Aps 6000B
Aps 6000B
AUTOMATIC PERIMETER
Operation
                               0
                              Instruction
Dear Users:
Thank you very much for choosing APS-6000BER automatic computer perimeter
For your security and benefit, please read the <Operation Instruction> as well as
all the datum of the instrument carefully before using it.
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THANKS!
                     Content
1. Introduction3
2. Note4
4. Installation 7
6. Operation Steps 24
7. Maintenance40
8. Interpretation 42
9. Declaration45
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                              1. Introduction
1.1      Brief Introduction
      The system of APS-6000BER fully automatic perimeter is a new generation
      based on the old generation. It has two examination resource colors, six
      examination ways and many kinds of examination scope. It has the characteristics
      of full-function, high precision and speed. Besides the above characteristics, the
      whole system also has the characteristic of high dependability and steady
      performance.
1.2      Registering Information
             Name: APS perimeter
             Specification and model: APS---6000BER
             Model: APS---6000BER
             License No.: CQ F&D Authority, Device 20010024
             Registration No.: CQ F&D Authority, Device (Approval) 2005,
              No.2220036
             Standard No.: YZB /CQ0047-2004
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                                   2. Notes
2.1 Caution:
The local voltage must measure up to the standard voltage required
 If the voltage is not steady, please install a steady- voltage instrument.
2.2 Notes:
To avoid being damaged by the environment (Damp, Dusty, Liquid, under the sun
and so on), the instrument should be putted at the dry place.
Do not let the liquid or any other small objects run into the instrument, otherwise
these objects may make the inner parts of the instrument short-circuit, and even
make the users get an electric shock or even cause a fire hazard.
2.3 Caution:
Without the permission of Us, do not open the box of the instrument or Us will not
take the consequences.
2.4   Notes:
The instrument can only be installed in the dark room. And it can only be operated
by those who have been trained by engineers of Us.
Dangerous Voltage
Earth wire
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      3. Technical Service of the Parameter
If the instrument need moving or transporting in a short distance, you should take
apart all the connection wires and be transported by single. If the instrument must be
transported in a long distance, re-pack it into its packaging box and then transport it.
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3.4   Characteristics
  3.4.1   The instrument belongs to type I, BF Model common instrument
  3.4.2   The instrument is supplied by single-phase net power
  3.4.3   The form of the instrument is intermittent working form
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                                 4. Installation
    4.1      Hardware
    4.1.1 Picture of the Whole Instrument
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                                                               Power input: AC 220V50Hz,
Port of the                                                High voltage, Look out!
Mouse
Port of the
Keyboard
                                                             Digital Port of Display Monitor
Serial Port
Forehead Rest
Chin Rest
Serial Port
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   The Back Picture of the Display Monitor
Main Spare-Parts
Structure Flowchart
Stimulator Responder
Computer
Display Print
4.3.3 Connect Perimeter and Computer with Serial Port Wires. (You must select
     the COM 1)
COM 1
                                                    COM 2
4.3.4 Connect Perimeter and Computer with Video Wires
4.3.7 Take out the fixed foam as letter show inside of Perimeter. Fix the Stick Holder into
      the Place Where the Stick is putted.
4.4    Software Setup
4.4.1 Install Windows Professional XP System and Drivers Necessary for Your
     Computer.
     Make sure there are at least 2 partition C: and D: existing in the hard disk,
        Otherwise the software will run error. Software will go wrong;
    Make sure there is at least 5GB free space for data storage in partition D,
       otherwise the software will go wrong.
(1) Insert the CD attached into CDROM, click Software install item
It shows that soft dogs driver is installed successfully. Then click Exit icon to
continue.
(5). Click Continue Anyway icon to continue. It will show you above picture
again, please click Continue Any way icon again to continue.
It shows all the drivers have been installed successfully. Then you can turn on the
power and run the software to test
4.4.4 Edit files D:\aspdata\hospital.ctl (with notepad) for the name of the result paper
       as you wish, such as the hospital name.
4.4.5 Run the APS-6000 software. Open the chinrest control (Choose the green one
    icon. keyboard up/down/left/right control.) to test
(All the wires are connected well; the software and driver are installed successfully).
Then press this button on software. Select this mark . Open the chin rest
control.
Hot Key: the keys related on the keyboard, it is convenient for those who prefer using
the keyboard
Function Translation
Choose testing area with the mouse Grey, color, 3CD changing
    2) Qualitative:
     Starting from the initial value, increasing with the largest step length, the light
      will become the brightest when the responder has reaction.
     3) Automatic Threshold:
       The initial value of brightness is the largest value near the spot adds that of the
       threshold value .It increases with the setting step length. It will quickly
       become to the lightest condition when the responder has reaction.
     4) Fast Threshold:
        Light starting from the initial value (default value is 26db), becomes lighter
        with the speed of 4db (default value) until the patient feel it or the brightness
        increases to the largest level. You can adjust the initial value and the step
        length. It is convenient for you .The examination process is the same as that
        of the 2).
     5) Full threshold
        The Initial value of brightness is 26db. It will become lighter at the speed of
        2db step length until the patient can feel it. The examination process is the
        same as that of the 2).
(8) Filename
    Every patient storage name in the computer.
  Notes:
    If the same person needs to have the different eye checked or have many
    different eye tests within the same day, the instrument users should add 1 to
    each of the filename when carrying out a new examination.
Patients examination
Print report
Note: As most of the ophthalmic patients are old men whose comprehension may be
       not very good, we should tell them the whole examining process carefully before
       the examination so that they will not be nervous and in a state of a totally
       relaxation during the process of examination. Since the patient should stare at the
       fixing spot for a long time and another hand will also became nervous, they will
       be likely to feel fatigue. If this happened, the patient would not see things clearly,
       which may influence the examination result. So during the examination process,
       let the patient relax and tell them the right reaction. This is very important for a
       successful examination.
