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Ark 500 A

The document is an operator's manual for an auto ref/keratometer (ARK-500A). It describes: 1. The front view of the device includes function buttons, an LCD screen, memory indicator, start button, joystick, locking lever, power switch, and printer cover. 2. The rear view includes a forehead rest, measuring window, chinrest, eye level marker, PD window, and chinrest adjustment buttons. 3. The bottom view includes a power inlet, RS-232C ports, and USB port to connect additional devices.
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Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
67 views75 pages

Ark 500 A

The document is an operator's manual for an auto ref/keratometer (ARK-500A). It describes: 1. The front view of the device includes function buttons, an LCD screen, memory indicator, start button, joystick, locking lever, power switch, and printer cover. 2. The rear view includes a forehead rest, measuring window, chinrest, eye level marker, PD window, and chinrest adjustment buttons. 3. The bottom view includes a power inlet, RS-232C ports, and USB port to connect additional devices.
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/ 75

AUTO REF/KERATOMETER

Model ARK-500A

OPERATOR’S MANUAL

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BEFORE USE: Configuration

1.4 Configuration

{ Front view
1

Function buttons

LCD

Memory indicator

Start button
Locking lever

Joystick

Power switch

Cover open button


Printer cover

Function buttons
Set the device and switch the screen.
Functions assigned to the function buttons are displayed by icons on the screen.
Two buttons on the left of the screen have unique functions when the measurement screen is displayed.

• Clear button ( )
Erases the measured data.
When the clear button is pressed for about a second, all the measured data is erased.

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BEFORE USE: Configuration

• Print button ( )
Pressing this button when the memory indicator is lit, prints out the measured data.
Pressing the button when the memory indicator is not lit, advances printer paper.

LCD
5.7-inch LCD. Pulling the bottom of the display panel provides an
adjustable viewing angle.
For measurement in a standing posture, set the panel at a suitable
angle. The panel is reset to its original position by magnet.

Memory indicator
Indicates that measured data is being saved in memory.

ON Being saved
OFF Not being saved
Blink Sleep mode

Start button
When the start button is pressed, measurement is taken regardless
of the alignment or focusing condition of the device.

Joystick
Used for alignment and focusing.
Alignment in the side-to-side direction can be performed by moving the joystick to the right and left. Rotating the
joystick is for alignment in the up-and-down direction. For focusing, move the joystick back and forth.

Locking lever
Secures the main body to the base.
To lock the main body, press the locking lever down.

Power switch
Turns on 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.

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BEFORE USE: Configuration

{ Rear view

Forehead rest

Eye level marker


1

Measuring window

Chinrest up/down buttons

Chinrest

PD window

Forehead rest
During measurement, the patient’s forehead should be gently rest against the forehead rest.
Clean the chinrest for each patient.

Measuring window
Check the window cleanliness before measurement.

Chinrest
Clean the chinrest for each patient.

Eye level marker


Used as a guide for the patient’s eye level during measurement.
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.

PD window
An LED is provided to detect the PD value.

• Parts that come into contact with the patient during measurement are composed of the
following materials.
Forehead rest: Elastomer
Chinrest: ABS resin

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BEFORE USE: Configuration

{ Bottom view

Power inlet

RS-232C ports USB-A port

Power inlet
Connect a detachable power cord.

RS-232C ports
Connect a communication cable to send/receive the measured data to/from a diagnostic device or such.
Target device
RT-1200 series, RT-2100 series, RT-5100
LM-500, LM-970, LM-990/990A, LM-1000/1000P, LM-1200

To export the measured data to the refractor (RT), an external computer or such,
(OUT) connect a communication cable to this side.
The optional Eye Care card system is connected to this side.
To import the measured data to from a NIDEK lensmeter, connect a communication
(IN)
cable to a lensmeter.

Connecting the lensmeter to the side and the RT-2100/RT-5100 to the side allows data transmission to
the connected refractor via the ARK-500A.

USB-A port
Connect the optional barcode scanner.
Do not connect equipment other than the barcode scanner.

*1 Accessory equipment connected to the analog and digital interfaces must be certified according to the representative
appropriate national standards (for example, UL 1950 for Data Processing Equipment, UL 60601-1 for Medical Equip-
ment, 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 configures 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.

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BEFORE USE: Measurement Screen Layout

1.5 Measurement Screen Layout

The screen for AR (refractive error) and KM (corneal curvature radius) measurements is comprised of
pages 1 to 3.
Each page differs only in the touch icons displayed to the right of the screen. 1

<When Page 1 is displayed>

Auto-tracking indication

Auto-shooting indication
Patient’s eye CYL mode

R/K button CS/PS/PD button

Target
Focusing indicator
Auto button
Manual mode button

Minimum pupil circle


Ring image enlarge-
ment button

Mire ring
Measured values
Page button

Patient’s eye
Indicates the right or left eye of the patient.

R/K button ( )
Selects a measurement mode in R/K measurement.
Select from AR/KM measurement mode, AR measurement mode or KM measurement mode. The selected
measurement mode is displayed on the screen.
The measurement mode switches in the following order: AR/KM measurement mode (successive AR and KM
measurements) → AR measurement mode (AR measurement)→ KM measurement mode (KM measurement)→
AR/KM measurement mode......

Target
Used as a guide to locate the patient’s eye in the center of the screen. Align the mire ring projected on the
patient’s eye with the target.

Auto button ( )
Selects the auto-tracking function and auto-shooting function.
Select auto-tracking from (UpDown) or OFF. Select auto-shooting from ON or OFF.

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BEFORE USE: Measurement Screen Layout

<When Page 2 is displayed>


* CS, PS, and PD data, ID indication, Eye Care card and cataract measurement mode indication
are displayed on each page.

ID indication

CAT measurement mode in-


dication CYL mode button

PS (Pupil Size) indication

CS (Corneal Size) indication

Eyeprint button

PD (Pupillary Distance) indication

CAT measurement mode indication ( )


Indicates that the eye has been measured in cataract measurement mode.
If cataract or abnormal eyes cannot be measured, cataract measurement mode is automatically turned on.
See “2.3.1 Cataract measurement mode” (page 37) for details on cataract measurement mode.

PS (Pupil Size) indication


Displayed when PS (Pupil Size) is measured. (increments: 0.1 mm)

CS (Corneal Size) indication


Displayed when CS (Corneal Size) is measured. (increments: 0.1 mm)

ID indication ( )
Displayed when the patient ID is entered.
Enter the patient ID using the optional barcode scanner.

CYL mode button ( )


Switches cylinder mode, the reading direction of cylinder data in which CYL data is represented.

CYL- Indicates the cylindrical power by - reading.


CYL+ Indicates the cylindrical power by + reading.
Cylinder data is indicated by + reading when the refractive error is positive for any axis
CYL± angle.
Indicates the cylindrical power by - reading in other cases.

Cylinder mode can be switched even after measurement.


Data is printed out with the mode status at the time of printing.

10

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BEFORE USE: Labels

1.6 Labels

Cautionary labels are provided on the device.


If labels are curling up or characters fading and becoming barely legible, contact NIDEK or your autho-
rized distributor. 1

Indicates that caution must be taken. Refer to the operator’s manual before use.

Indicates a Type B applied part as a degree of protection against electric shock for applied parts.

Indicates that the state of the power switch. When the symbol side of the switch is pressed
down, power is not supplied to the device.
Indicates that the state of the power switch. When the symbol side of the switch is pressed
down, power is supplied to the device.
Indicates that the device must be supplied only with alternating current.

Indicates the input part.

Indicates the output part.

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.

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BEFORE USE: Checking Contents

[Bottom side]

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 cord
• Dust cover
• Pack of chinrest paper
• Fixing pins for chinrest paper (2 units)
• Operator’s manual (this book)
• Model eye for R/K measurement/Contact Lens (CL) holder (integral type)

14

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BEFORE USE: Before First Use

1.8 Before First Use

Place the device on a stable table and connect a power cord to it.

1 Place the main body on a stable table.


1

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.


See “3 OPERATION WHEN PERIPHERAL DEVICES ARE CONNECTED” (page 77) for the
method of connecting peripheral devices.

5 Stand the device upright.

6 Confirm that the power switch is turned OFF


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

Power switch

CAUTION • Be sure to use an outlet equipped with a ground terminal.


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

15

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BEFORE USE: Before First Use

7 Turn ON ( ) the power switch.


The initial screen is displayed on the LCD and
the device starts initializing.

Initial screen

8 Confirm that the measurement screen is dis-


played.

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 92) for details on the setting method.

This completes setup procedure.

• Set the parameters as necessary or desired.


See “2.12 Parameter Settings” (page 60) for the parameters and their setting methods.
• See “3 OPERATION WHEN PERIPHERAL DEVICES ARE CONNECTED” (page 77) for the
method of connecting peripheral devices.

16

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OPERATING PROCEDURES: Preparation 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.

Wait for a while until the screen switches to the


measurement screen.

Initial screen

• When the WINDOW CHECK parameter is


set to ON, the MEASURING WINDOW
CHECKING screen is displayed before the
measurement screen is displayed.
See “2.2.1 Checking the measuring window
cleanliness at device start-up” (page 26) for
details.

MEASURING WINDOW CHECKING screen

20

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OPERATING PROCEDURES: Preparation for Measurement

2 The measurement screen is displayed.

2
Measurement screen
• If the power is turned on with no paper loaded, the error message “NO PAPER” appears.
Supply 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.

