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Model Operator'S Manual: Non Contact Tonometer

Nidek NT510

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Ritesh Gupta
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© © All Rights Reserved
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0% found this document useful (0 votes)
646 views100 pages

Model Operator'S Manual: Non Contact Tonometer

Nidek NT510

Uploaded by

Ritesh Gupta
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 100

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


Use this device properly and safely.

BEFORE USE, READ THIS MANUAL.

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.

Keep this manual handy to verify use whenever necessary.

The device complies with ISO 8612:2001 (Ophthalmic instruments-Tonometers).

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.

• Never modify nor touch the internal structure of the device.


Electric shock or malfunction may result.

• 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.

• Install the device in an environment where no contaminants such as corrosive gas,


acid, and salt are contained in the air.
Corrosion or malfunction of the device may result.

• 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 measurements.

• 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.

• Do not place heavy objects on the power cord.


The damaged power cord may cause fire or electric shock.

• 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.

• When the device is carried, avoid holding


the forehead rest and the main body; hold
the bottom of the base.
If areas other than the base are held and
the device falls, there is a fear of injury
or malfunction.

• Install the device in a place that is not


exposed to high electromagnetic wave
when in use.

• 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.

• The Electromagnetic Compatibility Directive sets the essential requirements for


electrical and electronic equipment that may disturb, or be disturbed by, other
equipment. The NT-510 complies with these requirements as tabled on pages 79 to
82. Follow the guidance in the tables for use of the device in an electromagnetic
environment.

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.

• Take extra care when measuring patients with poor fixation.

• Before measurement, explain the measurement purpose or method sufficiently to


patients.
ex) You will feel a puff of air on your eye. This is normal measurement and has no
affect on the eye.

• 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.

• Do not operate the LCD display with wet hands.


Water seeping into the device may result in failure of the device.

• 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 connecting to peripheral equipment like a PC with LAN connector via a


medical facility network, insert or connect the isolation transformer between
medical electrical equipment and networked device (HUB etc.), or networked
device and other electrical equipment.
Depending on the types or numbers of other electrical equipment connected to the net-
work, electric shock or malfunction/failure of the electrical equipment may occur.
For installation of the network 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.

• During transportation or storage using dedicated packaging material, keep an


environment that meets the following conditions.
Environmental conditions:
Temperature: –10ºC to 55ºC (14ºF to 131ºF)
Humidity: 10 to 95% (non-condensing)
Pressure: 700 hPa to 1060 hPa
A place not exposed to the water
No large amount of dust is contained in the air
Vibration- and shock-free, level and stable surface without vibration and shock
A place not exposed to direct sunlight
No chemicals or organic solvents are present, or a place where corrosive gas may be
generated

• 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 performing maintenance work, secure sufficient maintenance space.


Maintenance work in an insufficient space may result in injury.

• 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
:

3. OPERATION WHEN PERIPHERAL DEVICES ARE


CONNECTED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
3.1 Connecting to Computer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
3.1.1 Outline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
3.1.2 RS-232C connection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
3.1.3 Network connection (LAN) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
3.2 Connecting Barcode / Magnetic Card Reader . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
3.2.1 Outline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
3.2.2 Connecting procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
3.2.3 Operating procedure of barcode / magnetic card reader . . . . . . . . . . . . . . . . . . . . 60

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

5. SPECIFICATIONS AND ACCESSORIES . . . . . . . . . . . . 73


5.1 Classifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
5.2 Safety Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74
5.3 Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
5.4 Standard Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
5.4.1 Standard accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
5.4.2 Optional accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77

6. EMC (ELECTROMAGNETIC COMPATIBILITY) . . . . . . . 79

7. GLOSSARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83

8. INDEX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85

XII
1. BEFORE USE

1.1 Outline of device


1

NON CONTACT TONOMETER Model NT-510 is designed to non-contact tonometry measurement.


The non-contact tonometry function measures the intraocular pressure without contacting the eye.
Tonometry is performed for the early detection of glaucoma, and for preoperative examination and
postoperative care in ophthalmology.

This device is an integral type with a main body mounted on a base.


A chinrest is mounted on the base on the patient’s side.
An LCD panel, control buttons, joystick and a printer are attached on the main body to conduct align-
ment and perform operations.
In addition to the above, the device also offers the following features:
• An auto-tracking mechanism is provided. The device automatically controls the up-and-
down movements for alignment and focusing.
• An auto-shooting function is provided. Measurements take place automatically when the
device is best aligned and in focus.
• An APC function that measures the intraocular pressure with the minimum necessary pres-
sure of puffed air.
• A motorized up-and-down chinrest allows the operator to adjust the height of the chinrest.
A built-in RS-232C and LAN interface allows data export to computers etc.

1
BEFORE USEIndications for Use

1.2 Indications for Use

The NON CONTACT TONOMETER NT-510 is a medical apparatus which performs measurement of
intraocular pressure.

2
BEFORE USEPrinciples

1.3 Principles

Based on the Imbert-Fick principle (W = Pt × A), the intraocular pressure is calculated by


dividing the amount of air pressure into the area of applanated surface.
The device increases the air pressure puffed onto the cornea in proportion to time. The 1
shape of the cornea changes gradually in the order of convex surface o applanated surface
o concave surface. This change is optically detected and the device calculates the time
required to make the pressed area flat after air is puffed on it. The air pressure used to make
the cornea flat is calculated by time, and finally the intraocular pressure is obtained.
APC (Automatic Puff Control) function
The intraocular pressure measurement is performed with the air pressure as low as possible. When
the measurement range is set to “APC 40” or “APC 60”, in the first measurement, the Auto Com-
plete function, which stops puffing air as soon as the light reflected from the cornea is detected,
activates in order to eliminate excessive puffing.

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

1.4 Device Description

{ Front view

Function buttons

LCD screen

Memory indicator

Start button

Joystick
Locking lever

Power button

Cover open button


Printer cover

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.

ON Measured data is stored in the internal memory.


OFF Measured data is not stored in the internal memory.
Blinking Sleep mode

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.

Cover open button


To open the printer cover, press the button.

5
BEFORE USEDevice Description

{ Rear view

Eyelid detection LEDs

Forehead rest Eye level marker

LED for Corneal Illumination

Air nozzle Chinrest up/down buttons

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.

Eye level marker


Used as a guide for the patient's eye level during measurements.
The height of the chinrest should be adjusted so that the center level of the patient’s eye almost aligns with this line.

Chinrest up/down buttons ( , )


Move up or down the chinrest.

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 USB-A connector


LAN 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.

To export the measured data to an external computer, connect an interface cable to


(OUT)
this side.

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

1.5 Measurement Screen Description

The screen has Page 1 and Page 2.


<When Page 1 is displayed>
1
Auto-tracking mark ID indication
Applanation area
Auto-shooting mark
Patient’s eye
Charge indicator

ᵏ Measurement range
Target button

Auto button Focusing indicator

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.

Select auto-tracking from or OFF. Select auto-shooting from or OFF.

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.

NT-510 displays or Manual (No indication).

Auto-tracking in the up-and-down directions 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.

Eyelid detection mode button ( )


Used to activate the detection (eyelid detection) mode which detects whether the eyelid is over the
applanation area or not.
Every time the button is pressed, the eyelid detection mode is
turned on or off ᵏ
Whether the eyelid detection mode is turned on or off is checked by
the eyelid detection cancel marker in the lower right of the screen
The eyelid detection mode
Indication
is cancelled.
The eyelid detection mode
No indication
is activated.

For details, see “2.5.2 Eyelid detection mode” (page 38).


ÁÖ                           ÁÖ                               ÁÐÃᴱ°
Eyelid detection mode marker

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.

<When Page 2 is displayed>


1
Parameter button ( ) ᵏ
Switches the screen to the PARAMETER SETTING screen.
Pressing the button for about a second switches the screen to
the PARAMETER SETTING screen.

ÁÖ                           ÁÖ                               ÁÐÃᴱ°


Parameter button

11
BEFORE USELabels and Indications on Device

1.6 Labels 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 the output port.

Indicates the date of manufacture.

Indicates the manufacturer.

Indicates that this product shall be disposed of in a separate collection of electrical and
electronic equipment in EU.

See “ Before Use” (page II) and


“1.8 Before First Use” (page 14)

See “ Before Use” (page II)

12
BEFORE USEChecking Contents

[Underside view]

See “ Before Use” (page II) and “3 OPERATION WHEN PERIPHERAL DEVICES ARE CONNECTED” (page 65).

1.7 Checking Contents

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

1.8 Before 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.

1 Place the main body on a stable table.

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

3 Connect the power cord to the power inlet.

4 Connect peripheral devices if necessary.


For details of the peripheral devices connection, see “3 OPERATION WHEN PERIPH-
ERAL DEVICES ARE CONNECTED” (page 65).

5 Stand up the device upright.

6 Make sure that the power switch is turned off


( ) and plug the power cord in the wall out-
let.

Power switch

14
BEFORE USEBefore First Use

CAUTION • The electrical outlet must have a grounding terminal.


Electric shock or fire may occur in the event of device malfunction or power leakage.

1
7 Turn the power switch on ( ).
The initial screen is displayed on the LCD dis-
play and the device starts initializing.

Initial screen

8 Make sure that the measurement screen is dis-



played.

ÁÖ                           ÁÖ                               ÁÐÃᴱ°


Measurement screen

• When the device is used for the first time, “NO PAPER” appears indicating that no paper is
loaded.

9 Set the printer paper.


See “4.3 Replacing Printer Paper” (page 74) for details on the setting method.

This is all you have to do before use.

• Set the parameters to suit your needs or preferences.


See “2.7 Parameter Settings” (page 44) for the parameters and their setting methods.
• See “3 OPERATION WHEN PERIPHERAL DEVICES ARE CONNECTED” (page 65) for
the procedure to connect the peripheral devices.

15
BEFORE USEBefore First Use

{ Please see here when you want to do like this.

When Refer to the following.


