ Front view
Function buttons
LCD screen
Memory indicator
Start button
Joystick
Locking lever
Power button
Function buttons
Used to set the device and to switch the screen.
Functions assigned to the function buttons are displayed by icon next to each switch on the screen.
Lower two buttons on the left of the screen have unique functions when the measurement screen is displayed.
4
BEFORE USEDevice Description
•CLR button ( )
Used to clear the measured data.
When the CLR button is pressed for about a second, all the measured data is erased.
•Print button ( )
When this button is pressed while the memory indicator is lit, measured results are printed out. 1
If this button is pressed when the memory indicator is turned off, the printer paper is fed.
LCD screen
5.7-inch color LCD screen. The LCD screen panel pops out when the lower
portion of the panel is pulled toward you
When operating the device in an upright position, tilt the panel so that
the indications on the screen are clear.
The panel is reset to its original position by magnet.
Memory indicator
Indicates that measured data is being stored in memory.
Start button
When the start button is pressed, the measurement takes place regardless of the alignment and focusing
status of the device.
Joystick
Used for alignment and focusing.
Tilt the joystick to the right and left for alignment. Turn the joystick for alignment in the up and down directions. For
focusing, push the joystick forward and pull it backward.
Locking lever
Used to fix the main body to the base unit.
To lock the main body, press the locking lever down.
Power button
Used to turn on or off the power to the device.
Printer cover
Inside is the printer equipped with the auto cutter located. Open the printer cover for replacing printer paper
by pressing the cover open button.
5
BEFORE USEDevice Description
{ Rear view
Safety stopper
Chinrest
Patient sensor
Forehead rest
During measurements, the patient’s forehead should be gently placed over the forehead rest.
Clean the forehead rest for each patient. (See “ During Use” (page IV) and “4.5.3 Cleaning forehead rest and
chinrest” (page 70)).
Air nozzle
Air is puffed out of the nozzle of the measuring unit.
In this operator’s manual, the area containing the observation window around the air nozzle is referred to as the air
nozzle.
Chinrest
During measurements, the patient’s chin should be gently placed on the chinrest. Adjust the chinrest with the
eye level marker as a guide to position the patient’s eye to the proper height for measurement.
Clean the chinrest for each patient. (See “ During Use” (page IV) and “4.5.3 Cleaning forehead rest and
chinrest” (page 78)).
Patient sensor
The patient sensor detects whether the patient is seated in front of the device.
The sensor, while detecting the patient, assumes that the patient’s chin is placed on the chinrest and the puffed air
pressure check is not performed.
6
BEFORE USEDevice Description
Safety stopper
Used to provide a safety space so that the air nozzle does not touch the patient’s eye.
Change the position of the stopper for each patient to keep the proper amount of the space for safety.
While pressing the safety stopper, “RTN TO ORG” blinks on the screen, and the measuring unit automatically
returns to the origin in the right, left, back and forth directions.
(See “ During Use” (page IV) and Step 8 of “2.2 Preparation for Measurement” (page 24).)
1
• Materials composed of the parts that contact the patient during measurement are as
follows:
Function buttons: ABS resin
Start button: ABS resin
Joystick: ABS resin, Synthetic rubber
Power switch: Polyamide resin
Forehead rest: Elastomer
Chinrest: ABS resin
Chinrest up/down buttons: ABS resin
Safety stopper: ABS resin
7
BEFORE USEDevice Description
{ Bottom view
RS-232C connector
Power inlet
Used to connect the detachable power cord.
RS-232C connector*1
When exporting the measured data to an external computer with RS-232C connector, connect an interface
cable here.
USB-A connector*1
The followings are possible with USB connection.
• Barcode or magnetic card reader can be connected to read the patient's ID to the NT-510.
• USB flash drive can be connected to upgrade the software of the NT-510.
NIDEK service personnel upgrade the software.
When connecting a cable, be sure to turn off the power of each devices. (See “ Before Use” (page II) and “3
OPERATION WHEN PERIPHERAL DEVICES ARE CONNECTED” (page 65).)
LAN connector*1
The measured data can be exported to an external computer with LAN connection.
NIDEK service personnel sets the LAN connection with permission from the network administrator of the facility.
When connecting a cable, be sure to turn off the power of each devices. (See “ Before Use” (page II) and “3
OPERATION WHEN PERIPHERAL DEVICES ARE CONNECTED” (page 65).)
*1. Accessory equipment connected to the analog and digital interfaces must be certified according to the representative ap-
propriate national standards (for example, UL 1950 for Data Processing Equipment, UL 60601-1 for Medical Equipment,
and CSA C22.2 No. 601-1, EN 60601-1, and IEC 60601-1.) Furthermore, all configurations shall comply with the system
standard IEC 60601-1-1. Anyone who connects additional equipment to the signal input part or signal output part con-
figures a medical system, and is therefore responsible that the system complies with the requirements of the system
standard IEC 60601-1-1. If in doubt, consult the technical service department or your local representative.
8
BEFORE USEMeasurement Screen Description
ᵏ Measurement range
Target button
Measured values
Eyelid detection mode
ǽ button
ǽ ᴮᴲǽǽǽ ᴮᴱ
ǽ ᴮᴲǽǽǽ ᴮᴱ
ǽ ᴮᴰǽǽǽ ᴮᴱ Page button
ǽ ᴮᴱ®ᴭǽ ᴮᴱ®ᴭ
ÁÖ ¯ µ ÁÖ ¯ µ ÁÐÃᴱ°
R: Right eye L: Left eye Measurement range
Patient’s eye
Indicates the right or left eye of the patient.
Target ( )
Used as a guide to position the patient’s eye in the center of the screen during the NT measurement.
Auto button ( )
Selects the auto-tracking function and auto-shooting function.
Measured values
Three pieces of measured data are shown. The latest measured data is shown at the top and the older data
is shown under the latest data.
The data in the bottom line preceded by “AV” is the average data.
“/ number” appended to the average data represents the number of items of measured data used for averaging.