The AR/KM measurement accuracy satisfies the specifications.


See “4.5 Checking the AR/KM Measurement Accuracy” (page 95) for details.
Follow “4.1 Troubleshooting” (page 87) if abnormal conditions are encountered.

4 Establish the measurement conditions.


The following conditions should be specified:

1 : Measurement mode
Press the R/K button to select.

Measurement mode Description


AR/KM measurement AR (refractive error) and KM (corneal curvature radius) measurements are
mode successively taken.
AR measurement
Only AR (refractive error) measurement takes place.
mode
KM measurement
Only KM (corneal curvature radius) measurement takes place.
mode

When the power is turned on, a mode in which the power was turned off is established.
The measurement items corresponding to the selected measurement mode are displayed
on the screen.

21

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OPERATING PROCEDURES: Preparation for Measurement

AR/KM measurement mode AR measurement mode KM measurement mode


Pressing the button switches the measurement mode in the following order: AR/KM→ AR→
KM→ AR/KM→......

2 : Auto-tracking function and auto-shooting function


Specify the alignment (up-and-down directions) methods and the method of triggering measure-
ments.

Press the auto button to select the auto-tracking and/or auto-shooting function.
Auto- Screen
Auto-tracking shooting display Description
Auto-tracking in the up-and-down direction is turned on.
ON Manually align the device in the side-to-side direction.
Measurement starts automatically when the eye is focused.
Up-and-
Auto-tracking in the up-and-down direction is turned on.
down
Manually align the device in the side-to-side direction.
OFF
Bring the eye into focus and press the start button to start
measurement.
Manually align the device and bring the eye into focus.
ON Measurement starts automatically when the eye is best aligned
OFF and focused.
(No Manually align the device and bring the eye into focus.
OFF
indication) Press the start button to start measurement.

• The functions assigned to the auto button varies according to the 62. TRACKING
SW parameter setting.
See “2.12 Parameter Settings” (page 60) for the setting procedure.

3 : Parameter-set measurement conditions:


The ARK-500A is equipped with a function to change parameters of various device conditions
according to the operator’s needs.
See “2.12 Parameter Settings” (page 60) for details.

4 : CYL mode
Cylinder mode, the reading direction of cylinder data in which CYL data (cylindrical power) is repre-
sented during the measurement is selected by pressing the CYL mode button .

Screen CYL mode Description


display
CYL- - reading Indicates the cylindrical power by + reading.
CYL+ + reading Indicates the cylindrical power by - reading.
Indicates the cylindrical power by + reading when the refractive
CYL± Mix reading error is positive for any axis angle.
Indicates the cylindrical power by - reading in other cases.

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OPERATING PROCEDURES: Preparation for Measurement

• Cylinder mode can be changed even after measurement.


• All saved data is printed out along with the mode status.
• These settings are retained even after shutdown of the device; Change these
measurement conditions only if necessary.

5 Prepare the patient.


1) As necessary, enter the patient ID using a barcode scanner.*1
The optional barcode scanner is needed.
2
See “3.4 Reading Patient IDs” (page 84) for the method of entering patient IDs.

2) Wipe the forehead rest and chinrest that con-


tact the patient with clean absorbent cotton or Forehead rest
gauze dampened with rubbing alcohol.
If a stack of chinrest paper is fixed on the chinrest,
remove one sheet of paper.

Chinrest

• To reassure the patient, before measurement, explain as follows.


“This device measures your eye with infrared ray to find which kind of lens fits you. The infrared ray does
no harm to your eyes.”

3) Instruct the patient to take off glasses or con-


tact lenses and sit on a chair.

4) Have the patient place his/her chin on the chinrest as deeply as possible, and his/her
forehead on the forehead rest lightly.

*1. Patient IDs may be read at any time prior to printing.

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OPERATING PROCEDURES: Preparation for Measurement

5) 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, let the
patient know that the chinrest moves up and down.

When the chinrest is at the upper (or lower)


mechanical limit, the upper limit indication (or
lower limit indication ) is displayed on the
screen.

Limit indication

• When the ARK-500A displays a thumbnail, the limit indication ( , ) is covered and
cannot be seen.

6 Start measurement.
For details of each measurement, see:
“2.3 AR (refractive error) and KM (corneal curvature radius) Measurements: AR/KM Measurement
Mode” (page 29)

“2.4 AR (refractive error) Measurement: AR Measurement Mode” (page 39)


“2.5 KM (corneal curvature radius) Measurement: KM Measurement Mode” (page 41)

• Instruct the patient not to blink during measurement. Additionally, instruct the patient not to
blink and open his/her eyes immediately before measurement to avoid measurement
failure.
• Instruct the patient to open both eyes wide during measurement.
Closing one eye may cause an unstable fixation and the other eye will not open wide.

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OPERATING PROCEDURES: Preparation for Measurement

2.2.2 Switching to manual mode


It is possible to turn off both the auto-tracking and auto-shooting functions (manual mode) by pressing
the manual mode button during measurement.
The manual mode button is used to turn off the auto-tracking function according to the patient’s eye
after starting measurement with the auto-tracking function on. (The manual mode button functions
even when only the auto-shooting function is turned on.)

Allowing the operator to turn off both the auto-tracking and auto-shooting functions with a single
button. It saves the operator the trouble of pressing the auto button repeatedly.
2
• For eyes with a small pupil and with the corneal vertex shifted from the pupil center, if the
auto-tracking function is turned on and the pupil overlaps the minimum pupil circle, the eye
may not be measured.
To measure such eyes, turn off the auto-tracking function and align the minimum pupil circle with the
pupil.

1 Press the manual mode button during mea-


surement.
The auto-tracking indication and auto-shooting
indication become blank ( ), indicating
that these functions are turned off.

2 Manually align the main body to the eye and bring the eye into focus.

3 Press the start button to start measurement.

One of the following operations returns to the state before the manual mode button was pressed.
• Pressing the manual mode button again.
• Switching the eye to be measured between the right and left eyes.
• Pressing the clear button .
• Press the print button .

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OPERATING PROCEDURES: Preparation for Measurement

2.2.3 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,
15 minutes, or NO (no sleep mode) (factory setting: 5 minutes).

Sleep mode places the device into the following condi-


tions:
• The LCD 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, the device may not go into sleep mode.
When the PARAMETER SETTING screen is displayed, the device does not go into sleep mode.

2.2.4 Finishing the measurement

1 To finish the measurement, turn off ( ) the power switch.


It is allowed to turn off the power with any screen displayed.

2 Check the measuring window and clean the lens if necessary.


See “4.6 Cleaning” (page 97).

3 Clean the forehead rest and chinrest, and put the supplied dust cover on 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.

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OPERATING PROCEDURES: AR (refractive error) and KM (corneal curvature radius) Measurements: AR/KM

2.3 AR (refractive error) and KM (corneal curvature radius)


Measurements: AR/KM Measurement Mode

In AR/KM measurement mode, AR measurement and KM measurements are successively taken.


When AR/KM measurement mode is selected, refractive errors (S, C and A) and corneal curvature
radius (R1, R2) are displayed on the screen.

R: AR measurement count
2
S: Spherical power
C: Cylindrical power
A: Cylinder axis angle

K: KM measurement count
R1: Corneal curvature radius and corneal cylinder axis
angle of flattest meridian
R2: Corneal curvature radius and corneal cylinder axis
angle of steepest meridian

• When the 12. KM DISPLAY parameter is set


to AVE, CYL, the indications on the
measurement screen are as shown on the
right.
AVE: Average of R1 and R2
CYL: Corneal cylindrical power & Corneal cylinder
axis angle

1 Instruct the patient to: “Look through the measur-


ing window. As you will see the picture of a bal-
loon, watch the center of it without straining”.

Scenery chart

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OPERATING PROCEDURES: AR (refractive error) and KM (corneal curvature radius) Measurements: AR/KM Measurement Mode

2 Manipulate the joystick to display the patient’s


eye on the screen.
By moving the joystick laterally, the main
body moves right, left, back and forth. By
turning the upper part of the joystick, the main
body 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.

• If the mire ring is not in the center of the pupil and the minimum pupil circle is on the iris,
turn off the auto-tracking function and bring the minimum pupil circle into the center of the
pupil to perform measurement, ignoring the mire ring.
• Auto-tracking or auto-shooting may not work on keratoconus or postoperative cornea.
In such a case, turn off the auto-tracking and auto-shooting functions.

3 Perform alignment and focusing. Focusing indicator


The methods of alignment and focusing vary
according to the 26. TRACKING SW parameter
setting.
* See “2.2 Preparation for Measurement” (page 20) for
details.
Perform alignment by placing the mire ring
reflected by the patient’s eye in the center of the
target.
Perform focusing according to the indication of
the focusing indicator displayed on the screen.

Mire ring Target

Up-and-down auto-tracking

1) Perform rough alignment and focusing by


manipulating the joystick to place in the Up-and-down alignment: Auto
Side-to-side alignment: Manual
working range of auto-tracking.
2) When the device is placed within the
working range of auto-tracking, it automat-
ically starts alignment in the up-and-down
direction.
3) Manipulate the joystick to move the mire
Focusing: Manual
ring reflected on the patient’s eye within
the target.
As the focusing indicator is displayed,
manipulate the joystick until the optimum focusing indicator is displayed.