You need to know the details of the “PRESSURE “2.3.1 Measuring puffed air pressure check during
CHECK MODE” message displayed at device start-up. startup” (page 33)
Auto-tracking or auto-shooting does not work depending
“2.3 Measurement” (page 24)
on eye to be measured.
Changing contents to be printed “2.6.1 Printing measured data” (page 41)
Setting date and time to be printed “2.7.4 Setting date and time” (page 61)
Printing facility name “2.7.5 Entering comments” (page 63)
Resetting all parameters to their defaults "{ Resetting the parameters” (page 46)

{ Setting by parameter
Setting parameters allows various functions of the device. For details, see “2.7 Parameter Settings”
(page 44).

Setting contents Parameters


01. SET LOW CONF
Handling method of low confidence data during measurement
to 03. LOW CONF ALARM
Whether or not the fixation LED blinks during measurement 04. FIX LED BLINK
Measurement count of measurement 05. NT CONTINUE
Whether measurement values are displayed in fixed-point
06. DECIMAL DIGIT
representation
Measurement interval of measurement 07. MEAS INTERVAL
Operation method of printing 11. PRINT
Printing with narrow line-spacing 12. ECONO. PRINT
Whether or not to erase measured data in memory just after
13. PRINT&CLEAR
printing
Density of printing text 14. PRINT DENCITY
Contents of printing 15. PATIENT NO.to 20. NT PRINT
Whether or not the puffed air pressure check is performed at
21. PRESSURE CHECK
device start-up
Contents that change by pressing auto button 22. TRACKING SW
Time after which sleep mode is activated 23. SLEEP
Volume of beeping 24. BEEP
Brightness of LCD display 25. NT BRIGHTNESS
Whether or not to display icons on measurement screen 26. ICON OFF
Target type of measurement 27. TARGET TYPE

16
2. OPERATING PROCEDURES

2.1 Operation Flow

Turning ON the device


2
"2.2 Preparation for Measurement (Page 18)"
Turn on the device and configure it us as necessary.

Set up the patient.

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

Turning OFF the device


"2.4 Completion of Measurements (Page 33)"

17
OPERATING PROCEDURESPreparation for Measurement

2.2 Preparation for Measurement

1 Turn the power switch on ( ).

Power switch

The title screen is displayed and the device is ini-


tialized.

Initial screen

Wait for a while until the screen switches to the measurement screen.

• When the PRESSURE CHECK parameters


are turned on, respective check screens
㧼㧾㧱㧿㧿㨁㧾㧱‫ޓ‬㨀㧱㧿㨀‫ޓ‬㧹㧻㧰㧱
are displayed before the measurement
screen is displayed. ‫ޓޓޓ‬
㧯㧴㧱㧯㧷㧵㧺㧳‫ޓޓ‬㧠㧜
For details, see "2.3.1 Measuring puffed air ‫ޓ‬
‫ޓޓ‬
pressure check during startup (Page 31)". ‫ޓ‬
‫ޓ‬
‫ޓ‬
‫ޓ‬
‫ޓ‬
‫ޓ‬
‫ޓ‬
Pressure test mode screen

18
OPERATING PROCEDURESPreparation for Measurement

2 The measurement screen is displayed.

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.

3 Perform checks before use.


Perform the following checks before use.
No error message appears.

The main body moves smoothly using the joystick.

The chinrest moves up and down by pressing the chinrest up/down button.

Printer supply is adequate.


Follow "4.1 Troubleshooting (Page 69)" if abnormal conditions are encountered.

19
OPERATING PROCEDURESPreparation for Measurement

4 Establish the measurement conditions.


The following conditions should be specified:

1 : Measurement mode: Auto-tracking, Auto-shooting, Target type


•Setting of the Auto-tracking and Auto-shooting
Specify the alignment (up-and-down) and the method of triggering measurements.
Specify the methods while holding down the auto button .

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)".

•Setting of the Target type


During measurement, the types of the target and focusing indicator are parameter (27. TAR-
GET TYPE) -selectable from two options:

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.

2 : Measurement conditions set by parameters


Conditions for measurement can be set by parameters.

For details of settings, see "2.7 Parameter Settings (Page 39)".

20
OPERATING PROCEDURESPreparation for Measurement

3 Press the RNG button to select the mea- ᵏ


surement range.
Every time the button is pressed, the measure-
ment range switches in the following order: “APC
40” o “APC 60” o “40” o “60” o “APC 40” o
….
Just after power-up, “APC 40” is set by default.

ÁÐÃᴱ°
ÁÖ                           ÁÖ                              
2
Measurement range

Measurement range Guide for selection Air pressure controls


The peak of the air pressure is
APC 40 Normal automatically controlled within the
range of 1 to 40 mmHg.
The peak of the air pressure is
40 mmHg or more of intraocular
APC 60 automatically controlled within the
pressure
range of 1 to 60 mmHg.
The intraocular pressure fluctuates The peak of the air pressure is fixed
40
substantially. within the range of 1 to 40 mmHg.
40 mmHg or more of intraocular The peak of the air pressure is fixed
60
pressure that fluctuates substantially. within the range of 1 to 60 mmHg.

4 If necessary, disable the eyelid detection ᵏ


mode.
Disable the mode by pressing the eyelid detec-
tion mode button .
For eyelid detection mode, see "2.5.2 Eyelid
detection mode (Page 36)".

ÁÖ                           ÁÖ                               ÁÐÃᴱ°


Eyelid detection mode mark

5 Prepare the patient.


1) Wipe the forehead rest and chinrest that con-
tact the patient with clean absorbent cotton or Forehead rest
gauze dampened with rubbing alcohol
If chinrest paper is used, remove one piece for
each patient.

See " During Use (Page IV)" and "4.5.3 Cleaning


forehead rest and chinrest (Page 78)".

Chinrest

21
OPERATING PROCEDURESPreparation for Measurement

2) Instruct the patient to take off spectacles or


contact lenses and sit on a chair.

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.

If the chinrest is at the upper (or lower) mechanical


limit, the upper limit mark (or lower limit

mark ) is displayed on the screen.

ÁÖ                           ÁÖ                               ÁÐÃᴱ°


Limit mark

22
OPERATING PROCEDURESPreparation for Measurement

6 Set the safety space between the patient’s eye and air nozzle with the safety stop-
per.

WARNING • Before the measurement, be sure to set the safety stopper.


The air nozzle may touch and scratch the cornea.

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

2) While watching from a side of the device, 8 to 10mm


release the safety stopper when the space
between the patient’s eye and the air noz-
zle becomes 8 to 10 mm.
The blinking “RTN TO ORG” on the screen dis-
appears when the safety stopper locks the
main body to the determined position. cornea Air nozzle

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).

7 Provide the patient with an explanation about the measurement.


To help the patient relax, provide the patient with such an explanation before starting the
measurement as:
“You may be surprised by air puffed into your eye, but do not worry. Please be patient and
relax for a moment until I can measure your intercalary pressure three times per eye.”

*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

1 Manipulate the joystick to display the patient’s eye on the screen.


By tilting the joystick to the right and left, the
main body moves right, left, back and forth.
By turning the upper part of the joystick, the
measuring unit moves up and down.

Align the eye position to the measuring point


with right, left, up and down movements.
Adjust the focus with back and forth move-
ments.

2 Instruct the patient to look at the fixation light



(green luminous spot) in the air nozzle.

ÁÖ                        ÁÖ                            ÁÐÃᴱ°


Applanation area

• 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

3 Perform alignment and focusing.


The methods of alignment and focusing vary Focusing indicator
according to the 22. TRACKING SW parameter
setting ᵏ

* For details of the setting, see "• Setting of the Auto-track-


ing and Auto-shooting (Page 20)".

Align the alignment spot reflected over the


patient’s eye with the target ( ). ǽ 2
Perform focusing according to the indication of
ǽ  ᴮᴲǽǽǽ  ᴮᴱ
ǽ  ᴮᴲǽǽǽ  ᴮᴱ
the focusing indicator displayed on the screen. ǽ  ᴮᴰǽǽǽ  ᴮᴱ
ǽ  ᴮᴱ®ᴭǽ    ᴮᴱ®ᴭ
ÁÖ                         ¯ µ ÁÖ                             ¯ µ ÁÐÃᴱ°

Alignment spot Target

• When the 27. TARGET TYPE parameter is



set to NT OLD, the indications on the
screen are as shown on the right.
The indication of the applanation area and
focusing indicator is different from the one dis-
played when the parameter is set to RKT.
ǽ
ǽ  ᴮᴲǽǽǽ  ᴮᴱ
ǽ  ᴮᴲǽǽǽ  ᴮᴱ
ǽ  ᴮᴰǽǽǽ  ᴮᴱ
ǽ  ᴮᴱ®ᴭǽ    ᴮᴱ®ᴭ
ÁÖ                         ¯ µ ÁÖ                             ¯ µ ÁÐÃᴱ°
Applanation area

When the auto-tracking function is turned on:

1) Perform rough alignment and focusing by Up-and-down alignment: Auto


manipulating the joystick to move the Side-to-side alignment: Manual
alignment spot in the working range of
auto-tracking.
2) When the alignment spot is placed within
the working range of auto-tracking, the
device automatically starts alignment.
Focusing: Manual
3) As the focusing indicator is displayed,
manipulate the joystick until the optimal
focusing indicator is displayed.

25
OPERATING PROCEDURESMeasurement

When the auto-tracking function is turned off:

1) Manipulate the joystick to move the align-


Up-and-down and side-to-side align-
ment spot reflected by the patient’s eye ment: Manual
within the alignment target.
2) As the focusing indicator is displayed,
manipulate the joystick until the optimal
focusing indicator is displayed.
During the focusing, maintain alignment
Focusing: Manual
between the device and the patient’s eye

• 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.

Examples of displayed limit marks>

ǽ
ǽ  ᴮᴲǽǽǽ  ᴮᴱ
ǽ  ᴮᴲǽǽǽ  ᴮᴱ
ǽ  ᴮᴰǽǽǽ  ᴮᴱ
ǽ  ᴮᴱ®ᴭǽ    ᴮᴱ®ᴭ
ÁÖ                         ¯ µ ÁÖ                             ¯ µ ÁÐÃᴱ°

The patient eye is too high from the measuring


unit. Move down the chinrest to lower the level of
the eye.

Move the chinrest up.

Move the chinrest down.