Auto-tracking mark
This mark indicates that the auto-tracking (alignment in the up-and-down direction) is turned on.
(No indication) Manually align the device and bring the eye into focus.
9
BEFORE USEMeasurement Screen Description
Auto-shooting mark
Indicates the setting of the auto-shooting function.
Measurement starts automatically when the eye is best aligned and focused.
(No indication) Press the start button to start measurement.
Applanation area ( )
Represents the range in which air is puffed to the cornea.
Charge indicator
Indicates that the device is in standby mode for puffing air. While it is indicated, air cannot be puffed.
Range button ( )
Used to select the measurement range.
Every time the button is pressed, the measurement range switches in the following order: “APC 40” o “APC 60” o
“40” o “60” o “APC 40” o ….
The selected measurement range is displayed in the lower right of the screen.
When the power button is turned ON, “APC 40” is displayed by default.
For the contents of measurement range, see Step 5 (page21) of "2.2 Preparation for Measurement”.
Focusing indicator
Shows the distance between the patient’s eye and the air nozzle.
Manipulate the joystick until optimal focus ( ) is attained.
Page button ( , )
Switches the measurement screen among Page 1 and Page 2.
Pressing the button switches the page in the following order: Page 1o Page 2o Page 1o ......
The displayed icons vary according to the selected page.
Measurement range
The selected measurement range is displayed.
The measurement range selected from “ACP40”, “ACP60”, “40” or “60” is displayed.
10
BEFORE USEMeasurement Screen Description
ID indication
Displays the patient's ID read from the barcode or magnetic card reader.
11
BEFORE USELabels and Indications on Device
To call the operator’s attention, the device is provided with labels and indications.
If labels are curling up or characters are faded and become barely legible, contact NIDEK or your
authorized distributor.
Indicates that important descriptions are contained in the operator’s manual and that
the operator must refer to the operator's manual prior to operation.
Indicates that the degree of protection against electric shock is of a Type B Applied
Part.
Indicates that when the switch is pressed to this symbol side, power is not supplied to
the device.
Indicates that when the switch is pressed to this symbol side, power is supplied to the
device.
Indicates that the device must be supplied only with alternating current.
Indicates that this product shall be disposed of in a separate collection of electrical and
electronic equipment in EU.
12
BEFORE USEChecking Contents
[Underside view]
See “ Before Use” (page II) and “3 OPERATION WHEN PERIPHERAL DEVICES ARE CONNECTED” (page 65).
Unpack the contents from the shipping carton and check them.
The following are included in the standard configuration.
• Main body
• Printer paper (3 rolls)
• Power cable
• Pack of chinrest paper
• Fixing pins for chinrest paper (2 units)
• Dust cover
• Operator’s manual (this book)
13
BEFORE USEBefore First Use
Place the device on a stable table and connect a power cord to it.
• Be sure not to install the device in a location exposed to the direct sunlight or a place
directly under bright lights.
If an intense light enters the observation window of the air nozzle, measurement may not be prop-
erly performed.
2 Pull the main body fully to the side on which Power inlet
the device is laid down, lock the main body to
the base unit with the locking lever and lay the
device down gently
Power switch
14
BEFORE USEBefore First Use
1
7 Turn the power switch on ( ).
The initial screen is displayed on the LCD dis-
play and the device starts initializing.
Initial screen
• When the device is used for the first time, “NO PAPER” appears indicating that no paper is
loaded.
15
BEFORE USEBefore First Use
{ Setting by parameter
Setting parameters allows various functions of the device. For details, see “2.7 Parameter Settings”
(page 44).
16
2. OPERATING PROCEDURES
Measurement
"2.3 Measurement (Page 24)"
Printout
"2.6 Printing (Page 37)"
* For transferring data to connected devices:
3 OPERATION WHEN PERIPHERAL DEVICES ARE CONNECTED
17
OPERATING PROCEDURESPreparation for Measurement
Power switch
Initial screen
Wait for a while until the screen switches to the measurement screen.
18
OPERATING PROCEDURESPreparation for Measurement
2
ÁÖ ÁÖ ÁÐÃᴱ°
Measurement screen
• “NO PAPER” is displayed on the screen if the power switch is turned on with no printer
paper loaded.
Load the printer paper.
The chinrest moves up and down by pressing the chinrest up/down button.
19
OPERATING PROCEDURESPreparation for Measurement
auto- On-screen
Auto-tracking Description
shooting mark
The auto-tracking in the up-and-down directions is turned on.
ON ON The measurements take place automatically when the device
is best aligned and focused on the eye.
The auto-tracking in the up-and-down directions is turned on.
ON OFF
Press the start button to start measurements.
Manually align the device and bring the eye into focus.
OFF ON The measurements take place automatically when the device
is best aligned and focused on the eye.
Manually align the device and bring the eye into focus.
OFF OFF (No mark)
Press the start button to start measurements.
• The functions assigned to the Auto button depend on the 22. TRACKING SW
parameter settings.
For the setting procedures, see "2.7 Parameter Settings (Page 39)".
During measurement, the standard target and focusing indicator are displayed
RKT
(Factory setting).
During measurement, the focusing indicator used for earlier NIDEK models is
NT OLD
displayed.
The following description is illustrated with the screens displayed on condition that the 27.
TARGET TYPE parameter is set to RKT.
20
OPERATING PROCEDURESPreparation for Measurement
ÁÐÃᴱ°
ÁÖ ÁÖ
2
Measurement range
Chinrest
21
OPERATING PROCEDURESPreparation for Measurement
3) Have the patient place his/her chin on the chinrest as deeply as possible, and his/her
forehead on the forehead rest lightly.
4) Adjust the height of the chinrest by the chin- Eye level marker
rest up/down button ( , ) until the cen-
ter level of the patient's eye aligns with the
eye level marker.
Before adjusting the height of the chinrest, inform
the patient that the chinrest moves up and down.
22
OPERATING PROCEDURESPreparation for Measurement
6 Set the safety space between the patient’s eye and air nozzle with the safety stop-
per.
