Adaptica 2WIN Manuel utilisateur

2WIN

OPERATOR MANUAL

Revision notes

Software configuration version

4.2.170426

Publication date

2017/05/03

Hardware configuration version

Version 17.0 and earlier

Rev Num.

4.5

3
 
 
1Summary 
1SUMMARY......................................................................................................................................................... 3 
1. MANUFACTURER IDENTIFICATION .................................................................................................................... 6 
2. LEGEND OF SYMBOLS ........................................................................................................................................ 6 
3. GLOSSARY ......................................................................................................................................................... 7 
4. INTENDED USE OF THE DEVICE .......................................................................................................................... 9 
5. CLASSIFICATION AND APPLIED STANDARDS ...................................................................................................... 9 
CLASSIFICATION ACCORDING MDD 93/42/EEC, ANNEX IX........................................................................................................ 9 
CLASSIFICATION AND TYPE OF APPLIED PARTS............................................................................................................................ 9 
IP CLASSIFICATION............................................................................................................................................................... 9 
ELECTROMAGNETIC COMPATIBILITY ........................................................................................................................................ 9 
APPLIED STANDARDS............................................................................................................................................................ 9 
6. QUICK USER GUIDE...........................................................................................................................................10 
THE 2WIN ...................................................................................................................................................................... 10 
MAIN APPLICATIONS.......................................................................................................................................................... 11 
EXAM CONDITIONS............................................................................................................................................................ 11 
EXAM PROCEDURE ............................................................................................................................................................ 11 
MEASUREMENT TIPS.......................................................................................................................................................... 13 
7. DESCRIPTION OF THE DEVICE............................................................................................................................14 
LABELS............................................................................................................................................................................ 16 
PACKAGE LABELING ........................................................................................................................................................... 18 
INTERFACES ..................................................................................................................................................................... 19 
GRAPHICAL USER INTERFACE................................................................................................................................................ 23 
8. PRECAUTIONS ..................................................................................................................................................24 
9. OPERATIVE INFORMATION...............................................................................................................................26 
REGISTER YOUR 2WIN....................................................................................................................................................... 26 
OPERATING CONDITIONS .................................................................................................................................................... 26 
UNPACKING ..................................................................................................................................................................... 26 
INSERT BATTERY................................................................................................................................................................ 27 
EXTRACT BATTERY ............................................................................................................................................................. 27 
BATTERY-CHARGING .......................................................................................................................................................... 28 
DATA MANAGEMENT DISCLAIMER ........................................................................................................................................ 29 
AENVIRONMENT SETUP .............................................................................................................................................. 31 
BINSTRUMENT SETUP ................................................................................................................................................. 32 
EYE SELECTION ................................................................................................................................................................. 32 
INTERACTIVITY/ATTRACTION OF THE PATIENT.......................................................................................................................... 33 
PATIENT DATA .................................................................................................................................................................. 34 
BROWSING MODE ............................................................................................................................................................ 35 
CPREPARATION OF THE PATIENT ................................................................................................................................... 36 

4
 
DMEASUREMENT ...................................................................................................................................................... 37 
ZOOM FUNCTION .............................................................................................................................................................. 42 
QUICK MENU ................................................................................................................................................................... 51 
CONTEXTUAL HELP............................................................................................................................................................ 52 
SUMMARY OF MENU ENTRIES .............................................................................................................................................. 53 
PRINT TO PORTABLE INFRARED PRINTERS................................................................................................................................ 55 
MAIL PRINTING ................................................................................................................................................................ 56 
SAVE EXAM...................................................................................................................................................................... 57 
HIRSCHBERG TEST ............................................................................................................................................................. 64 
CUSTOMIZATION............................................................................................................................................................... 64 
NOTIFICATION CENTER....................................................................................................................................................... 66 
SCREENING MODE ............................................................................................................................................................ 66 
SCREENING TABLE ............................................................................................................................................................. 67 
UPLOAD.......................................................................................................................................................................... 69 
PAIRING AND TRANSFERRING A 2WIN TEST TO VISIONFIT......................................................................................................... 69 
11. WIRELESS CONNECTIONS..................................................................................................................................72 
WIFI CONNECTIVITY .......................................................................................................................................................... 72 
SFTP E VNC +SSH ACCESS CREDENTIALS ................................................................................................................................. 75 
SFTP AND VNC+SSH SUGGESTED SOFTWARES ...................................................................................................................... 76 
KEYBOARD COMMAND FOR THE USE OF VNC+SSH .................................................................................................................... 76 
12. APPLICATIONS (PACKAGES) ..............................................................................................................................77 
INSTALLATION .................................................................................................................................................................. 77 
ACTIVATION..................................................................................................................................................................... 77 
VISUALIZATION ................................................................................................................................................................. 78 
AUXILIARY WINDOWS........................................................................................................................................................ 78 
MODES (2WIN APPLICATIONS)................................................................................................................................... 78 
13. SOFTWARE UPGRADE INSTRUCTIONS ..............................................................................................................79 
14. MAINTENANCE AND CLEANING INSTRUCTIONS................................................................................................80 
STORAGE INSTRUCTIONS..................................................................................................................................................... 80 
INSTRUCTIONS FOR CORRECT DISPOSAL OF THE DEVICE.............................................................................................................. 80 
SEPARATE COLLECTION FOR ELECTRICAL AND ELECTRONIC EQUIPMENT ......................................................................................... 80 
15. 2WIN APPLICATIONS SPECIFIC MANUALS .........................................................................................................82 
LEGENDS OF SYMBOL ......................................................................................................................................................... 82 
2WIN APPLICATIONS INSTALLATION (THE SAME STEPS FOR EVERY APP) ....................................................................................... 82 
ANALYSIS OF CORNEAL REFLEXES POSITION (CR-APP).............................................................................................................. 83 
Corneal Reflexes exam ............................................................................................................................................ 85 
Exam........................................................................................................................................................................ 85 
Exam Results from ‘Corneal Reflexes’ App .............................................................................................................. 88 
Print......................................................................................................................................................................... 91 
Measurement reset ................................................................................................................................................. 93 
DYNAMIC PUPILLOMETRY APPLICATION.................................................................................................................................. 94 
Dynamic pupillometry application activation ......................................................................................................... 95 
Dynamic Pupillometry exam and modes ................................................................................................................. 96 
Exam........................................................................................................................................................................ 97 