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OPERATING PROCEDURES: AR (refractive error) and KM (corneal curvature radius) Measurements: AR/KM

Auto-tracking OFF

1) Manipulate the joystick to perform rough


alignment and focusing. Up-and-down and side-to-side alignment: Manual

2) Manipulate the joystick to move the mire


ring reflected on the patient’s eye within
the target.
3) As the focusing indicator is displayed,
manipulate the joystick until the optimum 2
Focusing: Manual
focusing indicator is displayed.
During the focusing, maintain alignment
between the device and the patient’s eye.

• If eyelashes obstruct the minimum pupil circle, correct AR measurement may not be
possible. If the eyelid or eyelashes obstruct the mire ring, KM measurement may not be
possible.
In such cases, 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 eye-
ball.

When the main body is not within the working range of auto-tracking:
As the limit indication is displayed, manipulate the joystick or chinrest up/down button in the direction of the
arrows.
<Examples of the limit indication>

The level of the patient’s eye is too high from


the measuring unit.
Move the chinrest down to lower the level of
the patient’s eye.

Move the chinrest up.

Move the chinrest down.

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OPERATING PROCEDURES: AR (refractive error) and KM (corneal curvature radius) Measurements: AR/KM Measurement Mode

Focusing indicator displays:

The focusing indicator indicates the distance


between the main body and the patient’s eye.
Move the joystick back and forth until the focusing
indicator shows the optimum condition.

Too close to the patient’s eye

Pull the joystick forward to move the main body away


from the patient’s eye.

Optimum condition

Push the joystick backward to move the main body to-


ward the patient’s eye.

Too far from the patient’s eye

• When the 69. MAN FOCUS DISP parameter is set to NO, the focusing indicator is not
displayed in manual mode (auto-tracking OFF + auto-shooting OFF).

4 Measurement starts.
Measurements are taken automatically when the device is best aligned and focused on the
eye (when the auto-shooting function is turned on).
* When the auto-shooting function is turned off, press the start button to start measurement.

• The operator can start measurement by pressing the start button.


Press the start button to start measurement when measurement has difficulty starting for patient’s who
blink often.
• Instruct the patient not to blink during measurement.
• When an error or error data appears, the cause may be one of those described below. If
those signs appear again after repeating measurement, check the following:
a. Patient blinked during measurement.
b. The eyelid or eyelashes are on the minimum pupil circle during AR measurement.
c. The eyelid or eyelashes are on the mire ring during KM measurement.
d. The patient’s pupil is smaller than the minimum pupil circle.
Have the patient sit in a dark room for a while and wait until the pupil diameter becomes large
enough for measurement.
e. Retinal reflection is extremely low due to an optical disease such as a cataract.
f. There is some unusual reflection on the cornea during measurement.
g. There is an extreme distortion on cornea.

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OPERATING PROCEDURES: AR (refractive error) and KM (corneal curvature radius) Measurements: AR/KM

KM measurement takes place.

A short beep is produced and KM-measured data and measurement count are dis-
played.

KM measurement completes.

Pre-AR measurement takes place and the scenery chart is fogged.


2
AR measurement takes place.

A short beep is produced and the AR measured data and measurement count are dis-
played.
* The way of fogging in the second and subsequent measurements varies according to the 4. MEAS
MODE parameter setting.
Fogging stays on throughout the measurement series.
CON.
This mode is useful for children who do not fixate their eyes very long.
The patient’s view is fogged for each measurement even though the start
NOR. button is held down.
This mode is useful for patients who accommodate their eyes easily.

AR measurement completes.

• If the device gets out of alignment and focus during measurement, the measurement is
interrupted. If the measurement is retried, the measured results are added to the former
results and saved.
• To continue the measurement, press the start button again. “<<FINISH>>” disappears and
auto-tracking starts for measurement. (except when the 21. COMPARE SW or 31. PRINT
parameter is set to AUTO).
• The device can save up to 10 measurements each for the right eye and left eye. If
measurements exceed 10, the data is erased in order from the oldest.

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OPERATING PROCEDURES: AR (refractive error) and KM (corneal curvature radius) Measurements: AR/KM Measurement Mode

<AR measurement error messages>

Error message Details


Measurement is impossible due to blinking and slight
movement of the eye.
Instruct the patient not to blink or not to move the eye until
BLK measurement is completed.
(Blinking of the eye) After the eye stopped blinking and moving, perform
measurement again.
This error also may occur when reflected light from fundus is
low.
ALM Focusing is not proper.
(Alignment error) Perform focusing and measurement again.
+OVR
Spherical power is over the measurable limit of the + side.
(Positive SPH range over error)
-OVR
Spherical power is over the measurable limit of the - side.
(Negative SPH range over error)
COVR
Cylindrical power is over the measurable limit.
(CYL range over error)
Low-confidence data is obtained.
CONF
Measure the subject again.
(Measured data confidence index)
* When the 44. ERROR DATA parameter is set to NO
Low-confidence data is obtained.
S, C, A data displayed in yellow
Measure the subject again.
(Measured data confidence index)
* When the 44. ERROR DATA parameter is set to YES

<KM measurement error messages>


Error message Details
Measurement is impossible because of blinking and slight
movement of the eye.
BLK Instruct the patient not to blink or not to move the eye until
(Blinking of the eye) measurement is completed.
After the eye stopped blinking and moving, perform measurement
again.
ALM Focusing is not proper.
(Alignment error) Perform focusing and measurement again.
FAR Focusing is not proper.
(Focus error: Too far from the patient’s eye) Perform focusing and measurement again.
NEAR Focusing is not proper.
(Focus error: Too close to the patient’s eye) Perform focusing and measurement again.
+OVR The corneal curvature radius is too large and over the
Positive corneal curvature radius range over
error)
measurable limit.

-OVR The corneal curvature radius is too small and beyond the
(Negative corneal curvature radius range over
error)
measurable limit.

COVR
The cylindrical power is over the measurable limit.
(CYL range over error)

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OPERATING PROCEDURES: AR (refractive error) and KM (corneal curvature radius) Measurements: AR/KM

5 Measurement completes.
• When AI mode is YES:*1

When the specified number of KM measurements is performed, the measurement automatically


completes.*2

When the specified number of AR measurements is performed and the data is stable (no varia-
tions), the measurement automatically completes.*3
Indications on the screen after the measurement:
“<<FINISH>>” is displayed on the screen.

When the specified number of KM measurements 2


have not been obtained, “<<KM?>>” is displayed
on the screen.

When the start button is pressed, KM measure-


ment stars again. As soon as the specified number
of KM measurements is obtained, “<<FINISH>>” is
displayed on the screen.

• When AI mode is NO:

When the specified number of KM measurements*2 is performed, the measurement automatically


completes.
When the specified number of AR measurements*3 is performed, the measurement automatically
completes.

Release the start button to finish AR measurement.


Indications on the screen after measurement:
When the specified number of KM measurements have not been obtained, “<<KM?>>” is displayed
on the screen.
When the start button is pressed, the KM measurement stars again. As soon as the specified
number of KM measurements is obtained, “<<FINISH>>” is displayed on the screen.
* If three or more measurements are obtained, the median values are printed at the time of printing.

A thumbnail of the measurement ring image is displayed when measurement is completed.


If necessary, check the full screen ring image.
See “2.3.2 Measurement ring image display” (page 38) for details on the ring image display.

*1. In this mode, AR measurement automatically completes as soon as stable data is obtained by the specified number of mea-
surements.
*2. 3 through 10 times can be set by the 14. KM CONTINUE parameter. (Factory setting is 3 times.)
*3. 3 through 10 times can be set by the 6. AR CONTINUE parameter. (Factory setting is 3 times.)

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OPERATING PROCEDURES: AR (refractive error) and KM (corneal curvature radius) Measurements: AR/KM Measurement Mode

6 Measure the other eye in the same manner.


When the other eye is set in front of the measur-
ing unit, the measuring unit returns to the origin
in the back-and-forth and side-to-side directions.

• Instruct the patient to close his/her eye before starting the next measurement.
Let the eye rest to avoid measurement failure by blinking.

7 After measurement, view comparison can be performed.


See “2.6 View Comparison Function” (page 43) for details on the view comparison function.

8 Let the patient know that the measurement is completed and instruct him or her to rest
comfortably.

9 Print the measured results.


Printing operation varies according to the 31. PRINT parameter setting.

31. PRINT parameter Printing method


AUTO Printing starts automatically at the completion of measurement.

MANUAL Press the print button to print the measured data out.

NO Printing does not occur.

See “2.11 Printing” (page 55) for details on printing.

• The printing contents can be changed by parameter settings.


See “2.12 Parameter Settings” (page 60) for details.

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OPERATING PROCEDURES: AR (refractive error) and KM (corneal curvature radius) Measurements: AR/KM

2.3.1 Cataract measurement mode


If cataract or abnormal eyes cannot be measured during AR (refractive error) measurement, cataract
measurement mode turns on automatically.
In cataract measurement mode, measurement conditions are changed so as to enhance ease of mea-
surements of even cataract or abnormal eyes.

When the device is placed in cataract measurement mode,


“ ” is displayed on the screen and then measurement
starts. 2
The auto-tracking and auto-shooting functions
work in the same manner as ordinary measure-
ment mode.

One of the following operations cancels cataract measurement mode:


• Switching the eye to be measured between the right eye and left eye.
• Pressing the clear button .
• Pressing the print button .