1) Pressing the safety stopper*1,operate the joystick so that the air nozzle approaches the
cornea slowly.
While pressing the safety stopper, “RTN TO
ORG” blinks on the screen. 2
Press
Safety stopper
3) Slightly push the joystick backward and pull it backward to confirm that the main body
does not move toward the patient from the position locked in Step 2).
*1. While the safety stopper is pushed down in NT measurement mode, the “RTN TO ORG” message is displayed on the
screen and the auto-tracking and auto-shooting functions are disabled.
23
OPERATING PROCEDURESMeasurement
2.3 Measurement
• Ensure that the patient's eyelashes or eyelid are not in the applanation area and the
patient's eye is not watery.
These factors cause measurement errors or decrease the accuracy of measurements.
If the patient's eyelashes or eyelid are within the applanation area, lift the patient's lid, paying attention not
to press against the eyeball.
If the eye is watery, have the patient blink his or her eyes or wipe tears.
• Select whether to illuminate or blink the fixation light by setting the 04. FIX LED BLINK
parameter.
24
OPERATING PROCEDURESMeasurement
25
OPERATING PROCEDURESMeasurement
• The device may not perform correct measurement when the eyelashes or eyelid is in the
applanation area.
In such cases, instruct the patient to open his or her eye wider.
If the patient cannot open wider, lift the patient's lid, paying attention not to press against the eyeball.
If the main body gets out of the working range of auto-racking in the back-and-forth direction:
As the limit marks displayed, manipulate the joystick in the direction of the arrow.
ǽ
ǽ ᴮᴲǽǽǽ ᴮᴱ
ǽ ᴮᴲǽǽǽ ᴮᴱ
ǽ ᴮᴰǽǽǽ ᴮᴱ
ǽ ᴮᴱ®ᴭǽ ᴮᴱ®ᴭ
ÁÖ ¯ µ ÁÖ ¯ µ ÁÐÃᴱ°
26
OPERATING PROCEDURESMeasurement
2
Pull the joystick backward to move the main body away
from the patient’s eye.
Optimal state
For RKT type, target and focusing indicator are dis-
played in yellow when alignment is proper.
27
OPERATING PROCEDURESMeasurement
ǽ
ǽ ᴮᴲǽǽǽ ᴮᴱ Á Ð Ì
ǽ ᴮᴲǽǽǽ ᴮᴱ ᴮᴲ
ǽ ᴮᴰǽǽǽ ᴮᴱ
ǽ ᴮᴱ®ᴭǽ ᴮᴱ®ᴭ
ÁÖ ¯ µ ÁÖ ¯ µ ÁÐÃᴱ°
28
OPERATING PROCEDURESMeasurement
Eyelid is over the applanation area. Eyelashes are over the applanation area.
The APL error may occur in a row even though the eye seems to be in normal conditions.
In this case, reset the 01. SET LOW CONF parameter to YES and perform the measurement
again. The measurement value is displayed with a * mark, indicating low confidence data.
For the setting procedures, see "2.7 Parameter Settings (Page 39)".
The measurement may be performed and measured data may be displayed even though a
measurement error (APL or ALM) occurred. Such data with the * is referred to as “low confi-
dence data”.
The low confidence data is cleared together with the error message; it is also possible to
maintain the measured data with the * mark on the screen by setting the corresponding
parameter.
Charge indicator
29
OPERATING PROCEDURESMeasurement
6 Measurement completes.
End measurement by manipulating the joystick backward because measurement is performed
repeatedly regardless of the set times.
ǽ
ǽ ᴮᴲǽǽǽ ᴮᴱ
ǽ ᴮᴲǽǽǽ ᴮᴱ
ǽ ᴮᴰǽǽǽ ᴮᴱ
ǽ ᴮᴱ®ᴭǽ ᴮᴱ®ᴭ
ÁÖ ¯ µ ÁÖ ¯ µ ÁÐÃᴱ°
9 Inform the patient of the completion of the measurement and instruct him or her to take a
comfortable position.
• Even when "11. PRINT" parameter is set to "NO", the data is exported to the external
connecting device.
• The contents of printout are parameter-changeable.
For details, see "2.7 Parameter Settings (Page 44)".
11When measuring the next patient, repeat Steps 7 to 9 in "2.2 Preparation for Mea-
surement (Page 18)".
When completing the measurement, see "2.4 Completion of Measurements (Page 33)".
30
OPERATING PROCEDURESMeasurement
For details of the parameter settings, see "2.7 Parameter Settings (Page 39)". 2
It is essential to maintain the accurate pressure of puffed air for the accurate tonometry. It is
recommended to check the pressure of puffed air before NT measurement.
Checks are performed in the following order: “Check of the pressure of puffed air (40 mmHg
and 60 mmHg)”
The checks disabled by the corresponding parameters are skipped.
Error message
PRESSURE PEAK ERROR
PRESSURE SLOPE ERROR
NO PRESSURE UP
After the completion of the checks, the displayed “PRESSURE PEAK ERROR (40)” message is
printed out.
31
OPERATING PROCEDURESMeasurement
4) At the completion of the checks, the screen returns to the measurement screen.
• For the cleaning procedures of the air nozzle, see "4.5.1 Cleaning air nozzle (Page 77)".
32
OPERATING PROCEDURESCompletion of Measurements
3 Clean the forehead rest and chinrest and place a dust cover over the device.
Always keep them clean for the next use.
• Be sure to put the dust cover on whenever the device is not in use.
33
OPERATING PROCEDURESCompletion of Measurements
1 Inspect the air nozzle etc. for soiling and clean them.
See "4.5 Cleaning (Page 77)".
2 Turn the power switch off ( ) to shut off the device once.
3 Turn on the power switch ( ) while pressing the chinrest down button .
The device starts putting itself into packing mode. Wait for a while until a message is
displayed on the screen.
5 Pull the main body fully to the side on which the main body is laid down, fix the
main body with the locking lever and gently lay down the device.
7 Raise the device and flip up the locking lever to unlock the main body.
34
OPERATING PROCEDURESSelecting Mode
• Depending on the status of the LCD display, the device may not go into sleep mode.