5
 
Standard mode........................................................................................................................................................ 97 
Manual mode .......................................................................................................................................................... 98 
Calibration mode..................................................................................................................................................... 99 
Exam display.......................................................................................................................................................... 101 
Browsing mode...................................................................................................................................................... 102 
Post exam measurements ..................................................................................................................................... 103 
LENS CENTERING APPLICATION (LC-APP) ............................................................................................................................ 109 
Lens Centering Application activating................................................................................................................... 109 
Measurement with the App activated................................................................................................................... 110 
Activation in Browsing mode................................................................................................................................. 111 
Overview ............................................................................................................................................................... 111 
Navigation............................................................................................................................................................. 113 
How to position the horizontal axis....................................................................................................................... 113 
How to position the vertical axes .......................................................................................................................... 114 
Centering values.................................................................................................................................................... 114 
Printing on SD and creating of the report ............................................................................................................. 115 
INTERMEDIATE VISION TEST .............................................................................................................................................. 117 
Components .......................................................................................................................................................... 117 
Intermediate Vision application activation ........................................................................................................... 118 
Intermediate Vision Exam ..................................................................................................................................... 119 
Environment setup ................................................................................................................................................ 120 
Exam...................................................................................................................................................................... 121 
Output ................................................................................................................................................................... 123 
16. TROUBLESHOOTING .......................................................................................................................................124 
17. ADDITIONAL INFORMATION...........................................................................................................................125 
TECHNICAL SPECIFICATION ................................................................................................................................................ 125 
RECHARGEABLE BATTERY SPECIFICATIONS............................................................................................................................. 125 
OTHER SPECIFICATIONS .................................................................................................................................................... 125 
IN FLIGHT USE................................................................................................................................................................. 126 
DEVICE WARRANTY.......................................................................................................................................................... 126 
18. ANALITIC INDEX..............................................................................................................................................126 
19. INFORMATION FOR ASSISTANCE ....................................................................................................................126 
NOTE FOR SERVICE PERSONNEL ONLY .................................................................................................................................. 126 
REMOTE CONTROL .......................................................................................................................................................... 127 
TELEMETRY.................................................................................................................................................................... 127 
20. APPENDIX A (DATA MANAGMENT DISCLAIMER) ............................................................................................128 
21. APPENDIX B –HOW TO MANUALLY CONFIGURE SOME OF THE INFRARED PRINTERS.....................................131 
PORTABLE PRINTER GEBE GPT-4378-FLASH-79-V.24-IRDA-SET ......................................................................................... 131 
PORTABLE PRINTER SEIKO DPU-S_245 .............................................................................................................................. 133 
 
 

1. Manufacturer identification

Manufacturer

Adaptica S.r.l.

Address

Via San Marco, 9/H

35129 Padova (PD)

Italy

Telephone

+39 049 773 968

Mail:

[email protected]om

Web:

www.adaptica.com

2. Legend of symbols

Manufacturer identification data

Date of manufacturing

Electrical / electronic device subject to the WEEE

Directive on waste disposal

CE mark: this device complies the base requirements

of the Medical Device Directive 93/42/CEE

Direct current (DC)

Warning: necessary information for safety

Important information

3. Glossary

Accommodation:

The power (or ability) of the eye to alter the shape of its

lens so that it can adjust the focus of the eye for

distance and closeness.