• In cataract measurement mode, take note that measurement variations may occur more
commonly compared to normal measurement mode.

Printout sample in cataract measurement mode


According to the 45. CAT MARK parameter set-
ting, “ ” indicating that measurement has been
taken in cataract measurement mode is printed
as shown on the right.
* Factory setting: NO

Symbols of cataract measurement mode

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OPERATING PROCEDURES: AR (refractive error) and KM (corneal curvature radius) Measurements: AR/KM Measurement Mode

2.3.2 Measurement ring image display


The ARK-500A projects measurement beams on the patient’s fundus and computation is performed
by capturing the reflected beams as a ring image to measure the refractive errors of the patient’s eye.
The ARK-500A displays this ring for the operator to observe the patient’s eye.

1 Perform normal measurement.


A thumbnail of the ring image is displayed along
with “<<FINISH>>” when measurement is com-
plete.

2 Press the ring image enlargement button to


switch to the full screen display.
Observe the size, shape and such of the ring
image.

• When both eyes have been measured, manipulating the joystick to switch the main body
between the right and left also changes the display of the ring image between the right and
left.

3 After checking the ring image, press the exit button to return to the measurement
screen.

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OPERATING PROCEDURES: AR (refractive error) Measurement: AR Measurement Mode

2.4 AR (refractive error) Measurement: AR Measurement Mode

Perform AR measurement in the same manner as AR/KM measurement mode.


KM (corneal curvature radius) measurement is not performed; KM-measured data is not displayed on
the screen.

2
R: AR measurement count
S: Spherical power
C: Cylindrical power
A: Cylinder axis angle

1 Perform alignment and focusing and start AR measurement.


See “2.3 AR (refractive error) and KM (corneal curvature radius) Measurements: AR/KM
Measurement Mode” (page 29) for the procedure before starting AR measurement.

Measurements are taken automatically when the device is best aligned and focused on the
eye (when the auto-shooting function is turned on).
* When the auto-shooting function is turned off, press the start button to start measurement.

Pre-AR measurement takes place and the scenery chart is fogged.

AR measurement takes place.

A short beep is produced and the AR measured data and measurement count are dis-
played.
* The way of fogging in the second and subsequent measurements varies according to the 4. MEAS
MODE parameter setting.
Fogging stays on throughout the measurement series.
CON.
This mode is useful for children who do not fixate their eyes very long.
The patient’s view is fogged for each measurement even though the start
NOR. button is held down.
This mode is useful for patients who accommodate their eyes easily.

AR measurement completes.

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OPERATING PROCEDURES: AR (refractive error) Measurement: AR Measurement Mode

• If the device gets out of alignment and focus during measurement, the measurement is
interrupted. If the measurement is retried, the measured results are added to the former
results and saved.
• To continue the measurement, press the start button again. “<<FINISH>>” disappears and
auto-tracking starts for measurement (except when the 21. COMPARE SW or 31. PRINT
parameter is set to AUTO).
• The device can save up to 10 measurements each for the right eye and left eye. If
measurements exceed 10, the data is erased in order from the oldest.

<AR measurement error messages>


Error messages are the same as those for <AR measurement error messages> of AR/KM
measurement mode.
See “2.3 AR (refractive error) and KM (corneal curvature radius) Measurements: AR/KM
Measurement Mode” (page 29) for details.

2 Measurement completes.
• When AI mode is YES:

When the specified number of AR measurements is performed and the data is stable (no varia-
tions), the measurement automatically completes.*1

“<<FINISH>>” is displayed on the screen.

• When AI mode is NO:

When the specified number of AR measurements*1 is performed, the measurement automatically


completes.
Release the start button to finish AR measurement.
* If three or more measurements are obtained, the median values are printed at the time of printing.

3 Measure the other eye in the same manner.


The subsequent procedure is the same as that for the AR/KM measurement mode.
See “2.3 AR (refractive error) and KM (corneal curvature radius) Measurements: AR/KM
Measurement Mode” (page 29) for details.

*1. 3 through 10 times can be set by the 6. AR CONTINUE parameter. (Factory setting is 3 times.)

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OPERATING PROCEDURES: KM (corneal curvature radius) Measurement: KM Measurement Mode

2.5 KM (corneal curvature radius) Measurement: KM Measurement Mode

Perform KM measurement in the same manner as AR/KM measurement mode.


AR (refractive error) measurement is not performed; AR-measured data is not displayed on the
screen.

2
K: KM measurement count
R1: Corneal curvature radius and corneal cylinder
axis angle of flattest meridian
R2: Corneal curvature radius and corneal cylinder
axis angle of steepest meridian

• When the 12. KM DISPLAY parameter is set


to AVE, CYL, the indications on the
measurement screen are as shown on the
right.
AVE: Average of R1 and R2
CYL: Corneal cylindrical power & Corneal cylinder
axis angle

1 Perform alignment and focusing to start KM measurement.


See “2.3 AR (refractive error) and KM (corneal curvature radius) Measurements: AR/KM
Measurement Mode” (page 29) for the procedure before starting KM measurement.
KM measurement takes place.

A short beep is produced and KM-measured data and measurement count are dis-
played.

KM measurement completes.
The latest values are always displayed on the
screen.

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OPERATING PROCEDURES: KM (corneal curvature radius) Measurement: KM Measurement Mode

• If the device gets out of alignment and focus during measurement, the measurement is
interrupted. If the measurement is retried, the measured results are added to the former
results and saved.
• To continue the measurement, press the start button again. “<<FINISH>>” disappears and
auto-tracking starts for measurement.
• The device can save up to 10 measurements each for the right eye and left eye. If
measurements exceed 10, the data is erased in order from the oldest.

<KM measurement error messages>


Error messages are the same as those for <KM measurement error messages> of AR/KM
measurement mode.
See “2.3 AR (refractive error) and KM (corneal curvature radius) Measurements: AR/KM Measure-
ment Mode” (page 29) for details.

2 Measurement completes.
When the specified number of KM measurements is performed, the measurement automatically
completes.*1
Indications on the screen after measurement:
When the specified number of KM measurements*1 is performed, “<<FINISH>>” is displayed on
the screen.

When the specified number of KM measurements have not been obtained, “<<KM?>>” is displayed
on the screen.
When the start button is pressed, the KM measurement stars again. As soon as the specified num-
ber of KM measurements is obtained, “<<FINISH>>” is displayed on the screen.

3 Measure the other eye in the same manner.


The subsequent procedure is the same as that for AR/KM measurement mode.
See “2.3 AR (refractive error) and KM (corneal curvature radius) Measurements: AR/KM
Measurement Mode” (page 29) for details.

*1. 3 through 10 times can be set by the 14. KM CONTINUE parameter. (Factory setting is 3 times.)

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OPERATING PROCEDURES: View Comparison Function

2.6 View Comparison Function

A view comparison function allows the patient to compare the current view (uncorrected eye view or
that corrected by LM data) with the view corrected by AR measurement. By changing the distance to
the chart, the patient can also experience the view for near vision.
For comparison with the view corrected by LM data, the power of glasses needs to be transfer before-
hand from a NIDEK lens meter. The optional interface cable is required for data transfer.

2
1 Perform AR measurement as normal.
Perform monocular or binocular measurement.

2 Press the comparison function button to set


the view corrected by AR measurement.
The screen switches to the view comparison
screen. The patient sees a scenery chart with
the view corrected objectively.

Comparison with uncorrected eye view

Scenery chart
The SE value of AR measurement blinks. It indi-
cates that the view is being corrected by AR
measurement at the moment.

Comparison with view corrected by LM data

• When the 21. COMPARE SW parameter is set to AUTO, the screen automatically switches
to the view comparison screen after measurement of both eyes.

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OPERATING PROCEDURES: View Comparison Function

3 Press the view comparison button again to present the uncorrected eye view (or
that corrected by LM data).
Blinking SE of (or LM) indicates the uncorrected eye view (or that corrected by LM
data) at the moment.
Blinking shows which view is presented at the moment.
Blinking indication Presentation to patient
Uncorrected eye view
SE value of When LM data is not read
View corrected by glasses that the patient uses
SE value of LM
When LM data is read
SE value of AR View corrected by AR measurement

• The dioptric power that the patient can check during the view comparison function includes
only spherical component, not cylindrical component. Therefore, spherical equivalent (SE
value) or highest power (spherical power and cylindrical power) is used instead of actual
AR-measured data. The dioptric power to be used is shown on the display panel.
Whether to use spherical equivalent or highest power can be selected by the 22. COMPARE (AR)
parameter.
Spherical equivalent is used for the view with data of the patient’s glasses transferred from a lensmeter.
• The view comparison function must be performed with the target aligned in every direction
and in focus, as well as in measurement. When the target is misaligned, perform alignment
and focusing again, following Step 3 of AR measurement.
• If the patient’s eye is hyperopic, the view does not change as much compared with a
myopic eye. This is because the patient can see the chart with accommodation even with
an uncorrected eye.

4 Change the view alternately to let the patient check the difference of the view.
Pressing the view comparison button switches between the view corrected by AR mea-
surement and the uncorrected eye view (or that corrected by LM data).