When the PARAMETER SETTING screen is displayed, the device does not go into sleep mode.
35
OPERATING PROCEDURESSelecting Mode
• It is recommended to cancel eyelid detection mode only when it is difficult to perform the
measurement with the eyelid detection mode activated.
The cancellation of the mode may result in increase in the occurrence of measurement errors and
increase in fluctuations in measured data.
36
OPERATING PROCEDURESPrinting
2.6 Printing
Comments*1
• Items marked with “ ” indicate whether or not to print according to parameter settings.
See PRINT1 of "2.7.1 Parameter tables (Page 42)"
*1 Comments
It is possible to enter the desired letters or symbols.
See "2.7.4 Entering comments (Page 55)" for the entering method.
37
OPERATING PROCEDURESPrinting
Parameters
Clock setting
Comments
Program version
(for maintenance)
38
OPERATING PROCEDURESParameter Settings
NT-510 is provided with parameters that set various functions according to the user’s usage pattern.
The procedure for checking and changing the parameter settings is explained.
• For procedures when NETWORK is selected, see "2.7.2 Setting Network function (Page
48)".
• For procedures when CLOCK SET is selected, see "2.7.3 Setting date and time (Page 53)".
• For procedures when COMMENT SET is selected, see"2.7.4 Entering comments (Page
55)".
• When the Information button is pressed, the copyright information of the image data
or software tool used is displayed.
• When the Print button is pressed, the setting contents can be printed.
For details of the printing, see "2.6.2 Printing parameter settings (Page 38)".
39
OPERATING PROCEDURESParameter Settings
PRINT1 screen
For the settings changed when the button is pressed, see "2.7.1 Parameter tables (Page
42)".
40
OPERATING PROCEDURESParameter Settings
2
7 To finish setting the parameters, press the exit button .
The screen returns to the step1 PARAMETER SETTING screen.
• The parameter settings will be maintained in the memory due to an internal battery*1 even
though the power switch is turned off.
• After changing parameter settings, turn off the device after pressing the exit button .
Otherwise, parameter settings are not stored.
*1 A rechargeable lithium battery is used in the device. (The lithium battery is not user replaceable.)
• When you are operating the device for the first time after unpacking or when the device has not been operated for a long time
(about one month or longer), the clock may reset to zero, and the system parameters and comment settings may return to their
factory settings. 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 you are using the device 8 hours a day, you will have to keep the device on for three days before the battery
is fully charged. Once the battery is fully charged, the device operates normally for daily use.
41
OPERATING PROCEDURESParameter Settings
• If the 01. SET LOW CONF parameter (display of low confidence data) is set to YES
(display), even low confidence data is counted as a NT measurement.
Do not change this parameter during NT measurement.
42
OPERATING PROCEDURESParameter Settings
13 PRINT&CLEAR YES / NO
20 NT PRINT V/H
11 : PRINT (printing)
Selects the method of starting printing.
MANUAL Press the print button to print the measured data out.
43
OPERATING PROCEDURESParameter Settings
NO No printing
19 : PRINT COMMENT
Selects whether or not to print comments.
Printout sample
44
OPERATING PROCEDURESParameter Settings
ψ (none) ψ
45
OPERATING PROCEDURESParameter Settings
3) After printing by pressing the Clear button or Print button , the button
icons are deleted.
28 : TOO CLOSE BEEP (Beep sound when TOO CLOSE error occur)
Selection of whether or not to set the beep sound when TOO CLOSE error occur.
YES Beep sound is generated when the error occur.
NO Beep sound is not generated when the error occur.
35 CR CODE YES / NO
33 : BAUD-RATE
Selects the baud-rate (bit transmission speed) for communication.
34 : BIT LENGTH
Selects the bit number for a single character used for communication.
46
OPERATING PROCEDURESParameter Settings
42 READER LENGTH 1 to 14
2
41 : READER START (Position to start reading)
㧼㧭㧾㧭㧹㧱㨀㧱㧾ޓޓ㧿㧱㨀㨀㧵㧺㧳
Sets the position to start reading. 㨇㧾㧱㧭㧰㧱㧾㨉
㧠㧝㧾㧱㧭㧰㧱㧾ޓ㧿㨀㧭㧾㨀ޓޓޓޓޓޓޓޓ㧝
42 : READER LENGTH (Length of reading) 㧠㧞㧾㧱㧭㧰㧱㧾ޓ㧸㧱㧺㧳㨀ᵅ ޓޓޓޓޓޓ㧝㧠
Sets the length of the data to be read. 㧵㧰㧦
In the ID field, when read after setting is checked, the read result of set conditions is displayed.
Press to display all data including digits other than set digits. Press again to return to the screen as
shown to the right.
47
OPERATING PROCEDURESParameter Settings
48
OPERATING PROCEDURESParameter Settings
6'56
2
* When the TEST button on the lower left in the NETWORK screen is pressed, whether or
not the LAN interface cable is connected to the NT-510 is checked. A message is dis-
played for two seconds with a beep sound.
㧱㧾㧾㧣㧣㧝
%100'%6+101- 㧺㧻ޓ㧺㧱㨀9㧻㧾㧷ޓ㧯㧭㧮㧸㧱
When the LAN interface cable is connected When the LAN interface cable is not connected
51 NETWORK YES / NO
52 DHCP YES / NO
0 to 255, 0 to 255, 0 to 255, 0 to 255
53 IP
(Factory setting: 192, 168, 0, 40)
60 IMAGE SEND NO
52 : DHCP
Sets whether to turn on DHCP connection [YES] or not [NO].
Press or to change the setting.
49
OPERATING PROCEDURESParameter Settings
53 : IP
Input the IP address. The input procedure is as follows.