6.2.2 Click        : open the patients information table, Ctrl + space entering; input the
       patients information;
6.2.3 Click           open parameters table, use toleration parameters (click Enter
       directly to insure)
6.2.4 The operator should let the patient know the examination process before the
       examination:
    1) The patient should be familiar with the stick: demonstrate him the right way of
       responding, the way of clicking the responder, and make him relax as soon as
       possible.
    2) Demonstration him the fixing sight
    3) Cover the patients eye with an eye shroud and inquire the patient whether he
       covers the testing eye.
    4) Put the patients jaw on the right side of the chin rest when examining the
        left eye; put the patients jaw on the left of the chin rest when examining the
        right eye.
    5) Put his forehead on the ribbon of the forehead bracket slightly.
    6) Tell the patient to look at the left one of the three green lights while the line of
        the sight parallel to the ground.
    7) The eyeball can not move and the body is relaxed. Tell the patient that he
        should click the responder if he /she feel the light.
    8) Click             aim at the eye position with up, down, left, right on the
        keyboard;
6.3 Starting Checking
6.3.1 Click          to start testing, ask the patient whether he can feel the flash, if he
      can, you should adjust his eye position by the chin rest controlling motor. If he
      can still feel the flash, you should adjust the site of blind spot monitoring to
      make sure that the patient can not feel the flesh.
6.3.2 Let the patient click the responder, and then start testing;
6.3.3 We should pay attention to the patients eye position to make sure it is fixed all
        the time during the examination process.
6.3.4 If the patient wants to have a rest during the examination, let him press the
        responder all the time so that we can continue checking after the rest.
Notes:
     After the check, if the false negative of the blind spot checking is more than 1:3
      which means the result is not very precise, you should test again.
6.4.1 If you find the test abnormal or feel the result is wrong, click       to check
          again
 Click the re-checking spot with the mouse, the spot which needs checking is
    yellow(AS the above picture)
6.4.2 If you are satisfied with the test, please click to save
If it shows the above picture, use to print the following report form.
 Click           to 3CDs, you can choose the 3D image when you print only you
    click this icon change as 3D model
 Use the functional key on the left to adjust the 3cds, click      to print the
following picture:
      At the place of name box, input the patients name. The left is the patients
         name you want to find.
The date, the names on the left are all the patients within the same day.
      The meaning of each word on the testing report is on the interpretation page at
         the back of the book.
     Notes:
       When checking the blind spot, we should make sure that the false positive errors,
       false negative errors: the molecule compares the denominator is not exceed 1:3
      Click yellow area in the testing area. We can also choose testing area at
         random.
             the yellow spot. (49 testing spots)
  D1 mode Visual field checking program for diabetes. (58 testing spots)
  TG2 modeChoosing program for glaucoma. It is mainly used to check the
             sensitivity of the central visual field. (83 testing spots)
  ST modeChoosing program for glaucoma. It is mainly used to check the
            sensitivity of the central or perionery visual field.(96 testing spots)
  32 modeChoosing program for central 30 degree. (64 testing spots)
  C07 modeCommon choosing program.(122 testing spots)
  M2 modeChecking program for yellow spot, it is mainly used to check
            visual field defects in the center or near the center (122 testing
            spots)
  N1 modeChecking program for psychiatry disease (75 testing spots)
Notes:
  Folding reports: the name of the patient, eyes differential and the checking ways
         must be the same, we can do folding.
                          7. Maintenance
7.2 Maintenance
7.2.1 You should firstly turn on the power switch of the monitor and then turn on the
       power switch of the main frame when opening the machine. When closing it,
       you should firstly log out, and then turn off the power supply of the monitor
       and the main frame.
7.2.2 Scan disk and arrange pieces in a certain period.
7.2.3 Keep air clean, dry; use air-conditioner if possible
7.2.4 If the instrument has not been used for a long time, you should supply power
       for the main frame at intervals. (Usually three times a week, four hours one
       time)
7.2.5 If there is something wrong with the instrument, please contact us immediately
       or ask the special maintainers to maintain.
Notes: You should clean the chin rest before and after each time you use it.
Notes:
You must use the special purpose ink box; otherwise Us shall not take the
          responsibility for damage due to that
                             8. Interpretation
1. False Negative Error:
      In the course of examining, the system will randomly select one spot to test twice.
      Comparing the visual acuity values of the two tests, that the numerical value of
      the first test is smaller than that of the second time is called false negative error.
3. Colobama Difference:
    The weighted mean of the visual acuity, which shows the diffusing degree of
    visual acuity.
5. Ms:
   The average of the examining visual acuity.
7. Quadrant Defect:
    The average value of visual acuity in every quadrant minus that of the standard
    image.
13. MS:
  The total of the standard value of light sensitivity of each spot. Then the result will
  be divided by all the spots. This is the average of light sensitivity of each spot.
16. CLV:
  When SF increases, LV will be influenced. Getting rid of SFs influence from LV,
  we can get CLV. CLV is variation minus SF, which is more sensitivity for judging
  the early partial defect. It shows the signification of the local dark spot.
2. Usng will maintain the machine for free for one year since the date of purchase if
   the machine is operated according to the operation instruction.
3. During maintenance, Us will receive fee for the maintenance under the following
   conditions
      Do not use, maintain, store the instruments according to operation instruction;
      Take apart or amend the instruments without the permission of Us, which
          cause damage;
      Damages is caused by accidents, use wrongly or caused by other major nature
          factors.
                                                            
 Please forgive us for not informing you if the design or the assigned
  type changes.
 If you have any question about our products, please do not hesitate to
   contact us.