26
OPERATING PROCEDURESMeasurement

Indication of the focusing indicator:


Push the joystick forward and pull it backward until the focusing indicator shows the optimal
state.

NT old type RKT type

Too close to the patient’s eye

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.

Push the joystick forward to move the main body to-


ward the patient’s eye

Too far from the patient’s eye

4 Start the measurement.


• When the auto-shooting function is on:
The measurement takes place automatically when the device is best aligned and focuses on the
eye.
• To obtain accurate measured data, measure wide-open, fixated eyes on condition that the
patient is placed in a stable position.
• Air may be puffed while the eye is blinking. In this case, accurate measurement data cannot
be obtained and the patient will feel uncomfortable.
Pull the joystick backward and wait until the eye stops blinking.
• If the alignment spot appears blurry on the cornea because of corneal wound, etc., the
device may not start the measurement even when the proper alignment and focus are
obtained.
Press the start button to start the measurement.

27
OPERATING PROCEDURESMeasurement

<Error messages during the measurement>

Error message Description


ALM Alignment is not proper.
(Alignment error) Perform the alignment and the measurement again.
As the eye was not opened enough, corneal applanation was
insufficient.
APL
Instruct the patient to open his or her eyes wider.
(Applanation error)
If the patient cannot do so, ask an assistant to open the eyelids wider by
using a swab, etc.
The intraocular pressure exceeds the preset measurement range.
OVR
Switch the measurement range to “APC 60” or “60” and perform the
(Over the measurement range)
measurement again.
The measurement is impossible because of blinking and slight
movement of the eye.
BLK Instruct the patient not to blink or move the eye until the measurement is
(Blinking of the eye) completed.
After the eye stopped blinking and moving, perform the measurement
again.
The patient’s eye cannot be measured with the air pressure which is
controlled by the APC function because of substantial fluctuation in
PCE
intraocular pressure.
(APC error)
Switch the measurement range from “APC 40” to “40” or from “APC 60”
to “60”.
The space between the patient’s eye and the air nozzle is 9 mm or
TOO CLOSE less.
Pull the joystick backward to increase the space between them.
NO SEARCH The alignment spot cannot be detected.
This error appears when five consecutive APL errors with
measurement values occur.
CHECK THE EYE Check the condition of the patient’s eye.
When APL errors continuously occur with no measurement values, this
error is not displayed.
Alignment is proper, but the eyelid detection lights cannot be
detected.
OPEN THE EYE WIDER
Instruct the patient to open his/her eyes wider.
This error occurs only when the eyelid detection mode is turned on.

ǽ
ǽ  ᴮᴲǽǽǽ  ᴮᴱ Á  Ð   Ì
ǽ  ᴮᴲǽǽǽ  ᴮᴱ ᴮᴲ
ǽ  ᴮᴰǽǽǽ  ᴮᴱ
ǽ  ᴮᴱ®ᴭǽ    ᴮᴱ®ᴭ
ÁÖ                         ¯ µ ÁÖ                             ¯ µ ÁÐÃᴱ°

Error message and measured data

28
OPERATING PROCEDURESMeasurement

{ If the “CHECK THE EYE” error occurs:


Check the condition of the patient’s eye.
If the patient cannot open the eye wide or eyelashes are over the applanation area, you
have to help the patient open the eye wide.
For a watery eye, have the patient blink his or her eyes, or wipe the tears.
The error is cleared when normal measured data is obtained.

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.

5 Measured data is displayed on the screen ᵏ


Measured data and average data are displayed
on the screen.
After air is puffed, and the charge indicator is dis-
played for several seconds to indicate that the
device is in standby mode.
ǽ
ǽ  ᴮᴲǽǽǽ  ᴮᴱ
ǽ  ᴮᴲǽǽǽ  ᴮᴱ
ǽ  ᴮᴰǽǽǽ  ᴮᴱ
ǽ  ᴮᴱ®ᴭǽ    ᴮᴱ®ᴭ
ÁÖ                         ¯ µ ÁÖ                             ¯ µ ÁÐÃᴱ°

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.

7 Pull the joystick backward once and move the



main body to the other eye.
The measured eye indicator of the other eye
blinks.

ǽ
ǽ  ᴮᴲǽǽǽ  ᴮᴱ
ǽ  ᴮᴲǽǽǽ  ᴮᴱ
ǽ  ᴮᴰǽǽǽ  ᴮᴱ
ǽ  ᴮᴱ®ᴭǽ    ᴮᴱ®ᴭ
ÁÖ                         ¯ µ ÁÖ                             ¯ µ ÁÐÃᴱ°

8 Measure the intraocular pressure of the other eye



in the same way as Steps 4 to 6.
When the 11.PRINT parameter is set to AUTO,
the measurement completes when the number
of NT measurements specified with the 05. NT
CONTINUE parameter is performed.
(Ex: When measuring in the order of right eye o
ǽ
ǽ  ᴮᴲǽǽǽ  ᴮᴱ
left eye, the measurement completes when the ǽ  ᴮᴲǽǽǽ  ᴮᴱ
measurement result for the left eye is obtained.) 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.

10 Print the measured results.


Printing operation varies according to the 11. PRINT parameter setting.

11. PRINT parameter Printing method


MANUAL Press the print button to print the measured data.
Printing starts automatically at the completion of measurement.
AUTO
When the specified number of measurement is completed, printing starts.
NO Printing does not occur.

For details of printing, see "2.6 Printing (Page 37)".

• 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

2.3.1 Measuring puffed air pressure check during startup


It is possible to parameter-set whether or not to check the pressure of puffed air before mea-
surements.
Checking contents at the device start-up are different according to the parameter setting.

Parameter name Description


Selection of whether or not to automatically check the air pressure
21. PRESSURE CHECK
from YES, NO, and DAY.

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.

• All the checks are performed automatically.


• If the sensor detects a patient, it is assumed that the patient's chin is placed on the chinrest
and puffed air pressure check is not performed.

1) After the title screen is displayed, “PRES-


SURE TEST MODE / CHECKING 40” is dis- 㧼㧾㧱㧿㧿㨁㧾㧱‫ޓ‬㨀㧱㧿㨀‫ޓ‬㧹㧻㧰㧱
played and the test of the puffed air of 40 ‫ޓޓޓ‬
mmHg is performed. 㧯㧴㧱㧯㧷㧵㧺㧳‫ޓޓ‬㧠㧜
‫ޓ‬
‫ޓޓ‬
Wait until the check result is displayed. ‫ޓ‬
‫ޓ‬
‫ޓ‬
‫ޓ‬
‫ޓ‬
‫ޓ‬
‫ޓ‬

2) The check result is displayed


• PRESSURE TEST OK” is displayed: 㧼㧾㧱㧿㧿㨁㧾㧱‫ޓ‬㨀㧱㧿㨀‫ޓ‬㧹㧻㧰㧱
‫ޓ‬
The air nozzle is clean. ‫ޓ‬
‫ޓ‬
㧼㧾㧱㧿㧿㨁㧾㧱‫ޓ‬㨀㧱㧿㨀‫ޓ‬㧻㧷‫ޓ‬
‫ޓ‬
• If one of the following messages is displayed: ‫ޓ‬
‫ޓ‬
After the completion of all the checks, turn the ‫ޓ‬
‫ޓ‬
device off once and check the air nozzle for soiling. ‫ޓ‬
If the air nozzle is soiled, wipe it clean of soling. ‫ޓ‬

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

3) The test of the puffed air of 60 mmHg is per-


formed in the same way. 㧼㧾㧱㧿㧿㨁㧾㧱‫ޓ‬㨀㧱㧿㨀‫ޓ‬㧹㧻㧰㧱
Confirm the check result. ‫ޓޓޓ‬
㧯㧴㧱㧯㧷㧵㧺㧳‫ޓޓ‬㧢㧜
If the “PRESSURE PEAK ERROR” message is ‫ޓ‬
‫ޓޓޓ‬
displayed, the “PRESSURE PEAK ERROR (60)” ‫ޓ‬
‫ޓ‬
message is printed out after the completion of the ‫ޓ‬
check. ‫ޓ‬
‫ޓ‬
‫ޓ‬
‫ޓ‬

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

2.4 Completion of Measurements

2.4.1 Normal shutoff

1 Turn off ( ) the power switch.


It is allowed to turn off the power with any screen displayed.
2
2 To exit measurements, inspect the air nozzle etc. for soiling and clean them.
See "4.5 Cleaning (Page 77)".

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

2.4.2 Shutoff before transporting the device


Before the device is transported, put the device in packing mode. In packing mode, the measuring unit
and chinrest are automatically set in preparation for transportation.

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.

4 When the “PACKING POSITION IS COMPLETED / SHUT DOWN PLEASE” message


is displayed, turn the power switch off ( ).
Ensure that the chinrest and measuring unit are
at their lower mechanical limits ǽ
   ǽǽᵍᴾᵀᵈᵆᵋᵄǽᵊᵌᵁᵂ
ǽ
ǽᵍᴾᵀᵈᵆᵋᵄǽᵍᵌᵐᵆᵑᵆᵌᵋ
ǽǽǽᵆᵐǽᵀᵌᵊᵍᵉᵂᵑᵂᵁ
ǽᵐᵅᵒᵑǽᵁᵌᵔᵋǽᵍᵉᵂᴾᵐᵂǽ
ǽ
ǽ

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.

6 Disconnect the power cord, interface cables etc.

7 Raise the device and flip up the locking lever to unlock the main body.

8 Pack the device with the original packing material.

34
OPERATING PROCEDURESSelecting Mode

2.5 Selecting Mode

2.5.1 Sleep mode


The device goes into sleep mode automatically to save power if no button have been pressed for a
certain period of time.
The time that the device goes into sleep mode can be selected from 5 minutes, 10 minutes,
2
15 minutes, or NO (no sleep mode) with the 23. SLEEP parameter (factory setting: 5 min-
utes).

Sleep mode places the device into the following condi-


tions:
• The LCD display goes off.
• The memory indicator blinks.

The device recovers to normal mode from sleep mode by


the following methods:
• Press any button.
• Manipulate the joystick to move the base R or L. Memory indicator

• 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

2.5.2 Eyelid detection mode


With this mode, the device always checks the eye for the amount of eye-opening and the measure-
ment takes place automatically only when the eyelid is opened wide.