1) Press or to select "53. IP". 㧼㧭㧾㧭㧹㧱㨀㧱㧾ޓޓ㧿㧱㨀㨀㧵㧺㧳
㨇㧺㧱㨀9㧻㧾㧷㨉
The screen is as shown to the right. 㧡㧝㧺㧱㨀9㧻㧾㧷ޓޓޓޓޓޓޓ㧺㧻
㧡㧞㧰ᵅ㧯㧼ޓޓޓޓޓޓޓޓ㧺㧻
㧡㧟㧵㧼ޓޓޓ㧝㧥㧞㧝㧢㧤ޓޓ㧜㧠㧜
㧡㧠㧹㧭㧿㧷ޓޓ㧞㧡㧡㧞㧡㧡㧞㧡㧡㧜
㧡㧡㨁㧿㧱㧾ޓޓޓޓޓޓޓޓޓޓޓޓ㧳㨁㧱㧿㨀
㧡㧢㧼㧭㧿㧿9㧻㧾㧰
㧡㧣㧰㧻㧹㧭㧵㧺ޓޓޓޓޓޓ9㧻㧾㧷㧳㧾㧻㨁㧼
㧡㧤㧹㧭㧯ᵅ㧵㧺㧱ޓޓޓޓޓޓޓޓޓޓޓޓ㧼㧯
㧡㧥㧲㧻㧸㧰㧱㧾ޓޓޓޓޓޓޓޓޓޓޓ㧰㧭㨀㧭
㧢㧜㧵㧹㧭㧳㧱ޓ㧿㧱㧺㧰ޓޓ㧺㧻
6'56
㧵㧼ޓ㧭㧰㧰㧾㧱㧿
㧝㧥㧞㧝㧢㧤ޓޓ㧜㧠㧜
address.
YES: Set the change. 㧯㧭㨁㨀㧵㧻㧺
㧿㧱㨀ޓ㧵㧼ޓ㧭㧰㧰㧾㧱㧿㧿!ޓ
NO: Cancel the change.
㨅㧱㧿 㧺㧻
* When "52. DHCP" is set to YES, the IP address is displayed as " 0. 0. 0. 0" and cannot be selected.
50
OPERATING PROCEDURESParameter Settings
54 : MASK
Input subnet mask.
The input procedure is same as "53. IP". Refer to above "53. IP".
* When "52. DHCP" is set to YES, subnet mask is displayed as "0. 0. 0. 0" and cannot be selected.
55 : USER
Input the user name of the connected computer. The input procedure is as follows.
1) Press or to select "55. USER". 㧼㧭㧾㧭㧹㧱㨀㧱㧾ޓޓ㧿㧱㨀㨀㧵㧺㧳
㨇㧺㧱㨀9㧻㧾㧷㨉
The screen is as shown to the right. 㧡㧝㧺㧱㨀9㧻㧾㧷ޓޓޓޓޓޓޓ㧺㧻
㧡㧞㧰ᵅ㧯㧼ޓޓޓޓޓޓޓޓ㧺㧻
㧡㧟㧵㧼ޓޓޓ㧝㧥㧞㧝㧢㧤ޓޓ㧜㧠㧜
㧡㧠㧹㧭㧿㧷ޓޓ㧞㧡㧡㧞㧡㧡㧞㧡㧡㧜
2
㧡㧡㨁㧿㧱㧾ޓޓޓޓޓޓޓޓޓޓޓޓ㧳㨁㧱㧿㨀
㧡㧢㧼㧭㧿㧿9㧻㧾㧰
㧡㧣㧰㧻㧹㧭㧵㧺ޓޓޓޓޓޓ9㧻㧾㧷㧳㧾㧻㨁㧼
㧡㧤㧹㧭㧯ᵅ㧵㧺㧱ޓޓޓޓޓޓޓޓޓޓޓޓ㧼㧯
㧡㧥㧲㧻㧸㧰㧱㧾ޓޓޓޓޓޓޓޓޓޓޓ㧰㧭㨀㧭
㧢㧜㧵㧹㧭㧳㧱ޓ㧿㧱㧺㧰ޓޓ㧺㧻
6'56
㨁㧿㧱㧾ޓ㧺㧭㧹㧱
)7'56
4) When is pressed, the screen changes to the screen confirming the change of input
user name.
YES: Set the change.
51
OPERATING PROCEDURESParameter Settings
56 : PASSWORD
Input the login password for the user name of the connected computer.
The input procedure is same as "55. USER". Refer to above "55. USER".
57 : DOMAIN
Input the domain name of the connected computer.
The input procedure is same as "55. USER". Refer to above "55. USER".
58 : MACHINE
Input the machine name of the connected computer.
The input procedure is same as "55. USER". Refer to above "55. USER".
59 : FOLDER
Input the shared folder name of the connected computer to be exported the measured data file.
The input procedure is same as "55. USER". Refer to above "55. USER".
60 : IMAGE SEND
Images cannot be sent. This parameter is fixed as "NO".
52
OPERATING PROCEDURESParameter Settings
• If the device is not turned on for three weeks, the date and time may be shifted.
53
OPERATING PROCEDURESParameter Settings
㧞㧜㧜㧛㧜㧠㧛㧞㧠ޓ㧝㧣㧦㧜㧜
5 Press the right button or the left button to change the setting.
Å^
Change the time format between the 24-hour and 12-hour.
7 After entering comments, press the exit button to exit from comment setting
mode.
As soon as the exit button is pressed, the internal clock is updated to the set date and
time.
The screen is switched back to the PARAMETER SETTING screen.
54
OPERATING PROCEDURESParameter Settings
㧯㧻㧹㧹㧱㧺㨀㧦
ޓޓޓޓ㧺㧵㧰㧱㧷ޓ㧺㨀㧙㧡㧝㧜ޓ
55
OPERATING PROCEDURESParameter Settings
7 After entering comments, press the exit button After entering comments, press
the exit button
• When the start button is held down with the SET COMMENT screen displayed, comments
return to the default setting (“NIDEK NT-510”).
56
3. OPERATION WHEN PERIPHERAL DEVICES ARE CONNECTED
The NT-510 exports measured data by connecting to an external device such as computer.
The NT-510 also reads patient's ID data by a USB-connected barcode or magnetic card reader.