5 If necessary, switch to the view for near vision.


1) Press the near button .
The working distance to the chart changes from
the normal distance (5 m (16.4 feet )-equivalent) to
40 cm (16 inch)-equivalent. “<40 cm>” is displayed
in the upper center of the screen.*1

Pressing the near button again returns the


working distance to the normal distance (5 m (16.4
feet )-equivalent).

View for near vision (40 cm)

*1. The near working distance of the chart can be set between 35 and 70 cm (5 cm increments) or 14 and 28 inches (2 inch
increments) by the 56. WORKING D. parameter.

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OPERATING PROCEDURES: View Comparison Function

• Regardless of the view (AR measurement, uncorrected eye, LM data) presented, the view
for near vision is presented by pressing the near button .

2) If necessary, switch to the view with addition


power.
Pressing the ADD button with “<40 cm>” dis-
played adds the addition power of 1.75 D.*1

“ADD+1.75” is displayed in the center of the


screen. It shows that the addition power is added. 2

• To display the ADD button , the 23. ADD SW parameter needs to be set to YES
(factory setting).
• The patient can know whether the addition power needs to be added with bifocal lenses or
progressive lenses.

3) Pressing the ADD button again cancels the addition power.


The addition power can be canceled by the following method:
•The chart distance returns to the normal distance (5 m (16.4 feet )-equivalent) by pressing the
near button .
•The view switches between AR measurement and uncorrected eye (or LM data) by pressing
the view comparison button .

6 Press the exit button to finish the view comparison function and return to the mea-
surement screen.

7 Measure the other eye in the same manner.


When using the view comparison function after AR measurement of both eyes, start it after
alignment with the patient’s eye.

8 When finishing the measurement, print the data out.

*1. The addition power can be selected by the 24. ADD SELECT parameter from 1.5D, 1.75D or 2.0D.

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OPERATING PROCEDURES: View Comparison Function

{ Operation on view comparison screen

Measurement screen

Distance vision Distance vision

Near vision Near vision

Near vision with ADD power Near vision with ADD power

Uncorrected eye view or that Objectively corrected view (AR


corrected by LM data measurement)

View comparison function

{ Display of view comparison

View comparison function


Near vision indication indication
<near working dis-
tance>
Near vision indication with
ADD power
Addition power (D)

View corrected by AR measurement Uncorrected eye view or that corrected


SE: Spherical Equivalent value by LM data
: Highest power : Uncorrected eye view
LM: View corrected by LM data
SE: Spherical Equivalent value

For glasses (LM), each value of SPH, CYL,


AXIS is displayed.

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OPERATING PROCEDURES: CS (Corneal Size) Measurement

2.7 CS (Corneal Size) Measurement

1 Press the CS/PS/PD button to enter CS


measurement mode.
“<<CORNEAL SIZE>>”, guide lines and “START
SW: CAPTURE” are displayed on the screen.
Pressing the CS/PS/PD button switches the
mode in the following order:
2
AR/KM→ CS→ PS→ PD→ CS→ ...

Guide lines
2 Manipulate the joystick to perform alignment and
focusing of the patient’s eye.
The auto-tracking and auto-focusing functions
are automatically turned off.
Manually operate the joystick to perform align-
ment and focusing according to the patient’s eye.

3 Press the start button to capture the image.


The screen switches from a moving image to a still image.
After capturing, instruct the patient to rest comfortably.

• If the mode is switched to CS measurement mode from when a still image is displayed on
the PS (Pupil SIze) measurement screen, a still image is displayed.
• If the start button is pressed before the right button or left button has been
pressed, the still image returns to the moving image that allows for recapturing.

4 Press the right button or left button to


align the guide line on the right of the patient’s
cornea.
The guide line to be aligned is displayed in pink.

5 Press the down button to change the


selected guide line.
The left guide line is displayed in pink.

Align the guide line with the right end of the pa-
tient’s cornea.

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OPERATING PROCEDURES: CS (Corneal Size) Measurement

6 Press the right button or left button to


align the guide line with the left end of the
patient’s cornea.

Move the guide line to the left end of the pa-


tient’s cornea.

7 Press the start button to confirm the measure-


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

8 Measure the other eye in the same manner.

To perform PS measurement at the same time,


press the CS/PS/PD button to switch to
the PS measurement screen. The CS value is displayed.

• When performing both CS (Corneal Size) measurement and PS (Pupil Size) measurement,
switch the eye to be measured after CS measurement and PS measurement of a single
eye are completed.
Only capture of one image is needed for a single eye.
• When the right button or left button has never been pressed, the measured
values are not displayed. Start measurement again from capturing.
• When the AI MODE parameter is set to YES and the PRINT parameter is set to AUTO, CS
measurement must be performed before AR and/or KM measurement to be able to print
the data together with AR- and/or KM-measured data.

9 Press the exit button to exit from CS mea-


surement.
The screen returns to the measurement screen.
The CS-measured data is displayed on the
screen, indicating the completion of CS mea-
surement.

The CS value is displayed.

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OPERATING PROCEDURES: PS (Pupil Size) Measurement

2.8 PS (Pupil Size) Measurement

This is the procedure to measure the pupil size (PS). To measure PS continuing from CS (Corneal
Size) measurement, start from Step 5.

• If the mode is switched to PS measurement mode from when a still image is displayed on
the CS (Corneal SIze) measurement screen, a still image is displayed.
• When recapturing the patient’s eye after turning on or off the lamp button , press the
start button. 2
The screen switches to the screen display in Step 1.

1 Press the CS/PS/PD button to select PS


measurement mode.
“<<PUPIL SIZE>>”, guide lines and “START SW:
CAPTURE” are displayed on the screen.
Pressing the CS/PS/PD button switches the
mode in the following order:
AR/KM→ CS→ PS→ PD→ CS→ ...

Guide lines

2 When the pupil size is measured in a dark place, turn off the chart-illuminating lamp in
the measuring window.
Press the lamp button to turn on or off the chart-illuminating lamp.
When the chart-illuminating lamp is not lit, “LAMP:OFF” is displayed below “<<PUPIL
SIZE>>”.
Instruct the patient not to look round and watch ahead without straining.

LAMP:ON To measure the pupil size during AR measurement


LAMP:OFF To measure the size of the pupil dilated in darkness

3 Manipulate the joystick to perform alignment and


focusing of the patient’s eye.
The auto-tracking and auto-focusing functions
are automatically turned off.
Manually operate the joystick to perform align-
ment and focusing according to the patient’s eye.

4 Press the start button to capture the image.


The screen switches from a moving image to a
still image.
After capturing, instruct the patient to rest comfortably.

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OPERATING PROCEDURES: PS (Pupil Size) Measurement

• When the right button or left button has never been pressed, the measured
values are not displayed. Start measurement again from capturing.

5 Press the right button or left button to


align the guide line on the right of the patient’s
pupil.
The guide line to be aligned is displayed in pink

6 Press the down button to change the


selected guide line.
The left guide line is displayed in pink.

Align the guide line with the right end of the


patient’s pupil.

7 Press the right button or left button to


align the guide line with the left end of the
patient’s pupil.

8 Press the start button to confirm the measure-


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

9 Measure the other eye in the same manner. Move the guide line to the left end of the pa-
tient’s pupil.
• When the right button or left button has never been pressed, the measured
values are not displayed. Start measurement again from capturing.
• When the AI MODE parameter is set to YES and the PRINT parameter is set to AUTO, PS
measurement must be performed before AR and/or KM measurement to be able to print
the data together with AR- and/or KM-measured data.

10 Press the exit button to exit from PS measure-


ment.
The screen returns to the measurement screen.
The PS-measured data is displayed on the
screen, indicating the completion of PS mea-
surement.

The PS value is displayed.

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OPERATING PROCEDURES: PD (Pupillary Distance) Measurement

2.9 PD (Pupillary Distance) Measurement

2.9.1 Auto-PD measurement


When the 63. AUTO PD parameter is set to YES, at the
moment where measurement of both eyes is completed,
PD measurement is also completed and then the PD value
is displayed.
2
Also, the near PD is automatically calculated.

The PD value is displayed.


• A PD value is printed out with measured data.
• A monocular PD is not measured.
Measure the monocular PD manually.
• The calculated near PD is not displayed on the screen but is printed out with the AR-
measured data (when the 55. NEAR PD PRINT parameter is set to YES).
• “PD ERR” displayed on the screen may disable PD measurement. Check the PD window.
If the PD window is blocked, remove the obstacles. If dust settles on the PD window, dampen a cloth with
rubbing alcohol and gently wipe the dust off.
If “PD ERROR” is still displayed on the screen even after making the corrections described above, install
the device in a low light interference environment since the error may occur due to light interference.

2.9.2 Manual PD Measurement


When the 63. AUTO PD parameter is set to NO, perform measurement by the following procedure.
Even when the parameter is set to YES, manual PD measurement can be performed.

1 Press the CS/PS/PD button to select PD


measurement mode.
On the screen, “<PD>”, “R”, “C”, and “L” are dis-
played.

2 Instruct the patient not to move his/her head and eyes during measurement.

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OPERATING PROCEDURES: PD (Pupillary Distance) Measurement

3 After proper alignment of the right eye and left


eye, press the start button each time.
To measure monocular PD at the same time as
the binocular PD, press the start button every
after proper alignment of the right-eye, center,
and the left-eye.

The mark of the detected position disappears.

• If the patient’s head is tilted, straighten it before starting measurement.