{ Activating and cancelling eyelid detection mode


Press the eyelid detection mode button to activate or ᵏ
cancel the mode.
When eyelid detection mode is canceled, the eyelid detec-
tion cancel marker “ ” is displayed in the lower right of
the screen.

ÁÖ                           ÁÖ                               ÁÐÃᴱ°

Eyelid detection cancel marker

{ About eyelid detection mode


When eyelid detection mode is activated, eye-opening is ᵉ
checked by the eyelid detection lights as shown on the
right. (When the eyelid is over the applanation area, the
detection lights disappear
he measurement takes place automatically when the eye-
lid is opened wide on condition that alignment and focus- ǽ
ing are obtained. ǽ  ᴮᴲǽǽǽ  ᴮᴱ
If eye-opening is insufficient, the “OPEN THE EYE ǽ  ᴮᴲǽǽǽ  ᴮᴱ
ǽ  ᴮᴰǽǽǽ  ᴮᴱ
WIDER” message is displayed to warn the operator; under ǽ  ᴮᴱ®ᴭǽ    ᴮᴱ®ᴭ
ÁÖ                         ¯ µ ÁÖ                             ¯ µ ÁÐÃᴱ°
the condition, the measurement does not take place auto-
Eyelid detection lights
matically.

• 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

2.6.1 Printing measured data


Measured data is printed out by pressing the print button after measurement.
Printing completes with paper still attached so that it does not fall. Tear off the paper to
detach.
• When the 11. PRINT parameter is set to AUTO, printing starts automatically when the 2
measurements of both eyes complete.
The measurement is completed when the number of the measurement set by the parameter is performed.
• Do not touch the printer paper while measured data is printed out.
A loss of text and patchy printed text may result.
• The memory indicator will be lit while measured data is being stored in the memory. As long
as the indicator is lit, data can be printed any number of times.
• After printout, the existing data will automatically be cleared when the next measurement
has begun. For information, when the 13. PRINT&CLR parameter is set to YES, data is
automatically cleared just after printout.
• When the memory indicator is lit, holding down the clear button ( ) for about a second
clears the existing data completely.
• When the memory indicator is not lit, the print button ( ) serves to feed the paper.

<Sample printout >

<Standard measurement> Patient No.


Space for name and sex
Date and time of measurement
Intraocular pressures
Memory indicator
Average intraocular pressure

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

2.6.2 Printing parameter settings


The present parameter settings, set time, comments and maintenance program versions are printed out.

1 Press the parameter button for about a second.


The PARAMETER SETTING screen is displayed. The parameter No. and parameter names
are displayed.
See "2.7 Parameter Settings (Page 39)"for details on the parameters.

2 Press the print button .


The parameter settings are
printed as in the right.
The parameter settings are
printed regardless of the dis-
played page on the PARAME-
TER SETTING screen, all the
parameter settings are printed.

Parameters

Clock setting

Comments

Program version
(for maintenance)

38
OPERATING PROCEDURESParameter Settings

2.7 Parameter 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.

1 Press the parameter button for about a 㧼㧭㧾㧭㧹㧱㨀㧱㧾‫ޓޓ‬㧿㧱㨀㨀㧵㧺㧳


second
㧺㨀
The PARAMETER SETTING screen is displayed 㧼㧾㧵㧺㨀㧝

and parameter items are displayed.


㧲㨁㧺㧯㨀㧵㧻㧺㧝
㧯㧻㧹㧹㨁㧺㧵㧯㧭㨀㧵㧻㧺
2
㧾㧱㧭㧰㧱㧾
The currently selected parameter item is high- 㧺㧱㨀㨃㧻㧾㧷
㧯㧸㧻㧯㧷‫ޓ‬㧿㧱㨀
lighted. 㧯㧻㧹㧹㧱㧺㨀‫ޓ‬㧿㧱㨀

2 Press the up/down button to select a parame- 㧼㧭㧾㧭㧹㧱㨀㧱㧾‫ޓޓ‬㧿㧱㨀㨀㧵㧺㧳


ter to be changed
㧺㨀
For details of the parameter items, see "2.7.1 㧼㧾㧵㧺㨀㧝
㧲㨁㧺㧯㨀㧵㧻㧺㧝
Parameter tables (Page 42)". 㧯㧻㧹㧹㨁㧺㧵㧯㧭㨀㧵㧻㧺
㧾㧱㧭㧰㧱㧾
㧺㧱㨀㨃㧻㧾㧷
㧯㧸㧻㧯㧷‫ޓ‬㧿㧱㨀
㧯㧻㧹㧹㧱㧺㨀‫ޓ‬㧿㧱㨀

Move the highlight.

Up button Moves the current selection up.

Down button Moves the current selection down.

• 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

3 Press the execute button to switch to the 㧼㧭㧾㧭㧹㧱㨀㧱㧾‫ޓޓ‬㧿㧱㨀㨀㧵㧺㧳


[PRINT1] screen etc. ‫ޓޓޓޓޓ‬㨇㧼㧾㧵㧺㨀㧝㨉
㧝㧝㧼㧾㧵㧺㨀‫ޓޓޓޓޓޓޓޓޓޓ‬㧹㧭㧺㨁㧭㧸
Parameters and their settings are displayed. 㧝㧞㧱㧯㧻㧺㧻㧚‫ޓ‬㧼㧾㧵㧺㨀‫ޓޓޓޓޓޓޓ‬㧺㧻
㧝㧟㧼㧾㧵㧺㨀㧒㧯㧸㧱㧭㧾‫ޓޓޓޓޓޓޓޓ‬㧺㧻
㧝㧠㧼㧾㧵㧺㨀‫ޓ‬㧰㧱㧺㧯㧵㨀㨅‫ޓޓ‬㧹㧵㧰㧰㧸㧱
A parameter that is being selected is highlighted. 㧝㧡㧼㧭㨀㧵㧱㧺㨀‫ޓ‬㧺㧻㧚‫ޓޓޓޓޓޓޓ‬㨅㧱㧿
㧝㧢㧿㧱㨀‫ޓ‬㧼㧭㨀㧵㧱㧺㨀‫ޓ‬㧺㧻㧚‫ޓޓ‬㧜㧜㧜㧝
㧝㧣㧺㧭㧹㧱‫ޓ‬㧼㧾㧵㧺㨀‫ޓޓޓޓޓޓޓޓ‬㨅㧱㧿
㧝㧤㧰㧭㨀㧱‫ޓ‬㧲㧻㧾㧹㧭㨀‫ޓޓޓޓޓ‬㨅㧛㧹㧛㧰
㧝㧥㧼㧾㧵㧺㨀‫ޓ‬㧯㧻㧹㧹㧱㧺㨀‫ޓޓޓޓޓ‬㨅㧱㧿
㧞㧜㧺㨀㧼㧾㧵㧺㨀8

PRINT1 screen

4 Press the up/down button to select a parame- 㧼㧭㧾㧭㧹㧱㨀㧱㧾‫ޓޓ‬㧿㧱㨀㨀㧵㧺㧳


ter to be changed ‫ޓޓޓޓޓ‬㨇㧼㧾㧵㧺㨀㧝㨉
㧝㧝㧼㧾㧵㧺㨀‫ޓޓޓޓޓޓޓޓޓޓ‬㧹㧭㧺㨁㧭㧸
㧝㧞㧱㧯㧻㧺㧻㧚‫ޓ‬㧼㧾㧵㧺㨀‫ޓޓޓޓޓޓޓ‬㧺㧻
㧝㧟㧼㧾㧵㧺㨀㧒㧯㧸㧱㧭㧾‫ޓޓޓޓޓޓޓޓ‬㧺㧻
㧝㧠㧼㧾㧵㧺㨀‫ޓ‬㧰㧱㧺㧯㧵㨀㨅‫ޓޓ‬㧹㧵㧰㧰㧸㧱
㧝㧡㧼㧭㨀㧵㧱㧺㨀‫ޓ‬㧺㧻㧚‫ޓޓޓޓޓޓޓ‬㨅㧱㧿
㧝㧢㧿㧱㨀‫ޓ‬㧼㧭㨀㧵㧱㧺㨀‫ޓ‬㧺㧻㧚‫ޓޓ‬㧜㧜㧜㧝
㧝㧣㧺㧭㧹㧱‫ޓ‬㧼㧾㧵㧺㨀‫ޓޓޓޓޓޓޓޓ‬㨅㧱㧿
㧝㧤㧰㧭㨀㧱‫ޓ‬㧲㧻㧾㧹㧭㨀‫ޓޓޓޓޓ‬㨅㧛㧹㧛㧰
㧝㧥㧼㧾㧵㧺㨀‫ޓ‬㧯㧻㧹㧹㧱㧺㨀‫ޓޓޓޓޓ‬㨅㧱㧿
㧞㧜㧺㨀㧼㧾㧵㧺㨀8

Move the highlight.

Up button Moves the current selection up.

Down button Moves the current selection down.

5 Press the right button or left button 㧼㧭㧾㧭㧹㧱㨀㧱㧾‫ޓޓ‬㧿㧱㨀㨀㧵㧺㧳


to change the parameter setting.ÅB ‫ޓޓޓޓޓ‬㨇㧼㧾㧵㧺㨀㧝㨉
㧝㧝㧼㧾㧵㧺㨀‫ޓޓޓޓޓޓޓޓޓޓ‬㧹㧭㧺㨁㧭㧸
㧝㧞㧱㧯㧻㧺㧻㧚‫ޓ‬㧼㧾㧵㧺㨀‫ޓޓޓޓޓޓޓ‬㧺㧻
㧝㧟㧼㧾㧵㧺㨀㧒㧯㧸㧱㧭㧾‫ޓޓޓޓޓޓޓޓ‬㧺㧻
㧝㧠㧼㧾㧵㧺㨀‫ޓ‬㧰㧱㧺㧯㧵㨀㨅‫ޓޓ‬㧹㧵㧰㧰㧸㧱
㧝㧡㧼㧭㨀㧵㧱㧺㨀‫ޓ‬㧺㧻㧚‫ޓޓޓޓޓޓޓޓ‬㧺㧻
㧝㧢㧿㧱㨀‫ޓ‬㧼㧭㨀㧵㧱㧺㨀‫ޓ‬㧺㧻㧚‫ޓޓ‬㧜㧜㧜㧝
㧝㧣㧺㧭㧹㧱‫ޓ‬㧼㧾㧵㧺㨀‫ޓޓޓޓޓޓޓޓ‬㨅㧱㧿
㧝㧤㧰㧭㨀㧱‫ޓ‬㧲㧻㧾㧹㧭㨀‫ޓޓޓޓޓ‬㨅㧛㧹㧛㧰
㧝㧥㧼㧾㧵㧺㨀‫ޓ‬㧯㧻㧹㧹㧱㧺㨀‫ޓޓޓޓޓ‬㨅㧱㧿
㧞㧜㧺㨀㧼㧾㧵㧺㨀8

Parameter setting changes.