Anisometropia

A condition in which the refractive power of the eyes

is unequal.

Astigmatism

A condition in which the optical (or outer) surfaces of

the eye are distorted so that light rays are not sharply

focused on the retina for either near or distant vision.

Auto Shutdown

A procedure whereby 2WIN stops to work and switches

off automatically.

Auxiliary window

Graphical window that displays additional data.

Binocular vision

The use of both eyes simultaneously in such a manner

that each retinal image contributes to the final percept

of a single image.

Diopter

The refractive power of a lens. It is used as a unit of

measurement in refraction.

Esophoria

A tendency for the eyes to turn inward, when fusion is

suspended.

Esotropia

Marked turning inward of the eye; crossed eyes.

Exophoria

A tendency for the eyes to turn outward, when fusion is

suspended.

Exotropia

Divergent strabismus; abnormal turning outward of one

or both eyes.

Fixation

Movement of the eyes so that the visual axes meet and

the image of an object falls on the corresponding points

of each retina.

Focal point

The point to which rays are converged after passing

through a lens.

Heterophoria

A tendency for deviation of the eyes, when fusion is

suspended.

Heterotropia

A manifest deviation of the eyes resulting from the

absence of binocular equilibrium.

Hypermetropia

Hyperopia.

Hyperopia

Farsightedness is a refractive error in which the image

does not come to focus before striking the retina in the

relaxed eye. Accommodation may be used to

overcome small amounts of hyperopia.

Monocular

Involving the use of a single eye.

Myopia

Nearsightedness is a refractive error in which the point

of focus for light rays is in front of the retina, resulting in

blurred distant vision.

Occlusion

Obscuring the vision of one eye to test the vision or

force the use of the other eye.

Orthophoria

Parallelism of visual axes, the normal eye muscle

balance.

2WIN Applications

Additional software features that can be installed

directly on 2WIN.

Refraction

When referred to human eye, this term, or the term

Refractometry, are used to indicate the measurement

of the Refractive Error, that is the error in the focusing

of light by the eye.

Refractive Error

Equivalent to ametropia, it is usually decomposed into

a spherical error and a cylindrical error. Types of

ametropia include myopia, hyperopia and astigmatism.

Spherical error

Occurs when the optical power of the eye is either too

large or too small to focus light on the retina.

Strabismus

Failure of the two eyes to direct their gaze at the same

object because of inappropriate neuromuscular control

or because of fibrosis or paralysis of one or more

extraocular muscles, as in crossed eyes or walleyes.

4. Intended use of the device

Instrument for the measurement of binocular and monocular refraction, dynamic

photoskiascopy.

5. Classification and Applied Standards

Classification according MDD 93/42/EEC, Annex IX

Class IIa

Classification and type of applied parts

There are no applied parts.

IP classification

IPX0 (degree of protection provided by the external plastic shells with reference to the

penetration of any special material or water).

Electromagnetic compatibility

This device has been classified as class B according to the normative IEC60601-1-2.

Applied standards

EN 60601-1; EN 60601-1-2; EN ISO 15004

6. Quick user guide

It's highly recommended to register your 2WIN at:

http://www.adaptica.com/user-registration/

Important

•The 2WIN is a binocular refractometer and vision analyzer. It measures refraction of

both eyes at the same time, at a distance of 1 meter.

•The 2WIN should not be confused with a table-top auto-refractometer (AR). ARs

are designed to measure refractive errors of one eye at time, in an artificial

condition of far fixation. Please do not consider the 2WIN a small portable auto-

refractometer or two small ARs glued together!

•Working in natural binocular conditions the 2WIN allows to evaluate simultaneously

not only refractive errors, but also gaze direction, ocular alignment, pupil diameter,

pupil distance and the accommodative balance/unbalance between the 2 eyes.

Many other features can be measured by the 2WIN using optional applications

(2WIN APPs).

•Please familiarize yourself with the measurement conditions and techniques of the

2WIN in order to exploit its full potential.

The 2WIN

•The 2WIN detects a patient’s real-time refraction in the most natural environmental

conditions.

•It is a binocular instrument that measures refraction on the basis of eccentric

InfraRed photo-refraction (also photo-retinoscopy). Both eyes are measured at the

same time in free space, while fixating at 1 meter.

•It must be operated in a dim light environment to ensure sufficient pupil size and

reduce accommodation.

•It is hand-held, battery operated, very light, non-invasive, fast and easy to use.

•It automatically measures binocular refraction, pupil distance, pupil size, direction of

gaze, and fixation abnormalities.

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