• To locate in the exact center position, have the patient wear the frames with a mark in its
center and bring the mark in focus.
It is recommendable to use a pupillary distance meter such as the NIDEK PM-600 in order to obtain pre-
cise monocular PD.
• “R” (right), “C” (center) and “L” (left) on the LCD disappear in order by pressing the start
button to indicate that detection of each position has been completed.

4 When the measurement is completed, the mea-


sured PD is displayed on the screen.
The measurement is completed when the R
(right) and L (left) signs disappear.
To measure the monocular PD, press the start
button in the center.

5 Press the exit button to exit from PD mea-


surement.
The screen returns to the measurement screen.
The measured PD is displayed on the screen,
indicating that the completion of measurement.

The PD value is displayed.

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OPERATING PROCEDURES: Measuring Hard Contact Lenses

4 Place the model eye/CL holder with the sur-


face of the contact lens to be measured facing
toward the measuring window and insert the
fixing pins.

5 Select the KM measurement mode and measure the lens in the same manner as KM
measurement.

• When measuring the convex surface of a contact lens, axis angle can be read directly.
When measuring the concave surface, however, the measured axis should be read
inversely.
• Soft contact lenses cannot be measured.

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OPERATING PROCEDURES: Printing

<Sample printout 2>

Patient No.
Patient ID*1
Space for name and sex
Date and time of measurement
Vertex distance*2
Near working distance*3

AR measurement, Confidence index*4


S = Spherical powers
C = Cylindrical powers
A = Cylinder axis
AR median values*5
SE value*6

Eyeprint*7

Trial lens data*8


CL conversion values*9

KM measurement
R1 = Flattest meridian
R2 = Steepest meridian
AVE = Average of R1 and R2
CYL = Corneal cylindrical power
deg = Corneal cylinder axis

KM median values*10

CS measurement, PS measurement
(ON or OFF of the lamp during PS measurement)

Measurable range over error

Pupillary distance
Distance PD, (Monocular PD), Near PD*11

Comments*12

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OPERATING PROCEDURES: Printing

2.11.3 Printing parameter settings


The 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 “2.12 Parameter Settings” (page 60) for details on the parameters.

2
2 Press the print button .
The parameter settings are
printed as follows:
The parameter settings are
printed; regardless of the dis-
played page on the PARAME-
TER SETTING screen, all the
parameter settings are printed
out.
Parameters

Clock setting

Comments

Program version
(for maintenance)

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OPERATING PROCEDURES: Parameter Settings

2.12 Parameter Settings

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

1 Press the parameter button for about a sec-


ond.
The PARAMETER SETTING screen is displayed
and parameter items are displayed.
The currently selected parameter item is high-
lighted.

2 Press the up/down button to select a parameter


to be changed.
See “2.12.1 Parameter tables” (page 63) for
details on the parameters.

Move the highlight.

Up button Moves the current selection up.

Down button Moves the current selection down.

• See “2.12.2 Setting the time and date” (page 73) when CLOCK SET is selected.
• See “2.12.3 Entering comments” (page 75) when COMMENT SET is selected.
• To check the parameter setting, press the print button .
See “2.11.3 Printing parameter settings” (page 59) for details on printing.

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OPERATING PROCEDURES: Parameter Settings

3 Press the execute button to switch to the


[PRINT1] screen.
Parameters and their settings are displayed.
A parameter that is being selected is highlighted.

2
PRINT1 screen
4 Press the up/down button to select a parameter
to be changed.

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 to


change the parameter setting.

Parameter setting changes.

Right button Selects the next parameter option.

Left button Selects the previous parameter option.

See “2.12.1 Parameter tables” (page 63) for the selectable options with the above switches.

• Underlined options in the parameter tables indicate factory settings.

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OPERATING PROCEDURES: Parameter 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.

7 To finish setting the parameters, press the exit button .


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

• The parameter settings are maintained in memory even though the device is turned off.
• After changing parameter settings, turn off the device after pressing the exit button .
Otherwise, parameter settings are not saved.

{ Resetting the parameters


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

• Comments, date and time are not 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.
3) The parameters are reset to the factory settings and the device is turned on.

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OPERATING PROCEDURES: Parameter Settings

2.12.1 Parameter tables


[AR (AR measurement)]
* Underlined options indicate factory settings.

No. Parameter Settings


1 STEP 0.01D / 0.12D / 0.25D
2 VERTEX D. 0.00mm / 10.50mm / 12.00mm / 13.75mm / 15.00mm / 16.50mm
3 AXIS STEP 1°/ 5°

4 MEAS MODE CON. / NOR. 2


5 AI MODE YES / NO
6 AR CONTINUE 3 - 10 (Factory setting: 3)
7 AR THUMBNAIL YES / NO / LOW CONF

1 : STEP (AR measurement step)


Selects the indication step of SPH and CYL data for AR measurement and indication step for corneal
refractive power (dioptric power converted from corneal curvature radius).

2 : VERTEX D. (vertex distance)


Selects the distance between the corneal vertex to the posterior surface of the spectacle lens when the
patient wears glasses.
*13.75 mm is the factory setting of devices destined for NIDEK INCORPORATED.

3 : AXIS STEP (indication step of AXIS)


Selects the indication step of AXIS data for AR measurement.
4 : MEAS MODE (measurement mode)
Selects the way of fogging in successive AR measurements.
Fogging stays throughout the measurement series.
CON.
This mode is useful for children who do not fixate their eyes very long.

The patient’s view is fogged for each measurement even though the start button is held down.
NOR.
This mode is useful for patients who accommodate their eyes easily.

5 : AI MODE (AI mode)


Selects whether or not to use AI mode.
When the AI MODE parameter is set to YES, the measurement automatically completes under the fol-
lowing conditions:
AR measurement automatically completes when stable data is obtained without variations after a
minimum of three shots.
If unstable data is included, additional measurements are taken and then the measurement com-
pletes.

• A measurement count is set by the 6. AR CONTINUE parameter.

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OPERATING PROCEDURES: Parameter Settings

6 : AR CONTINUE (successive AR measurement)


Sets the measurement count for a single eye.
When the AI MODE parameter is set to OFF, the measurement automatically completes after the spec-
ified number of measurements.
When the AI MODE parameter is set to ON, variations in data are checked after the specified number
of measurements. As a result of the check, the measurement completes when the data is stable. If not,
the measurement completes after the set number of additional measurements.
7 : AR THUMBNAIL
Selects whether or not to display the thumbnail screen of the measurement ring image during AR mea-
surement.
When YES is selected, a thumbnail of the measurement ring image is displayed to the left of the
screen after AR measurement is complete. Press the ring image enlargement button for full
screen display of the ring image.
When LOW CONF is selected, a thumbnail of the measurement ring image is displayed as in the case
of YES after AR measurement is complete with the confidence index at 7 or less.

[KM (KM measurement)]


* Underlined options indicate factory settings.

No. Parameter Settings


11 KM UNIT mm / D

12 KM DISPLAY R1, R2 / AVE, CYL

13 REF. INDEX 1.3320 / 1.3360 / 1.3375


14 KM CONTINUE 3 - 10 (Factory setting: 3)

11 : KM UNIT (unit for corneal curvature radius)


Selects whether or not to express the corneal curvature radius obtained in KM measurement in radius
(mm) or in diopter (D).

12 : KM DISPLAY (representation of corneal curvature radius)


Selects the KM measurement representation between R1 (flattest meridian) and R2 (steepest merid-
ian), and AVE (averages of R1 and R2) and CYL (amount of corneal astigmatism).
13 : REF. INDEX (corneal refractive index)
Selects the corneal refractive index.
14 : KM CONTINUE (successive KM measurement)
Selects the number of multiple KM measurements in KM measurement.

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OPERATING PROCEDURES: Parameter Settings

[COMPARE (View comparison function)]


* Underlined options indicate factory settings.

No. Parameter Settings


21 COMPARE SW AUTO / MANUAL / NO
22 COMPARE(AR) SE / -SPH
23 ADD SW YES / NO
24 ADD SELECT 1.50D / 1.75D / 2.00D

21 : COMPARE SW (comparison function button)


2
Selects how to enter the view comparison function screen.

The view comparison function screen is automatically displayed when both eyes have
AUTO
been measured.
The view comparison function screen is displayed when the view comparison button is
MANUAL
pressed.

The view comparison function screen is not displayed.


NO The icon of the view comparison function is not displayed on the measurement
screen.

22 : COMPARE (AR)
Selects the SPH value (spherical power) to be used for the view of AR measurement during the View
Comparison function.

SE The spherical power of the SE (Spherical Equivalent) value is used.


-SPH The highest power (spherical power + cylindrical power) is used.

23 : ADD SW (addition power button)


Selects whether or not to add an addition power by pressing the ADD button during the view
comparison function for near vision.
24 : ADD SELECT (addition power)
Selects the addition power to be added during the view comparison function for near vision.

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OPERATING PROCEDURES: Parameter Settings

[PRINT1 (Print setting 1)]


* Underlined options indicate factory settings.

No. Parameter Settings


31 PRINT MANUAL / AUTO / NO

32 ECONO. PRINT YES / NO


33 PRINT&CLEAR YES / NO
34 PRINT DENSITY LOW / MIDDLE / HIGH
35 PATIENT NO. YES / NO

36 SET PATIENT NO. 0001 to 9999


37 NAME PRINT YES / NO
38 DATE FORMAT Y/M/D / M/D/Y / D/M/Y / NO
39 PRINT COMMENT YES / NO

31 : PRINT (printing)
Selects the method of starting printing.