Right button Selects the next parameter option.

Left button Selects the previous parameter option.

For the settings changed when the button is pressed, see "2.7.1 Parameter tables (Page
42)".

• Underlined options in the parameter tables indicate factory settings.

40
OPERATING PROCEDURESParameter Settings

To change the page of parameter:

Page up button Displays the previous page.

Page down button Displays the next page.

6 Repeat Steps 4 to 5 to change the desired parameter settings.

2
7 To finish setting the parameters, press the exit button .
The screen returns to the step1 PARAMETER SETTING screen.

8 To finish setting the parameters, press the exit button again.


The screen returns to the measurement screen.
The set parameter settings are saved even after power-off.

• 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.

{ Resetting the parameters


To reset the parameters to the factory settings, follow the steps below.

• Settings for comment, date, and network function cannot be reset.

1) Turn off the device.


2) Turn on the power switch while holding down the third function button from the top on the
right of the LCD display.
3) The parameters are reset to the factory settings and the device is turned on.

*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

2.7.1 Parameter tables


NT (NT measurement)]
* Underlined options indicate factory settings.

No. Parameter Settings

01 SET LOW CONF YES / NO

02 LOW CONF LV. YES / NO

03 LOW CONF ALARM YES / NO

04 FIX LED BLINK YES / NO

05 NT CONTINUE 3 - 10 (Factory setting: 3)

06 DECIMAL DIGIT YES / NO

07 MEAS INTERVAL SHORT / NORMAL / LONG

1 : SET LOW CONF (Display of low confidence data)


Selection of whether or not to display low confidence data.

2 : LOW CONF LV (Display of confidence level)


Setting of how to express the level of low confidence data when the 01. SET LOW CONF parameter is set to
YES
The level is expressed by “*3” to “*1”. The smaller the number is, the lower the
YES
confidence of the data becomes.
NO Low confidence data is marked by “*” regardless of the level of confidence.

3 : LOW CONF ALARM (Warning of low confidence data)


Selection of whether or not to produce a beep when low confidence data is obtained during measurement.

4 : FIX LED BLINK (Blinking of the fixation light)


Setting of blinking or not blinking of the fixation light during measurement.
ON The fixation light blinks.
OFF The fixation light does not blink.

5 : NT CONTINUE (NT measurement count)


Setting of the number of NT measurements per eye after which printout is automatically started.
This parameter setting takes effect when the 11. PRINT parameter is set to AUTO.

• 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.

6 : DECIMAL DIGIT (Decimal point representation)


Set the measurement average value to either demical point representation or integer representation.
YES Displays the average value to one decimal place.
NO Rounds off to the nearest integer.

7 : MEAS INTERVAL (Measurement interval)


Set the measurable time interval in the measurement mode.
SHORT and LONG can be set in addition to NORMAL.

42
OPERATING PROCEDURESParameter Settings

[PRINT1 (Print setting 1)]


* Underlined options indicate factory settings.

No. Parameter Settings

11 PRINT MANUAL / AUTO / NO

12 ECONO. PRINT YES / NO

13 PRINT&CLEAR YES / NO

14 PRINT DENCITY LOW / MIDDLE / HIGH

15 PATIENT NO. YES / NO 2


16 SET PATIENT NO. 0001 to 9999

17 NAME PRINT YES / NO

18 DATE FORMAT Y/M/D / M/D/Y / D/M/Y / NO

19 PRINT COMMENT 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.

Printing starts automatically at the completion of measurement.


AUTO
When the specified number of measurement is completed, printing starts.

NO Printing does not occur.

12 : ECONO. PRINT (economical printing)


When YES is set, printing is performed with reduced line-spacing to save printer paper.

13 : PRINT&CLEAR (clearing of data after printing)


Selects whether or not to erase the measured data in the memory immediately after printing.
When this parameter is set to NO, the measured data is erased when the next measurement is performed
after printing.
• Measured data in the memory is cleared automatically regardless of the 13. PRINT&CLEAR
parameter setting when the patient ID is scanned by the barcode scanner and then the
measured data is printed out.

14 : PRINT DENCITY (density of printed text)


Selects the density of text to be printed.

15 : PATIENT NO. (printing of patient number)


Selects whether or not to print the patient No.

16 : SET PATIENT NO. (setting of patient ID)


Selects the patient number in the range from 0001 to 9999.
Pressing the left button at the beginning resets the counter to 0001.

17 : NAME PRINT (printing of name)


Selects whether or not to provide printing spaces for the patient’s name and sex.

43
OPERATING PROCEDURESParameter Settings

18 : DATE FORMAT (date format)


Selects the format of date
Y/M/D Year, Month, Date

M/D/Y Month, Date, Year

D/M/Y Date, Month, Year

NO No printing

19 : PRINT COMMENT
Selects whether or not to print comments.

20 : NT PRINT (NT print format)


Printout format in measurement
V Prints the NT measured data vertically.
H Prints the NT measured data horizontally.

Printout sample

V:Vertical format H:Horizontal format

44
OPERATING PROCEDURESParameter Settings

[FUNCTION 1 (Various functions 1)]


* Underlined options indicate factory settings.

No. Parameter Settings

21 PRESSURE CHECK YES / NO / DAY

22 TRACKING SW TRC/ASHOT / ASHOT ON / ASHOT OFF

23 SLEEP 5MIN / 10MIN / 15MIN / NO

24 BEEP LOW / HIGH / NO

25 NT BRIGHTNESS NORMAL / LIGHT 2


26 ICON OFF YES / NO

27 TARGET TYPE RKT / NT OLD

28 TOO CLOSE BEEP YES / NO

21 : PRESSURE CHECK (Puffed air pressure check)


Selection of whether or not to automatically check the air pressure.
The pressure of puffed air is automatically checked during startup and the check result is displayed. If the
pressure of the puffed air is abnormal, a message is printed out
DAY The air pressure is checked at the first startup of the day.
YES The air pressure is checked at every startup.
NO The air pressure is not checked.

22 : TRACKING SW (tracking button)


Selects the auto button function.
It is possible to select a combination of the auto-tracking function (ON/OFF) and auto-
TRC/ASHOT shooting function (ON/OFF).
ψ ψ ψ (none) ψ࡮࡮࡮
It is possible to select the type of the auto-tracking function (ON/OFF). The auto-
ASHOT ON shooting function is constantly turned on.
ψ ψ࡮࡮࡮
It is possible to select the type of the auto-tracking function (ON/OFF). The auto-
ASHOT OFF shooting function is constantly turned off.

ψ (none) ψ࡮࡮࡮

23 : SLEEP (sleep time)


Selects the auto-sleep function.
The LCD is shut down automatically after a set period during the power is turned on.
Select the time period from 5 (min.), 10 (min.), 15 (min.) or NO.

24 : BEEP (beep sound)


Sets the pitch of the beep sound (electronic beeper sound) that is produced during measurement.

LOW The pitch of the produced beep sound is low.

HIGH The pitch of the produced beep sounds is high.

NO No beep sound is produced.

25 : NT BRIGHTNESS (light intensity of the measurement screen)


Brightness of the LCD screen during the measurement.
Select the brightness from NORMAL or LIGHT

45
OPERATING PROCEDURESParameter Settings

26 : ICON OFF (icon display)


Selects whether to display the icon buttons on the measurement screen.

Touch icons are not displayed.


To use each function of the function buttons (except for clear and print), follow the
procedure below:
1) Press a function button (except for clear and print) on the measurement screen to
YES display the icons.
2) When icons are displayed, each button functions.

3) After printing by pressing the Clear button or Print button , the button
icons are deleted.

NO Touch icons are always displayed.

27 : TARGET TYPE (Target type)


Selection of the type of the target and focusing indicator that are displayed in the measurement mode.
During measurement, the standard target and focusing indicator are displayed
RKT
(Factory setting).
During measurement, the focusing indicator used with the NIDEK earlier
NT OLD
model are displayed.

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.

[COMMUNICATION (Communication function)]


Sets communication for RS232C connection with the PC.
* Underlined options indicate factory settings.

No. Parameter Settings

31 I/F MODE NIDEK / NCP10

32 I/F FORMAT ALL

33 BAUD-RATE 9600 / 4800 / 2400 / 1200

34 BIT LENGTH 7/8

35 CR CODE YES / NO

31 : I/F MODE (communication mode)


Selects the device to communicate with.
NIDEK Communication with a NIDEK-brand device

NCP10 NCP10-compliant device

32 : I/F FORMAT (communication format)


Selects the format of data to be transmitted.For the NT-510, I/F FORMAT is fixed to ALL.
ALL All data are transferred.

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

35 : CR CODE (line feed code)


Selects whether or not to attach CR (carriage return) code at the end of data to be transmitted.

[READER (Barcode/magnetic card reader function)]


* Underlined options indicate factory settings.

No. Parameter Settings

41 READER START 1 to 250

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

2.7.2 Setting Network function


Sets the parameters necessary for connecting to computer via network (LAN).
• NIDEK service personnel sets the LAN connection 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 and subnet mask of the NT-510
3. File sharing of the computer: User name, password, and domain
4. Folder setting and name in the computer in which the measured data is to be saved
• After setting and changing the network function, return to the measurement screen once
then reboot (Power OFF oON) the device.
The settings become active after rebooting.