• Before connecting cables to devices, turn the devices off and disconnect the power
CAUTION
cord from an outlet.
Malfunction may result.
Measurement
data
Computer
57
OPERATION WHEN PERIPHERAL DEVICES ARE CONNECTEDConnecting to Computer
{ Connecting procedure
1 Connect a computer to the data output port ( ) on the bottom of the NT-510 via
an interface cable (optional).
Connect the cable with the device laid down.
Attach a ferrite core (optional) to the interface cable connector of the NT-510.
To computer
{ Operating procedure
• For the RS-232C connection, the measured data is communicated with the interface cable
in compliance with RS-232C.
• Disconnect the interface cable while
pressing the button on the connector. Button
58
OPERATION WHEN PERIPHERAL DEVICES ARE CONNECTEDConnecting to Computer
{ Connecting procedure
1 Connect a computer to the LAN port on the bottom of the NT-510 via a LAN cable.
Connect the cable with the device laid down.
Attach a ferrite core (optional) to the interface cable connector of the NT-510.
The NT-510 and the parameters are set with permission from the network administrator of
the facility.
For the parameter setting, see “2.7.2 Setting Network function (Page 53)”.
NIDEK service personnel performs all the connections.
3
{ Operating procedure
59
OPERATION WHEN PERIPHERAL DEVICES ARE CONNECTEDConnecting Barcode / Magnetic Card Reader
3.2.1 Outline
By connecting the optional barcode reader or magnetic card reader to the NT-510 via USB, the patient
ID can be read to the NT-510.
• The patient ID can be read before and after measurement but must be performed it before
printing.
If the patient ID is read while the printed measurement data is displayed, the NT-510 determines
the displayed measurement data to be that of a previous patient and the data is automatically
deleted.
• The latest patient ID input before printing is set as the patient ID to be printed.
If different patient ID is read, read the correct patient ID again.
1 Connect the USB cable of the barcode or magnetic card reader to the USB-A port
at the bottom of the NT-510.
Connect the cable with the device on its side.
Attach a ferrite core (optional) to the interface cable connector of the NT-510.
Check the READER parameter on the parameter setting screen that the patient ID can be
read.
• When the device power is turned on with the barcode reader is connected, a beep sound is
generated.
This sound indicate connection check and does not indicate an abnormal condition of the device.
• Only the dedicated barcode reader or magnetic card reader (optional) can be connected.
• For the barcode, use "CODE39".
• For the patient ID, numerical characters, alphabetical characters, “_” and “-” symbols can be
used.
Other symbols are not recognized by the NT-510. All the unrecognized symbols are converted to
“~”.
• When printing is performed after reading the patient ID, the measured data is automatically
deleted from the memory regardless of “13.PRINT&CLEAR” parameter settings.
60
4. MAINTENANCE
4.1 Troubleshooting
In the event that the device does not work correctly, correct the problem according to the following
table before contacting NIDEK or your authorized distributor.
Symptom Remedy
• The power cord may not be correctly connected.
The LCD display does not turn on. Reconnect it securely.
• The power switch may not have been turn on. Check the power switch.
The LCD display does not turn on (not • The sleep function may have been executed. Try to recover the monitor
clear) even though the power is on. ON condition by pressing any button.
• Check the printer paper. If the paper has been used up, load new printer
paper.
Data is not printed out.
• The 11. PRINT parameter may be set to NO.
Reset the parameter.
The printer does operate, however, • The printer paper may be loaded with the wrong side up.
printed results cannot be obtained. Set it with the correct side up.
When the power is turned on or the print • Check that the printer cover is securely closed.
Open the printer cover and close it securely.
button is pressed, “ERROR” or “NO • The print button may have been pressed too soon after the printer cover
PAPER” appears even though printer 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 a tilted position or the core of the roll may
not be placed properly.
Printer paper does not feed.
Open the printer cover and make sure that printer paper is properly
loaded.
61
MAINTENANCETroubleshooting
Symptom Remedy
• The auto-tracking function or auto-shooting function may not have been
turned on.
If the symptom cannot be corrected with the above actions, contact NIDEK or your authorized distributor.
62
MAINTENANCEError Messages and Countermeasures
If one of the following error codes is displayed on the screen or printed out, follow the suggestions in
the cause and countermeasure column.
The error code, detailed indications and serial number of your device are helpful in proper servicing.
63
MAINTENANCEError Messages and Countermeasures
• Error related to IC
IC was damaged by any cause such as electrostatic discharge.
ERR703
• If the same error code is displayed even after the device is turned on again, turn off power to the
device and contact NIDEK or your authorized distributor.
• Error related to DHCP
ERR704
The IP address cannot be obtained.
64
MAINTENANCEError Messages and Countermeasures
• Error indicating that the network is being initialized. (The initialization takes a while after the
ERR760 device startup.)
• Retry access to the Network later.
• Error indicating that access is not allowed. ()
ERR761 Folder sharing setting is improper.
• Check the setting for the file sharing of the computer. 4
• Error related to account.
ERR762 The account is disabled. (The user setting is improper.)
• Check the network setting of the device.
65
MAINTENANCEReplacing Printer Paper
When a red line appears on the side of printer paper, it means that paper is running short.
In such a case, stop using the printer and replace printer paper with new one.
• Do not touch the printer head at the top of the opened printer cover.
CAUTION
The printer head is hot right after printing and you may get burned.
66
MAINTENANCEReplacing Printer Paper
• If the roll is loaded in such a way that paper becomes upside down, it is not possible to print
data out.
• Be sure that printer paper is not loaded in a tilted position, the core of the roll is properly
placed, or there is no slack in the roll.
Printer paper may not be fed properly. 4
67
MAINTENANCEFixing Chinrest Paper
68
MAINTENANCECleaning
4.5 Cleaning
When the cover or panel of the device becomes dirty, wipe with a soft cloth. For stubborn dirt, immerse
the cloth in a neutral detergent, wring well, and wipe. Finally wipe with a dry and soft cloth.