MANUAL Press the print button to print the measured data out.

AUTO Printing starts automatically at the completion of measurement.

NO Printing does not occur.

32 : ECONO. PRINT (economical printing)


When YES is set, printing is performed with reduced line-spacing to save printer paper.
33 : PRINT&CLEAR (erasing 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 per-
formed after printing.

• Measured data in the memory is erased automatically regardless of the 33.


PRINT&CLEAR parameter setting when the patient ID is scanned by the barcode scanner
and then the measured data is printed out.

34 : PRINT DENSITY (density of printed text)


Selects the density of text to be printed.
35 : PATIENT NO. (printing of patient number)
Selects whether or not to print the patient No.
36 : 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.

37 : NAME PRINT (printing of name)


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

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3. OPERATION WHEN PERIPHERAL DEVICES ARE CONNECTED

The ARK-500A exports data to an external device such as the NIDEK motorized refractor (hereafter
referred to as RT) and computer.
It also imports data from the NIDEK lensmeter (hereafter referred to as LM).

CAUTION • Be sure to turn off each device before connecting a communication cable.
Connecting the cable with the power on may cause malfunction.

3.1 Connecting to the NIDEK Motorized Refractor (RT) or Computer


3

3.1.1 Outline
Any data printed can be exported to the RT or a computer.
The AR data transmitted to the RT is used as objective measurement values in the subjective tests.
Connectable devices: RT-1200 series, RT-2100 series, RT-5100
Data transmitted to a computer can be managed by various database software.

Subjective refraction

Objective measurement

AR data

Test based on LM data and


objective values

NIDEK motorized refractor

AR data Managed by database soft-


KM data ware
Data output to RT

Computer

• Data communication is performed through RS-232C interface.

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OPERATION WHEN PERIPHERAL DEVICES ARE CONNECTED: Connecting to the NIDEK Motorized Refractor (RT) or Computer

3.1.2 Connecting procedure

1 Connect the RT (or a computer) to the data output port ( ) of the ARK-500A via a
communication cable (optional).
Connect the cable with the device laid down.
Attach a ferrite core (optional) to the the ARK-500A side connector of the communication
cable.

Ferrite core (optional)

RS-232C cable (optional)

To RT or computer

3.1.3 Operating procedure


1 After measurement, press the print button .
Perform the printing process in the standard manner.
See “2.2 Preparation for Measurement” (page 20) for the measuring method.
See “2.11 Printing” (page 55) for printing.

2 The ARK-500A automatically transmits data to the RT (or computer).


When the ARK-500A is connected to the RT, it receives data No. (ID No.) from the RT.
When the ARK-500A is connected to a computer, it does not receive data No. (ID No.).

3 The measured data is printed.


When the ARK-500A is connected to the RT, the data No. (ID No.) is also printed.

• Disconnect the communication cable while


pressing the button on the connector. Button

When the cable is connected, the button is


located on the underside of the connector.

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OPERATION WHEN PERIPHERAL DEVICES ARE CONNECTED: Connecting to the NIDEK Auto Lensmeter

3.2 Connecting to the NIDEK Auto Lensmeter (LM)

3.2.1 Outline
The ARK-500A imports data measured with the NIDEK lensmeter, and prints the LM data (lensmeter
readings). It also exports the LM data to the connected RT. (The lensmeter provided with this function
is needed.)
Connectable devices: LM-500, LM-970, LM-990/990A, LM-1000/1000P, LM-1200
The LM data transmitted to the RT is used as previous eyeglass lens values in the subjective test.

Objective measurement Subjective refraction 3


Measurement of glasses

LM, AR
LM data data

Test based on LM data


Printing LM data and objective values

3.2.2 Connecting procedure

1 Connect the data input port ( ) of the ARK-500A to the lensmeter (LM) via a commu-
nication cable (optional).
Connect the cable with the device laid down.
Attach a ferrite core (optional) to the the ARK-500A side connector of the communication
cable.

2 Connect the data output port ( ) of the ARK-500A to the RT via a communication
cable (optional).
Attach a ferrite core (optional) to the the ARK-500A side connector of the communication
cable.

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OPERATION WHEN PERIPHERAL DEVICES ARE CONNECTED: Connecting to the NIDEK Auto Lensmeter (LM)

Communication cable
(optional)

To LM

Ferrite cores
(optional)
To RT

3.2.3 Operating procedure

1 After lens measurement with the LM, press the print button on the LM.

2 The ARK-500A receives lensmeter readings from the LM.

• When the device communicates with the LM, set the communication parameters of each
instrument as follows. See the operator’s manual for the setting method of each device.
[Settings of ARK-500A]
73. BAUD-RATE = 9600
74. BIT LENGTH = 8
76. LM DATA PRINT = YES
[Settings of NIDEK lensmeter]
PRINTER = COM PRINT
RS-232C = NIDEK
Baud Rate = 9600
Parity = Odd
Data Bits = 8
Stop Bits = 1

3 The LM data is printed and data is transmitted to the RT.

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OPERATION WHEN PERIPHERAL DEVICES ARE CONNECTED: Connecting to the Eye Care Card System

3.3 Connecting to the Eye Care Card System

3.3.1 Outline
Data transfer by way of the Eye Care card using the optional Eye Care card system “EyeCa-RW” is
explained.
The Eye Care card system should be connected to the data output port ( ) provided at the bottom
of the device.
For the DIP switch settings, only set SW3 of the DIP switchpack of the Eye Care card system located
at the bottom to the “ON” position.

Objectively measured data

EyeCa-RW
Eye Care card

EyeCa-RW

ARK-500A
AUTO OPTOMETRY SYSTEM

3.3.2 Connecting procedure

1 Connect the interface cable of the EyeCa-RW to the data output port ( ).

Interface cable

EyeCa-RW

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OPERATION WHEN PERIPHERAL DEVICES ARE CONNECTED: Connecting to the Eye Care Card System

3.3.3 Transferring data with the EyeCa-RW


The procedure for writing data to the Eye Care card differs depending on whether the measured data
is printed or not.

{ When printing measured data

1 Insert the Eye Care card into the ARK-500A on condition that the ARK-500A has no
measured data in the internal memory.
The EyeCa-RW emits a short beep and the access indicator illuminates in green.
If the ARK-500A has not measured data in its memory, the memory indicator of the ARK-
500A is shut off.

Access indicator

IC card Reader/Writer
Eye Care card EyeCa-RW

2 Perform measurements.

3 Press the print button .


Follow the same procedure as the normal printing procedure.
The access indicator changes to the orange one, and the data is written to the Eye Care
card.
After the data has been written successfully, the EyeCa-RW emits a short beep and the
access indicator flashes in green.

4 After the access indicator of the EyeCa-RW has changed to the green flashing
one, eject the Eye Care card.

• Refer to the Operator's Manual supplied with the EyeCa-RW for the other procedures.

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OPERATION WHEN PERIPHERAL DEVICES ARE CONNECTED: Connecting to the Eye Care Card System

{ When not printing measured data


Set the 31. PRINT parameter to “MANUAL” or “NO” in advance.
See “2.12 Parameter Settings” (page 60) for details.

1 After measurements, insert the Eye Care card.


The EyeCa-RW emits a short beep and the access indicator illuminates in green. The
access indicator changes to the orange one, and the data is written to the Eye Care card.
After the data has been written successfully, the EyeCa-RW emits a short beep and the
access indicator flashes in green.

2 After the access indicator of the EyeCa-RW starts flashing in green, eject the Eye
Care card.
3
The data in the memory of the ARK-500A is automatically erased when the next measure-
ment has begun.

• Never eject the Eye Care card while it is being accessed.


While the card is being accessed, the access indicator is lit in orange.
The access indicator flashing in orange indicates an error occurrence. In this case, the card can
be ejected.
When trying to eject the card while it is being accessed, data will not be written successfully and
the Eye Care card may be irreparably damaged.

3.3.4 Erasing data on the Eye Care card


All the data on the Eye Care card is erased.

1 Press the clear switch of the EyeCa-RW for


about a second.
The EyeCa-RW emits a short beep and the
access indicator is lit in red.

Clear switch

2 Insert the Eye Care card.


The access indicator is lit in orange and all the data on the Eye Care card is erased.
If the data has been erased, the EyeCa-RW emits a longer beep and the access indicator
flashes in green.

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OPERATION WHEN PERIPHERAL DEVICES ARE CONNECTED: Reading Patient IDs

3.4 Reading Patient IDs

• Although a patient ID can be read before or after measurement, it is advisable to read it


before printing the measured data.
If a patient ID is read after measured data has been printed and is still displayed, the device con-
siders the displayed data to be that of a former patient and erases it automatically.
• The ARK-500A considers the patient ID entered before printing to be the ID of the printed
data.
If an incorrect patient ID is entered, re-enter the correct ID.

Read patient IDs using a barcode scanner. The read patient IDs are used by NIDEK ADVANCED
VISION INFORMATION SYSTEM NAVIS.
The read patient IDs are printed on the ARK-500A as well as the measured data.

• Only the optional barcode scanner can be connected.


• The device recognizes only alphanumeric characters as patient IDs.
The ARK-500A does not recognize any symbols or such other than alphanumeric characters.