1 Keep pressing the Parameter button for 㧼㧭㧾㧭㧹㧱㨀㧱㧾‫ޓޓ‬㧿㧱㨀㨀㧵㧺㧳


a second.
㧺㨀
"PARAMETER SETTING" screen is displayed. 㧼㧾㧵㧺㨀㧝
㧲㨁㧺㧯㨀㧵㧻㧺㧝
㧯㧻㧹㧹㨁㧺㧵㧯㧭㨀㧵㧻㧺
㧾㧱㧭㧰㧱㧾
㧺㧱㨀㨃㧻㧾㧷
㧯㧸㧻㧯㧷‫ޓ‬㧿㧱㨀
㧯㧻㧹㧹㧱㧺㨀‫ޓ‬㧿㧱㨀

2 Select “NETWORK” by pressing the DOWN 㧼㧭㧾㧭㧹㧱㨀㧱㧾‫ޓޓ‬㧿㧱㨀㨀㧵㧺㧳


button or UP button and select
㧺㨀
“NETWORK”. 㧼㧾㧵㧺㨀㧝
㧲㨁㧺㧯㨀㧵㧻㧺㧝
㧯㧻㧹㧹㨁㧺㧵㧯㧭㨀㧵㧻㧺
㧾㧱㧭㧰㧱㧾
㧺㧱㨀㨃㧻㧾㧷
㧯㧸㧻㧯㧷‫ޓ‬㧿㧱㨀
㧯㧻㧹㧹㧱㧺㨀‫ޓ‬㧿㧱㨀

48
OPERATING PROCEDURESParameter Settings

3 Press the execute button to switch to the 㧼㧭㧾㧭㧹㧱㨀㧱㧾‫ޓޓ‬㧿㧱㨀㨀㧵㧺㧳


NETWORK screen. 㨇㧺㧱㨀9㧻㧾㧷㨉
㧡㧝㧺㧱㨀9㧻㧾㧷‫ޓޓޓޓޓޓޓ‬㧺㧻
Parameters related to NETWORK is displayed. 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
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

* Underlined options indicate factory settings.

No. Parameter Settings

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)

0 to 255, 0 to 255, 0 to 255, 0 to 255


54 MASK
(Factory setting: 255, 255, 255, 0)
55 USER User name can be input up to 17 digits (Factory setting: GUEST)

56 PASSWORD Password can be input up to 17 digits (Factory setting: none )

Domain name can be input up to 17 digits (Factory setting:


57 DOMAIN
WORKGROUP )

58 MACHINE Machine name can be input up to 17 digits (Factory setting: PC )

59 FOLDER Folder name can be input up to 17 digits (Factory setting: DATA )

60 IMAGE SEND NO

51 : NETWORK (Network connection)


Sets whether to connect network (LAN) [YES] or not [NO].
Press or to change the setting.

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

2) Press the execute button . 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‫ޓޓ‬㧵㧼㨉
The screen changes to the IP address input
screen.

㧵㧼‫ޓ‬㧭㧰㧰㧾㧱㧿
㧝㧥㧞㧝㧢㧤‫ޓޓ‬㧜㧠㧜

3) Change the IP address.

Press , , or start button Moves the cursor.

Press or rotate the joystick


Decreases the input value.
counterclockwise

Press or rotate the joystick


Increases the input value.
clockwise

4) When is pressed, the screen changes to 㧼㧭㧾㧭㧹㧱㨀㧱㧾‫ޓޓ‬㧿㧱㨀㨀㧵㧺㧳


the screen confirming the change of input IP 㨇㧺㧱㨀9㧻㧾㧷‫ޓޓ‬㧵㧼㨉

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

Press , or rotate the joystick to select


YES or NO.

5) Press the execute button or start button to set YES or NO.


The screen returns to Step 1) screen. In the screen, the input IP address is displayed.

When returning to the IP address input screen, press .

* 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

2) Press the execute button . 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‫ޓޓ‬㨁㧿㧱㧾㨉
The screen changes to the user name input
‫ޓ‬㧚㧜㧝㧞㧟㧠㧡㧢㧣㧤㧥㧭㧮㧯㧰㧱㧲㧳㧴㧵㧶㧷
screen. 㧸㧹㧺㧻㧼㧽㧾㧿㨀㨁㨂㨃㨄㨅㨆A

㨁㧿㧱㧾‫ޓ‬㧺㧭㧹㧱
)7'56

Move the cursor to the desired position

3) Change the user name.


Press or rotate the Moves the input candidate (cursor) in the
joystick counterclockwise character list field to left.

Press or rotate the Moves the input candidate (cursor) in the


joystick clockwise character list field to right.

Press Moves the cursor in the input field to left.

Press Moves the cursor in the input field to right.

Press or press the start Determines the character to be entered and


button moves the highlight to the next digit.
Erases the character at the cursor position and
Press
moves the highlight to the previous digit.

4) When is pressed, the screen changes to the screen confirming the change of input
user name.
YES: Set the change.

NO: Cancel the change.

Press , or rotate the joystick to select YES or NO.

51
OPERATING PROCEDURESParameter Settings

5) Press the execute button or start button to set YES or NO.


The screen returns to Step 1) screen. In the screen, input IP address is displayed.

When returning to the user name input screen, press .

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

2.7.3 Setting date and time


When the date and time of the printout is not correct, set the correct date and time.

• If the device is not turned on for three weeks, the date and time may be shifted.

1 Press the parameter button for about a


second
㧼㧭㧾㧭㧹㧱㨀㧱㧾‫ޓޓ‬㧿㧱㨀㨀㧵㧺㧳
2
㧺㨀
The PARAMETER SETTING screen is dis- 㧼㧾㧵㧺㨀㧝
㧲㨁㧺㧯㨀㧵㧻㧺㧝
played. 㧯㧻㧹㧹㨁㧺㧵㧯㧭㨀㧵㧻㧺
㧾㧱㧭㧰㧱㧾
㧺㧱㨀㨃㧻㧾㧷
㧯㧸㧻㧯㧷‫ޓ‬㧿㧱㨀
㧯㧻㧹㧹㧱㧺㨀‫ޓ‬㧿㧱㨀

2 Press the down button to select the 㧼㧭㧾㧭㧹㧱㨀㧱㧾‫ޓޓ‬㧿㧱㨀㨀㧵㧺㧳


CLOCK SET parameter.
㧺㨀
㧼㧾㧵㧺㨀㧝
㧲㨁㧺㧯㨀㧵㧻㧺㧝
㧯㧻㧹㧹㨁㧺㧵㧯㧭㨀㧵㧻㧺
㧾㧱㧭㧰㧱㧾
㧺㧱㨀㨃㧻㧾㧷
㧯㧸㧻㧯㧷‫ޓ‬㧿㧱㨀
㧯㧻㧹㧹㧱㧺㨀‫ޓ‬㧿㧱㨀

3 Press the set button to establish date and 㧼㧭㧾㧭㧹㧱㨀㧱㧾‫ޓޓ‬㧿㧱㨀㨀㧵㧺㧳


time setting mode ‫ޓޓޓޓޓ‬㨇㧯㧸㧻㧯㧷㨉

The CLOCK screen is displayed.


The year is highlighted, indicating the currently
selected, changeable items. 㧞㧜㧜㧛㧜㧠㧛㧞㧠‫ޓ‬㧝㧣㧦㧜㧜

A highlight indicates that the item is being


selected at the moment.

53
OPERATING PROCEDURESParameter Settings

4 Press the up button or down button to 㧼㧭㧾㧭㧹㧱㨀㧱㧾‫ޓޓ‬㧿㧱㨀㨀㧵㧺㧳


move the highlight to an item to be changed. ‫ޓޓޓޓޓ‬㨇㧯㧸㧻㧯㧷㨉

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.

Right button Increases the number.

Left button Decreases the number.

To change the time format:

Å^
Change the time format between the 24-hour and 12-hour.

Changes the date format in the order of Y/ M/ D, M/ D/ Y, D/ M/ Y...

6 Repeat Steps 4 to 5 to set the date and time.ÅB

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.

8 Press the exit button to return to the measurement screen.

54
OPERATING PROCEDURESParameter Settings

2.7.4 Entering comments


Comments to be printed can be changed (factory setting: “NIDEK NT-510”).

1 Press the parameter button for about a 㧼㧭㧾㧭㧹㧱㨀㧱㧾‫ޓޓ‬㧿㧱㨀㨀㧵㧺㧳


second.
㧺㨀
The PARAMETER SETTING screen is dis- 㧼㧾㧵㧺㨀㧝
㧲㨁㧺㧯㨀㧵㧻㧺㧝
played. 㧯㧻㧹㧹㨁㧺㧵㧯㧭㨀㧵㧻㧺
㧾㧱㧭㧰㧱㧾
㧺㧱㨀㨃㧻㧾㧷
㧯㧸㧻㧯㧷‫ޓ‬㧿㧱㨀
㧯㧻㧹㧹㧱㧺㨀‫ޓ‬㧿㧱㨀
2

2 Press the down button to select the COM- 㧼㧭㧾㧭㧹㧱㨀㧱㧾‫ޓޓ‬㧿㧱㨀㨀㧵㧺㧳


MENT SET parameter.
㧺㨀
㧼㧾㧵㧺㨀㧝
㧲㨁㧺㧯㨀㧵㧻㧺㧝
㧯㧻㧹㧹㨁㧺㧵㧯㧭㨀㧵㧻㧺
㧾㧱㧭㧰㧱㧾
㧺㧱㨀㨃㧻㧾㧷
㧯㧸㧻㧯㧷‫ޓ‬㧿㧱㨀
㧯㧻㧹㧹㧱㧺㨀‫ޓ‬㧿㧱㨀

3 Press the set button to establish the 㧼㧭㧾㧭㧹㧱㨀㧱㧾‫ޓޓ‬㧿㧱㨀㨀㧵㧺㧳


comment setting mode. ‫ޓޓ‬㨇㧿㧱㨀‫ޓ‬㧯㧻㧹㧹㧱㧺㨀㨉
‫ޓ‬㧍̍㧏㧐㧑㧒̉‫ޓ‬㧖㧗㧙㧚㧜㧝㧞㧟㧠㧡㧢㧣
The SET COMMENT screen is displayed. 㧤㧥㧦㧧㧨㧩㧪㧫㧬㧭㧮㧯㧰㧱㧲㧳㧴㧵㧶㧷㧸㧹㧺㧻
㧼㧽㧾㧿㨀㨁㨂㨃㨄㨅㨆㨇㩯㨉㨊㨋
In the lower part of the screen, the currently
entered comments are displayed.