• Lightly wipe the exterior of the LCD display. Do not press the LCD display using an
object with a hard tip. In addition, keep magnetic objects away from the LCD display.
Scratches or failure of the LCD display may result.
• After use on the patients with an infection, be sure to clean the air nozzle with a
CAUTION
cotton swab dampened with rubbing alcohol.
Infected tears may be scattered and come into contact with the air nozzle then scat-
tered again, causing a secondary infection.
• Pay attention not to let dust or foreign particles into the air nozzle during cleaning.
1 Check the glass part of the air nozzle from an oblique direction for dust, soiling,
etc.
2 Blow the dust, foreign particles etc. off with a blower if they are settled.
69
MAINTENANCECleaning
3 Gently wipe the glass part with a cotton swab dampened with methanol or abso-
lute alcohol.
• Gently wipe the air nozzle without rubbing or without wiping it with foreign particles settled.
CAUTION
The glass part may be scratched.
Auto cutter
2 Apply the nozzle of a vacuum cleaner to the
auto cutter to remove powdery paper.
Never blow off powdery paper with a blower. If powdery paper settles on the internal working
structure, malfunction may result.
CAUTION • Before or after use, and before measuring patients, wipe the forehead rest and chin
rest with a clean cloth such as gauze dampened with rubbing alcohol. For tough
stains, do not repeatedly wipe with a dry cloth, rather with a clean cloth dampened
with rubbing alcohol.
If chinrest paper is used, remove one piece for each patient.
70
MAINTENANCEList of Replacement Parts
71
MAINTENANCEList of Replacement Parts
72
5. SPECIFICATIONS AND ACCESSORIES
5.1 Classifications
[Degree of safety in the presence of a flammable anesthetic mixture with air, or a flammable
anesthetic mixture with oxygen or nitrous oxide]
The NT-510 is classified as a device not suitable to be used in the presence of a flammable
anesthetic mixture with air, or a flammable anesthetic mixture with oxygen or nitrous oxide
caused by leakage or a discharge.
[Mode of operation]
The NT-510 is a continuous operation device.
[Mode of transport]
Stationary equipment.
73
SPECIFICATIONS AND ACCESSORIESSafety Features
To ensure safe use, the device is provided with the following safety features.
<Patient sensor>
Verifies that no patient is in front of the NT-510 when checking the puffed air.
When the sensor detects the patient, the puffed air check is not performed.
<Safety stopper>
For safety, this stopper provides a safety space so that the air nozzle does not touch a
patient’s eye during measurements.
The amount of space needed for safety depends on the patient. Change the position of the
stopper for each patient to ensure the proper amount of space for safety.
74
SPECIFICATIONS AND ACCESSORIESSpecifications
5.3 Specifications
5
{ Movable range of horizontal direction (by joystick)
• Back and forth 36 mm or more
• Right and left 85 mm or more
{ Other functiors
• Alignment/observation method
5.7-inch color LCD display
• Printer Thermal line printer with auto cutter
Width 58 mm
• Interface connectors
RS-232C: 1 port (OUT)
USB: 1 port
LAN: 1port
75
SPECIFICATIONS AND ACCESSORIESSpecifications
{ Others
• Installation category
II (OVERVOLTAGE CATEGORIES)
• Pollution degree 2 (IEC60664)
• Packing unit 1 unit
76
SPECIFICATIONS AND ACCESSORIESStandard Configuration
77
SPECIFICATIONS AND ACCESSORIESStandard Configuration
78
6. EMC (ELECTROMAGNETIC COMPATIBILITY)
The Electromagnetic Compatibility Directive sets the essential requirements for electrical
and electronic equipment that may disturb or even be disturbed by other equipment. The
NT-510 complies with these requirements as tabled below. Follow the guidance on the
tables for use of the device in the electromagnetic environment.
Voltage fluctuations/Flicker *2
emissions
IEC 61000-3-3
*1 For the regions where the rated voltage is 220V or greater, this device complies with class A. For the regions where
the rated voltage is less than 220V, this standard is not applicable.
*2 For the regions where the rated voltage is 220V or greater, this device complies with this standard. For the regions
79
EMC (ELECTROMAGNETIC COMPATIBILITY)
where the rated voltage is less than 220V, this standard is not applicable.
㪞㫌㫀㪻㪸㫅㪺㪼㩷㪸㫅㪻㩷㫄㪸㫅㫌㪽㪸㪺㫋㫌㫉㪼㫉㩾㫊㩷㪻㪼㪺㫃㪸㫉㪸㫋㫀㫆㫅㩷㵨㩷㪼㫃㪼㪺㫋㫉㫆㫄㪸㪾㫅㪼㫋㫀㪺㩷㫀㫄㫄㫌㫅㫀㫋㫐
The NT-510 is intended for us e in the electrom agnetic environm ent s pecified below. The cus tom er or the us er
of the NT-510 s hould as s ure that it is us ed in s uch an environm ent.䇯
㪠㫄㫄㫌㫅㫀㫋㫐㩷㫋㪼㫊㫋 IEC 60601 test level 㪚㫆㫄㫃㫀㪸㫅㪺㪼㩷㫃㪼㫍㪼㫃 㪜㫃㪼㪺㫋㫉㫆㫄㪸㪾㫅㪼㫋㫀㪺㩷㪼㫅㫍㫀㫉㫆㫅㫄㪼㫅㫋㩷㪄㩷㪾㫌㫀㪻㪸㫅㪺㪼
Electros tatic ±6kV contact ±6kV contact Floors s hould be wood, concrete or ceram ic
Dis charge (ESD) ±8kV air ±8kV air tile. If floors are covered with s ynthetic
IEC 61000-4-2 m aterial, the relative hum idity s hould be at
leas t 30%.
Electrical fas t ±2kV ±2kV Mains power quality s hould be that of a
trans ient/burs t for power s upply lines for power s upply lines typical com m ercial or hos pital environm ent.
IEC 61000-4 㪄㪋 ±1kV ±1kV
for input/output lines for input/output lines
Surge ±1kV ±1kV Mains power quality s hould be that of a
IEC 61000-4-5 differential m ode differential m ode typical com m ercial or hos pital environm ent.