Connect the barcode scanner to the USB-A port at the underside of the device.
Attach a ferrite core (optional) to the the ARK-500A side connector of the communication
cable.

Ferrite core (optional)

Barcode scanner

• Beeping sounds when the device is turned on with the barcode scanner connected.
The beeps indicate that connection is correct.

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OPERATION WHEN PERIPHERAL DEVICES ARE CONNECTED: Reading Patient IDs

1 Place the scanner window over the barcode.

Scanner window

Trigger button

2 Press the trigger button.


Confirmation LED
3
The scanner window blinks in red and the bar-
code is read.
After the barcode has been read successfully,
the confirmation LED lights up and the scanner
emits a short beep.

When the barcode is read successfully, the ARK-


500A displays the ID indication indicating
that the patient ID has been entered.

ID indication

• Measured data in the memory is automatically erased regardless of the 39. PRINT&CLEAR
parameter setting when the patient ID is scanned by the barcode scanner and then the
measured data is printed out.

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OPERATION WHEN PERIPHERAL DEVICES ARE CONNECTED: Reading Patient IDs

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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 does not turn on. Reconnect it securely.
• The power switch may not have been turn on. Check the power switch.

The LCD does not turn on (not clear) • The sleep function may have been executed. Try to recover the monitor
even though the power is on. ON condition by pressing any button.

• Sleep mode may have been activated. Press any button to exit from
The screen disappears suddenly.
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 31. 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 • Check that the printer cover is securely closed.
Open the printer cover and close it securely.
print button is pressed, “ERROR”
• The print button may have been pressed too soon after the printer cover
or “NO PAPER” appears even though was closed.
printer 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.

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MAINTENANCE: Troubleshooting

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.

“PD ERR” is displayed on the screen. • Make sure that the PD measuring window is not blocked.
• The patient may have blinked during measurement.
Instruct the patient not to blink and try measurement again.
• The eyelid or eyelashes may obstruct measurement.
Instruct the patient to open his/her eye wider.
If the patient cannot open wider, lift the patient’s lid, paying attention not
A measurement error appears.
to press against the eyeball.
• The pupil may be too small for measurement.
Have the patient sit in a dark room for a while until the pupil enlarges
enough and try measurement again.
• The data may exceed the measurable limit.

• Clean the measuring window.


“CHECK MEASURING WINDOW.” is See “4.6.1 Cleaning the measuring window” (page 97).
printed out at device start-up. • If the measuring window is not dirty, make sure that the measuring
window is not blocked at device start-up.

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

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MAINTENANCE: Error 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 the PD measurement
Malfunction of the PD sensor or LED is probable.
PD ERR
• Make sure that the PD measuring window is not blocked.
• Shut off the device and contact NIDEK or your authorized distributor.
• Error related to control signals for communication (output port)
ERR011 Ensure that the communication 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 communication 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 communication 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 communication 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 communication 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 communication 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 communication 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 communication 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 communication cable is properly connected to the output port.
• Also ensure that the communication parameters are properly set.

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MAINTENANCE: Error Messages and Countermeasures

Error code Cause and countermeasure


• Error related to control signals for communication (input port)
ERR021 Ensure that the communication cable is properly connected to the input port.
• Also ensure that the communication parameters are properly set.

• Error related to control signals for communication (input port)


ERR022 Ensure that the communication cable is properly connected to the input port.
• Also ensure that the communication parameters are properly set.
• Error related to control signals for communication (input port)
ERR023 Ensure that the communication cable is properly connected to the input port.
• Also ensure that the communication parameters are properly set.

• Error related to control signals for communication (input port)


ERR024 Ensure that the communication cable is properly connected to the input port.
• Also ensure that the communication parameters are properly set.

• Error related to control signals for communication (input port)


ERR025 Ensure that the communication cable is properly connected to the input port.
• Also ensure that the communication parameters are properly set.
• Error related to communication data (output port)
ERR026 Ensure that the communication cable is properly connected to the output port.
• Also ensure that the communication parameters are properly set.

• Error related to communication data (output port)


ERR027 Ensure that the communication cable is properly connected to the output port.
• Also ensure that the communication parameters are properly set.

• Error related to communication data (output port)


ERR028 Ensure that the communication 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.
• 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.
NO PAPER If the printer cover is open, close it securely.
• If the same error code is displayed even after the replacement of printer paper roll, shut off the
device and contact NIDEK or your authorized distributor.

• Error related to the printer


ERR043 Malfunction of the printer, electric circuit board, or break in cables is probable.
• Shut off the device and contact NIDEK or your authorized distributor.

• Error related to the motor sensor


ERR101 Malfunction of the motor or sensor is probable.
• Shut off the device and contact NIDEK or your authorized distributor.

• Error related to the temperature sensor


Malfunction of the electric circuit board or temperature sensor on the electric circuit board is
ERR111
probable.
• Shut off the device and contact NIDEK or your authorized distributor.

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MAINTENANCE: Error Messages and Countermeasures

Error code Cause and countermeasure


• Error related to the AR motor
ERR112 Malfunction of the AR motor is probable.
• Shut off the device and contact NIDEK or your authorized distributor.

• Error related to a connecting device


A USB device connected to the USB-A connector was not properly recognized.
ERR601 • Check the connecting cable for connection.
• If the same error code is displayed even after another USB device is connected, shut off the
device and contact NIDEK or your authorized distributor.
• Error related to a connecting device
ERR602 The device was started with a USB device other than the optional barcode scanner connected.
• Disconnect the connected device and start the device again.

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MAINTENANCE: Replacing 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.

CAUTION • Do not touch the printer head at the top of the opened printer cover.
The printer head is hot right after printing and you may get burned.

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MAINTENANCE: Replacing 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 or the core of the roll is properly
4
placed.
Printer paper may not be fed properly.

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.

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MAINTENANCE: Fixing 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.

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MAINTENANCE: Checking the AR/KM Measurement Accuracy

4.5 Checking the AR/KM Measurement Accuracy

To check the accuracy of measured data, use the provided spherical model eye for R/K measurement.
The spherical model eye is incorporated with a contact lens holder.

1 Remove the two fixing pins and remove the


stack of chinrest paper from the chinrest.

2 Remove the cap from the spherical model eye


and put the model eye on the chinrest with its
lens toward the measuring window and then
insert the fixing pins.
Check the lens surface of the model eye for
soiling.

3 Align the level of the spherical model eye for R/K measurement with the eye level marker
with the chinrest up/down button or .

4 Set the 1. STEP parameter to 0.01 D.


See “2.12 Parameter Settings” (page 60) for the parameter setting method.

5 Perform AR and KM measurements in the same manner as normal AR and KM mea-


surements.

• If the measured result is higher than the value indicated on the model eye, contact NIDEK
or your authorized distributor.
• Always store the model eye with the cap on.
If the lens surface is soiled or flawed, measurement accuracy cannot be properly checked.

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MAINTENANCE: Checking the AR/KM Measurement Accuracy

{ Values marked on the labels of the spherical model eye

Vertex distance
Diopter (Unit: D)

Corneal curvature radius


(Unit: mm)

• When the vertex distance is set to a value other than 12.00 mm (US: 13.75 mm), set the 2.
VERTEX D. parameter to 12.00 mm (US: 13.75 mm) before performing AR measurement.

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MAINTENANCE: Cleaning

4.6 Cleaning

When the cover or panel of the device becomes dirty, clean it with a soft cloth. For severe stains, soak
the cloth in a neutral detergent, wiring well, and wipe. Finally dry with a soft, dry cloth.

CAUTION • Never use an organic solvent such as paint thinner.


It may ruin the surface of the device.

• Lightly wipe the exterior of the LCD. Do not press the LCD using an object with a
hard tip. In addition, keep magnetic objects away from the LCD.
Scratches or failure of the LCD 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.

4.6.1 Cleaning the measuring window 4


When the measuring window gets fingerprints or dust on it, the reliability of the measured value is
impaired substantially. Check for dirt on the measuring window before use, and then clean it if it is
dirty.
The measuring window lens does not usually get soiled through normal use because it is recessed.
Only clean it when “CHECK MEASURING WINDOW.” is displayed or the lens is soiled.

1 Blow off dust on the measuring window with a blower.

2 Wrap lens cleaning paper around a thin stick


such as a chopstick (or cotton swab) and wipe
the lens of the measuring window with a material
moistened with alcohol.

Wrap cleaning paper around the tip.

• Use a thin stick which does not damage glass lenses.


• Wipe lightly from the center of the measuring window to the outside in a circular motion.

3 Wipe off the glass of the mire ring around the measuring window using a gauze or such
dampened with alcohol.

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MAINTENANCE: Cleaning

4 Check if the window is cleaned using a penlight. If not, clean it again with new cleaning
paper.
Apply light with a penlight and change the view angle to check the dirt clearly.

Measuring window

• When the 61. WINDOW CHECK parameter is set to YES or DAY, the measuring window is
checked whether it is clean at device start-up.
YES⇒ The measuring window is checked at every start-up.
DAY⇒ The measuring window is checked at the first start-up of the day.
• When “CHECK MEASURING WINDOW.” is printed, clean the measuring window.
• At device start-up, do not stand or put objects in front of the measuring window.
If something blocks the front of the measuring window within the range of 1 m, the measuring win-
dow may not be checked correctly.

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MAINTENANCE: Cleaning

4.6.2 Cleaning the 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 92).

Auto cutter
4
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.

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