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

4 Press the right button or left button 㧼㧭㧾㧭㧹㧱㨀㧱㧾‫ޓޓ‬㧿㧱㨀㨀㧵㧺㧳


‫ޓޓ‬㨇㧿㧱㨀‫ޓ‬㧯㧻㧹㧹㧱㧺㨀㨉
to select the position where a character
‫ޓ‬㧍̍㧏㧐㧑㧒̉‫ޓ‬㧖㧗㧙㧚㧜㧝㧞㧟㧠㧡㧢㧣
is entered or changed 㧤㧥㧦㧧㧨㧩㧪㧫㧬㧭㧮㧯㧰㧱㧲㧳㧴㧵㧶㧷㧸㧹㧺㧻
㧼㧽㧾㧿㨀㨁㨂㨃㨄㨅㨆㨇㩯㨉㨊㨋
The cursor indicates the position where a char-
acter is entered or changed.
Up to 24 characters can e entered in two lines. 㧯㧻㧹㧹㧱㧺㨀㧦
‫ޓޓޓޓ‬㧺㧵㧰㧱㧷‫ޓ‬㧺㨀㧙㧡㧝㧜‫ޓ‬

Move the cursor to the desired position.

5 Enter comments with the following buttons.


After moving the cursor of the character list to the desired character, press the OK butt-
on to confirm its entry.
The following buttons are available:

Moves the current selection to the left in the character table.

Moves the current selection to the right in the character table.


Determines the character to be entered and moves the highlight to the next
digit.
Erases the character at the cursor position and moves the highlight to the
previous digit.
It is also possible to erase characters by entering a space (SP).

Test prints the comment only.

6 Repeat Steps 4 to 5 to enter the desired comments.

7 After entering comments, press the exit button After entering comments, press
the exit button

8 Press the exit button to return to the measurement screen.


The entered comments are saved.

• 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.

3.1 Connecting to Computer


3
3.1.1 Outline
Any data on printout can be exported to a computer.
The measured data exported to a computer can be managed by various database software.
There are two ways for connection, RS-232C connection and LAN connection.

Manage with database software

Measurement
data

Computer

57
OPERATION WHEN PERIPHERAL DEVICES ARE CONNECTEDConnecting to Computer

3.1.2 RS-232C connection

{ 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.

Ferrite core (optional)

RS-232C cable (optional)

To computer

{ Operating procedure

1 After measurement, press the print button .


Perform the printing process in the standard manner.
See “2.2 Preparation for Measurement (Page 18)” and “2.3 Measurement (Page 24)” for the
measuring method.
See“2.6 Printing (Page 41)” for printing.

2 The NT-510 automatically transmits data to the computer.

3 The measured data is printed.

• 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

When the cable is connected, the button is


located on the underside of the connector.

58
OPERATION WHEN PERIPHERAL DEVICES ARE CONNECTEDConnecting to Computer

3.1.3 Network connection (LAN)

{ 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

1 After measurement, press the print button .


Perform the printing process in the standard manner.
See “2.2 Preparation for Measurement (Page 18)” and “2.3 Measurement (Page 24)” for the
measuring method.
See “2.6 Printing (Page 41)” for printing.

2 The NT-510 automatically transmits data to the computer.

3 The measured data is printed.

59
OPERATION WHEN PERIPHERAL DEVICES ARE CONNECTEDConnecting Barcode / Magnetic Card Reader

3.2 Connecting 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.

3.2.2 Connecting procedure

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.

3.2.3 Operating procedure of barcode / magnetic card reader


Read the patient ID using the barcode.
For the NT-510 side, the patient ID is printed with the measured result.

• 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.

The screen disappears suddenly.


• Sleep mode may have been activated. Press any button to exit from
sleep mode.
4
The main body cannot be moved • The locking lever may be locked.
laterally. Flip up the locking lever.

• 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.

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 auto-shooting function may not work on
some eyes such as keratoconus or recently-operated cornea.
In such cases, turn off the auto-tracking function and start
The auto-tracking function or auto- measurement.
shooting function does not work. • The patient who has substantial ocular ataxia or who cannot fixate his or
her 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 where the device is
exposed to sunshine, light interference may adversely affect these
functions.
Change the installed position of the device and start measurement
again.

• The patient may have blinked during measurement.


Instruct the patient not to blink and try measurement again.
• The eyelid or eyelashes may obstruct measurement.
A measurement error appears. Instruct the patient to open his/her eye wider.
If the patient cannot open wider, lift the patient’s lid, paying attention not
to press against the eyeball.
• The data may exceed the measurable limit.

Errors such as "PRESSURE PEAK


• Turn off the power while in Measurement mode and clean the
ERROR", “PRESSURE SLOPE ERROR"
contamination from air nozzle.
or “NO PRESURE UP" are printed out at
• See “4.5.1 Cleaning air nozzle” (page 69).
device start-up.

If the symptom cannot be corrected with the above actions, contact NIDEK or your authorized distributor.

62
MAINTENANCEError Messages and Countermeasures

4.2 Error 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.

Error code Cause and countermeasure


• Data error of backup memory (EEPROM)
Data loss due to exogenous noise such as static electricity or malfunction of electric circuit
ERR001 board or EEPROM 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.

• Date and time setting error


The built-in battery has been discharged after about one month or longer of nonuse, and the
date and time settings went wrong, or malfunction of electric circuit board or timer IC on the
ERR002
electric circuit board is probable.
• If the same error code is displayed again even after the date and time are reset in the parameter
setting mode, shut off the device and contact NIDEK or your authorized distributor.
4
• Error related to control signals for communication (output port)
ERR011 Ensure that the interface cable is properly connected to the output port.
• Also ensure that the communication parameters are properly set.
• Error related to control signals for communication (output port)
ERR012 Ensure that the interface cable is properly connected to the output port.
• Also ensure that the communication parameters are properly set.

• Error related to communication data (output port)


ERR013 Ensure that the interface cable is properly connected to the output port.
• Also ensure that the communication parameters are properly set.

• Error related to communication data (output port)


ERR014 Ensure that the interface cable is properly connected to the output port.
• Also ensure that the parameters related to communication are properly set.
• Error related to communication data (output port)
ERR015 Ensure that the interface cable is properly connected to the output port.
• Also ensure that the communication parameters are properly set.

• Error related to communication data (output port)


ERR016 Ensure that the interface cable is properly connected to the output port.
• Also ensure that the communication parameters are properly set.

• Error related to communication data (output port)


ERR017 Ensure that the interface cable is properly connected to the output port.
• Also ensure that the communication parameters are properly set.
• Error related to communication data (output port)
ERR018 Ensure that the interface cable is properly connected to the output port.
• Also ensure that the communication are properly set.

• Error related to communication data (output port)


NO DAT Ensure that the interface cable is properly connected to the output port.
• Also ensure that the communication parameters are properly set.

• Error related to the up-and-down tracking


Malfunction of the up-and-down motor, up-and-down sensor, electric circuit board, or break in
ERR031
cables is probable.
• Shut off the device and contact NIDEK or your authorized distributor.

63
MAINTENANCEError Messages and Countermeasures

Error code Cause and countermeasure


• Error related to the motorized chinrest
Malfunction for the chinrest motor, motorized chinrest sensor, or electric circuit board, or break
ERR034
in cables is probable.
• Shut off the device and contact NIDEK or your authorized distributor.

• Error related to the printer


If the printer is short of paper, refill paper.
If the printer cover is open, close it securely.
NO PAPER
• If the same error code is displayed even after the replacement of printer paper roll, malfunction of
the printer, electric circuit board, or break in cables is probable.
Shut off the device and contact NIDEK or your authorized distributor.
• Locking of the piston, a malfunction of the solenoid positional sensor, or a break in the cable is
probable.
If the start button of the joystick is pressed while the PISTON error is displayed, the piston is
ERR201
driven by a driving force that is stronger than usual, and the locked piston may be released.
• If the same error code is displayed when the start button is pressed, shut off the device and
contact NIDEK or your authorized distributor.

• Error related to the charging for the NT measurement.


ERR202 A malfunction of the transformer, or electric circuit board, or a break in a cable is probable.
• Shut off the device and contact NIDEK or your authorized distributor.

• Error related to a connecting device


Equipment other than USB flash drive and barcode / magnetic card reader is connected to USB-
ERR601
A port and started.
• Remove the connected equipment then restart the NT-510.

• Error related to a connecting device


USB flash drive or barcode / magnetic card reader connected to USB-A port was not
ERR602 recognized.
• IF the same error code is displayed even if the other USB flash drive is connected, turn the power
of the device off and contact NIDEK or your authorized distributor.

ERR700 • Error related to Windows file sharing

• 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.

• Error related to network access


Enabling access to the network may take a while after the device start-up.
ERR750
• Check the LAN cable connection and the IP address and subnet mask in the Network setting in
the Utility screen.

• Error related to network writing


Write-protection is enabled or no free space is left.
ERR751
• Check if the Write permission is granted to the destination folder in the PC and sufficient free
space is left.
• Error related to the computer name
ERR754 The computer of the specified name does not exist.
• Check the connection of the LAN cable. Or check that the specified PC name is proper.

• Error related to the read-only attribute.


ERR755 The shared folder in the computer is read-only attribute and cannot be wrote.
• Disable the write-protection on the shared folder.

64
MAINTENANCEError Messages and Countermeasures

Error code Cause and countermeasure


• Error related to log on.
ERR756 Logging on to the PC is not allowed. (The user name or password is incorrect.)
• Check the user name and password and input correctly.

• Error related to the shared folder.


ERR757 The shared folder does not exist. (The name of the shared folder is incorrect.)
• Check the folder name and whether the folder is set to share.
• Error related to time-out.
ERR758 The PC did not finish the process in a specified time.
• Send the data again.

• Error related to deletion.