±2kV ±2kV
com m on m ode com m on m ode
Voltage dips , 䋼 5% UT 䋼 5% UT Mains power quality s hould be that of a
s hort (䋾 95% dip in UT) (䋾 95% dip in UT) typical com m ercial or hos pital environm ent.
interruptions and for 0,5 cycle for 0,5 cycle If the us er of the NT-510 requires continued
voltage variations 40% UT 40% UT operation during power m ains interruptions ,
on power s upply (60% dip in UT) (60% dip in UT) it is recom m ended that the NT-510 be
input lines for 5 cycles for 5 cycles powered from an uninterruptible power
IEC 61000-4-11 70% UT 70% UT s upply or a battery.
(30% dip in UT) (30% dip in UT)
for 25 cycles for 25 cycles
䋼 5% UT 䋼 5% UT
(䋾 95% dip in UT) (䋾 95% dip in UT)
for 5 s ec for 5 s ec
80
EMC (ELECTROMAGNETIC COMPATIBILITY)
Compliance
Immunity test IEC 60601 test level Electromagnetic environment - guidance
level
Portable and mobile RF communications
equipment should be used no closer to any
part of the NT-510, including cables, than the
recommended separation distance calculated
from the equation applicable to the frequency
of the transmitter.
Recommended separation distance
d=1.2x㺕P
d=1.2x㺕P 80MHz to 800MHz
d=2.3x㺕P 800MHz to 2,5GHz
where P is the maximum output power rating
㪚㫆㫅㪻㫌㫋㪼㪻㩷㪩㪝 3Vrms 3Vrms
of the transmitter in watts (W) according to the
㪠㪜㪚㩷㪍㪈㪇㪇㪇㪄㪋㪄㪍 150kHz to 80MHz (V1=3) transmitter manufacturer and d is the
recommended separation distance in metres
㪩㪸㪻㫀㪸㫋㪼㪻㩷㪩㪝 3V/m 3V/m (m).
㪠㪜㪚㩷㪍㪈㪇㪇㪇㪄㪋㪄㪊 80MHz to 2,5GHz (E1=3) Field strength from fixed RF transmitters, as
determined by an electromagnetic site
survey(a) , should be less than the compliance
level in each frequency range (b).
Interface may occur in the vicinity of equipment
marked with the following symbol:
6
(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
NT-510 is used exceeds the applicable RF compliance level above, the NT-510 should be observed to verify
normal operation. If abnormal performance is observed, additional measures may be necessary, such as
reorienting or relocating the NT-510.
(b) Over the frequency range 150kHz to 80MHz, field strength should be less than 3V/m.
81
EMC (ELECTROMAGNETIC COMPATIBILITY)
Rated m ax im um output power of S eparation dis tanc e ac c ording to frequenc y of trans m itter
trans m itter m
W 1 5 0 kH z to 8 0 MH z 8 0 MH z to 8 0 0 MH z 8 0 0 MH z to 2 ,5 GH z
d =1 .2 㺕 P d =1 .2 㺕 P d =2 .3 㺕 P
0 .0 1 0 .1 2 0 .1 2 0 .2 3
0 .1 0 .3 8 0 .3 8 0 .7 3
1 1 .2 1 .2 2 .3
10 3 .8 3 .8 7 .3
100 12 12 23
Fo r tra n s m itte rs ra te d a t a m a xim u m o u tp u t p o w e r n o t lis te d a b o ve , th e re co m m e n d e d s e p a ra tio n d is ta n ce d in
m e tre s (m ) ca n b e e s tim a te d u s in g th e e q u a tio n a p p lica b le to th e fre q u e n cy o f th e tra n s m itte r, w h e re P is th e
m a xim u m o u tp u t p o w e r ra tin g o f th e tra n s m itte r in w a tts (W ) a cco rd in g to th e tra n s m itte r m a n u fa ctu re r.
82
7. GLOSSARY
zApplanation
To flatten the cornea by pressing it with air pressure.
zSafety space
The space maintained by the safety stopper so that the tip of the air nozzle does not touch
the cornea. Normally, the safety space is 8 to 10 mm.
zAuto-shooting
This function automatically starts measurements as soon as the device is best aligned and
focuses on the eye.
zAuto-tracking
A function where the device automatically controls the up and down movements for align-
ment.
zComments
7
Up to 24 desired characters and symbols can be entered in two lines.
zMeasurement range
The range in which measurement can be performed. There are four types of measurement
ranges: “APC 40”, “APC 60”, “40”, “60” so that the most accurate measurement can be per-
formed according to the intraocular pressure of the patient and its fluctuation.
Normally, select “APC 40” or “APC 60”.
zPuff
To burst air onto the cornea of the patient’s eye for measurement or to blow out air. The
pressure necessary for applanation is called “air pressure” in this manual.
83
GLOSSARY
zFocusing indicator
The indicator which shows the distance between the corneal center of the patient’s eye and
the tip of the air nozzle. For the NT measurement, there are two display types.
z Limit mark
When the main body gets out of the working range of auto-racking, the limit marks (arrows)
are displayed on the screen.
84
8. INDEX
A L
Charge indicator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
P
Chinrest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Chinrest up/down buttons . . . . . . . . . . . . . . . . . . . . . . . . 6 Packing mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
CLR button . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Page button . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Comment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55 Parameter button . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Cover open button . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Patient sensor. . . . . . . . . . . . . . . . . . . . . . . . . . . . .674
Patient’s eye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Power button . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
E
Power inlet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Error messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 Print button . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Eye level marker . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Printer cover . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Eyelid detection mode . . . . . . . . . . . . . . . . . . . . . . . . . . 84
Eyelid detection mode button . . . . . . . . . . . . . . . . . . . . 10
R
Range button . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
F
RNG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Focusing indicator . . . . . . . . . . . . . . . . . . . . . . . . 1084 RS-232C connector . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Forehead rest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Function buttons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
S
USB-A connector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
85
INDEX
86