ERR759 The data cannot be deleted. (Deletion was tried on the data with the read-only attribute.)
• Disable the write-protection.

• 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

4.3 Replacing 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 run the printer when printer paper is not loaded.


It may ruin the printer head.
• Do not pull the paper in the printer forcefully.
This may cause malfunction of the printer.

1 Press the cover open button to open the printer


cover.

2 Remove the used printer paper.

• 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

3 Insert new printer paper.


Load printer paper as shown in the picture on the
right.
Set printer paper so that its end is exposed from the
cover.

• 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

4 Push the printer cover toward the main body.


Press the printer cover at both ends to close the
cover securely.

• 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 “NO PAPER” may appear and printing will not occur.

67
MAINTENANCEFixing Chinrest Paper

4.4 Fixing Chinrest Paper

1 Disconnect the two fixing pins from the chinrest.

2 Remove a proper number of chinrest papers from the pack.


It is impossible to fix the whole pack of chinrest paper. Be sure to fix a stack with a thickness
of 6 mm of less.
Pay attention not to scatter chinrest paper.

3 Pass the fixing pins through chinrest paper


Fixing pin
Pass the fixing pins through both holes of the
stack of paper. Chinrest paper

4 Fix the stack of chinrest paper onto the chinrest.


1) Insert the pins into the holes in the chinrest while holding both fixing pins and stack of
paper.
2) Push the pins into the holes of the chinrest.

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.

• Never use an organic solvent such as paint thinner.


CAUTION
It may ruin the surface of the device.

• 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.

• Never use a sponge or cloth soaked in water.


The water may leak into the inside of the device and cause device failure.

4.5.1 Cleaning air nozzle 4

• 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.

Glass part Hole of the air nozzle

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.

4 Check the glass part for soiling again.

4.5.2 Cleaning printer


After repeated usage, the paper slot of the auto cutter of the printer may become soiled with powdery
paper. If the powdery paper settles, malfunction of the auto cutter may result. It must be cleaned then.

1 Open the printer cover and remove the


printer paper roll.
See “4.3 Replacing Printer Paper” (page 66).

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.

3 Supply the printer paper as it was.

4.5.3 Cleaning forehead rest and chinrest


During measurement, sweat or cosmetic etc. of the patients may be smeared on the forehead rest or
chinrest.
Perform cleaning before measuring the next patient.

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

4.6 List of Replacement Parts

Part name Part number Note

Printer paper 80620-00001 Width 58 mm, Length 25 m

Chinrest paper 32903-M047 Pack of chinrest paper

After replacing consumables, restock them.

71
MAINTENANCEList of Replacement Parts

72
5. SPECIFICATIONS AND ACCESSORIES

5.1 Classifications

[Classification under the provision of 93/42EEC (MDD)] Class IIa


The NT-510 is classified as a Class IIa device.

[Form of protection against electrical shock] Class I


TheNT-510 is classified as a Class I device.
A Class I is a device in which the protection against electric shock does not rely on basic
insulation only, but which includes an additional safety precaution in such a way that means
are provided for the connection of the device to the protective (ground) conductor in the fixed
wiring of the installation in such a way that accessible metal parts can not become live in the
event of a failure in the basic insulation.
Use a power outlet which is equipped with a grounding terminal.

[Degree of protection against electrical shock] Type B applied part


The NT-510 is classified as a device with a Type B Applied Part.
A Type B Applied Part provides a particular degree of protection against electrical shock, 5
particularly regarding the following:
- allowable leakage currents
- reliability of the protective earth connection (if present)

[Compliance with Electromagnetic Compatibility Directive]


The NT-510 complies with the EMC standard, IEC 60601-1-2: 2001+A1:2004.

[Degree of protection against harmful ingress of liquids] IPX0


The NT-510 is classified as a normal device, as such provides only minimal protection
against liquid intrusion. Avoid exposing water to the device.

[Method (s) of sterilization or disinfection recommended by the manufacturer]


The NT-510 is a device that does not contain parts that need disinfecting.

[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

5.2 Safety 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

{ Measurement of intraocular pressure


• Measurable range 1 to 60 mmHg
• Intraocular pressure measurement value
Less than 1mmHg: Displayed as 1mmHg
1 to 60mmHg: Measurement value in 1mmHg integers
Average value: Measurement value in units of 0.1mmHg
60mmHg or higher: OVR display
• Measurement range
APC40, APC60, 40, 60
• Working distance 11 mm
• Chart Fixation target: Green
(Selectable between the bilking target and continuously-lit target)

{ Working range of auto-tracking


• Up and down 32 mm or more

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

{ Dimensions and weight


• Dimensions 260 (W) u 481 (D) u 457 (H) mm
• Weight 19 kg
• Power source AC 100 to 240 V ±10% 50/60 Hz
• Power consumption 100 VA

75
SPECIFICATIONS AND ACCESSORIESSpecifications

{ Environmental conditions (during use)


• Temperature 10 to 35qC (50 to95qF)
• Humidity 30 to 90% (No condensation)
• Atmospheric pressure 800 to 1060 hPa
• Other No dust nor smoke

{ Environmental conditions (during transport and storage)


• Temperature -10 to 55qC (14 to 131qF)
• Humidity 10 to 95% (No condensation)
• Atmospheric pressure
700 to 1060 hPa

{ Others
• Installation category
II (OVERVOLTAGE CATEGORIES)
• Pollution degree 2 (IEC60664)
• Packing unit 1 unit

76
SPECIFICATIONS AND ACCESSORIESStandard Configuration

5.4 Standard Configuration

5.4.1 Standard accessories

• Printer paper 3 rolls

• Power cord 1 unit

• Dust cover 1 unit

• Fixing pins for chinrest paper 2 units

• Pack of chinrest paper 1 unit

• Operator’s manual 1 volume

5.4.2 Optional accessories

• Magnetic card reader 5


• Barcode reader

• Interface cable (RS-232C)

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.

EMC (IEC 60601-1-2:2001+A1:2004)

Guidance and manufacture's declaration - electromagnetic emissions


The NT-510 is intended for use in the electromagnetic environment specified below. The customer or the user
of the NT-510 should assure that it is used in such an environment.

Emissions test Compliance Electromagnetic environment – guidance


RF emissions Group 1 The NT-510 uses RF energy only for its internal function.
CISPR 11 Therefore, its RF emissions are very low and are not likely
to cause any interference in nearly electronic equipment.
RF emissions 㪚㫃㪸㫊㫊㩷㪙 The NT-510 is suitable for use in all establishments,
CISPR 11 including domestic establishments and those directly
connected to the public low-voltage power supply network
Harmonic emissions *1
that supplies 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 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

Power frequency 3 A/m 3 A/m Power frequency m agnetic fields s hould be


(50/60Hz) at levels characteris tic of a typical location in
m agnetic field a typical com m ercial or hos pital
IEC 61000-4-8 environm ent.
NOTE UT is the a.c. m ains voltage prior to application of the tes t level.

80
EMC (ELECTROMAGNETIC COMPATIBILITY)

Guidance and manufacturer's declaration - electromagnetic immunity


The NT-510 is intended for use in the electromagnetic specified below. The customer or the user of the NT-
510 should assure that it is used in such an environment.

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

NOTE 1 At 80MHz and 800MHz, 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
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)

Rec om m ended s eparation dis tanc es between


portable and m obile RF c om m unic ations equipm ent and the NT-510
Th e N T-5 1 0 in in te n d e d fo r u s e in a n e le ctro m a g n e tic e n viro n m e n t in w h ich ra d ia te d R F d is tu rb a n ce s a re
co n tro lle d . Th e cu s to m e r o r th e u s e r o f th e N T-5 1 0 ca n h e lp p re ve n t e le ctro m a g n e tic in te rfe re n ce b y
m a in ta in in g a m in im u m d is ta n ce b e tw e e n p o rta b le a n d m o b ile R F co m m u n ica tio n s e q u ip m e n t (tra n s m itte rs )
a n d th e N T-5 1 0 a s re co m m e n d e d b e lo w , a cco rd in g to th e m a xim u m o u tp u t p o w e r o f th e co m m u n ica tio n s
e q u ip m e n t.

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.

N OTE 1 At 8 0 MH z a n d 8 0 0 MH z, th e s e p a ra tio n d is ta n ce fo r th e h ig h e r fre q u e n cy ra n g e a p p lie s .

N OTE 2 Th e s e g u id e lin e s m a y n o t a p p ly in a ll s itu a tio n s . E le ctro m a g n e tic p ro p a g a tio n is a ffe cte d b y


a b s o rp tio n a n d re fle ctio n fro m s tru ctu re s , o b je cts a n d p e o p le .

82
7. GLOSSARY

zAPC (Automatic Puff Control)


The function which performs the normal measurement initially, however, in subsequent
measurements, automatically reduces the air pressure in order to measure using more gen-
tle puff of air.

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.

zAuto Complete function


When measurement is finished, this function activates to stop puffing air to eliminate extra
puffing. This function decreases uncomfortableness and stimuli during measurements.

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”.

zLow confidence data


Measured data with a “*” indication. This is displayed on the screen when measurement is
performed in spite of a measurement error (APL or ALM). As the confidence of the mea-
sured data is low, this kind of measured data is called “Low confidence data”.

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.

zEyelid detection mode


In this mode, eyes are constantly checked for the condition of opening. NT measurement
takes place only when the eye is opened wide enough.
It is recommended to select this mode for normal measurement.

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

Air nozzle. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 669 LAN connector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8


Applanation area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 LCD screen. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Auto button . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 920 Limit marks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2684
Auto Complete function . . . . . . . . . . . . . . . . . . . . . 383 Locking lever . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Auto-shooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
Auto-shooting mark . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
M
Auto-tracking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
Auto-tracking mark . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Measured values . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Measurement range . . . . . . . . . . . . . . . . . . . . . . .1083
Memory indicator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
C

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

Safety stopper . . . . . . . . . . . . . . . . . . . . . . . 72374


I
Sleep mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
ID indication. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Start button . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Intraocular Pressure measurement . . . . . . . . . . . . . . . . . 3 8
T
J
Target . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Joystick . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

USB-A connector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

85
INDEX

86

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