RETI-port/scan 21

Short manual

Version: 19-99_04_7.7E
Edition: 07
Date: 2011-01-18

0197

Friedrich-Franz-Str. 19
14770 Brandenburg
GERMANY
Tel: +49 (0) 33 81-38 26 20
Fax: +49 (0) 33 81-38 26 21
E-Mail: info@roland-consult.de
www.roland-consult.com
www.roland-instruments.com
Note: This is a short guide. You can find the detailed manuals on the CD-ROM of your system.
 Short manual – RETI-port/scan21

Table of Contents

1 Pattern VEP ................................................................................................................................... 4

2 Pattern ERG................................................................................................................................... 5

3 Ganzfeld ERG ................................................................................................................................ 6

4 Miniganzfeld ERG ........................................................................................................................ 7

5 BABYflash ERG............................................................................................................................. 8

6 Ganzfeld Flash VEP ...................................................................................................................... 9

7 Miniganzfeld Flash VEP ............................................................................................................. 10

8 EOG .............................................................................................................................................. 11

9 Visual Acuity ............................................................................................................................... 12

10 mfERG .......................................................................................................................................... 13

11 mf Perimeter – objective visual field testing............................................................................ 14

12 Patient Window ........................................................................................................................... 15

13 Recording Window ..................................................................................................................... 16

14 Analysis Window ........................................................................................................................ 17

15 Print out ....................................................................................................................................... 18

16 Instrument Table PC-car RETItable plus .................................................................................. 19

17 Cleaning instruction ................................................................................................................... 20

17.1 Cleaning, Disinfection .......................................................................................................... 20
17.2 Electrodes and Patient cable ............................................................................................... 20
17.3 The body .............................................................................................................................. 20
17.4 Monitor and TFT-Screen ...................................................................................................... 20

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1 Pattern VEP

Red Ch-
Ch-1

Blue Ch-
Ch-1

Requirement:

- Distance patient
monitor: 100 cm

- Photopic conditions
- Patient refraction / correction for 100 cm viewing distance
- 3x EEG-Electrodes at channel 1
- One eye covered
- Impedance < 10 kOhm

Measurement:

- Program VEP/ERG
Pattern VEP

- Enter patient data
- Electrode placement
- Measure impedance
- 2 measurements: right eye, different check size 1.step= 1,0deg, 2.step= 15min
- Change eye cover
- 2 measurements left eye, different check size 3.step= 1,0deg, 4.step= 15min
- go to Analysis, Save (original data)
- if needed: adjust the scale, Marker correction, smooth
- Save and print out

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2 Pattern ERG

Blue Ch-
Ch-1 Blue Ch-
Ch-2

Red Ch-
Ch-1 Red Ch-
Ch-2

Requirement:

- Distance patient
monitor: 100 cm

- Photopic conditions
- Patient refraction / correction for 100 cm viewing distance
- Right: Channel 1 / Left: Channel 2
- 2 active Electrodes: DTL/ERG-JET/Gold foil/HK-Loop
- 2 reference EEG electrodes, 1 ground EEG electrode
- Both eyes
- Impedance < 10 kOhm

Measurement:

- Program VEP/ERG
Pattern ERG

- Enter patient data
- Electrode placement
- Measure impedance
- 2 measurements: 1.step check size 48min of arc
2. step same check size 48min ; result of first step is in shadow to check the
reproducibility of the response
- go to Analysis, Save (original data)
- if needed: adjust the scale, Marker correction, smooth, blinking artifact remove
- Save and print out

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3 Ganzfeld ERG

Blue Ch-
Ch-1 Blue Ch-
Ch-2

Red Ch-
Ch-1 Red Ch-
Ch-2

Requirement:
- Scotopic conditions, Patient 25 min dark adapted
- Pupils dilated
- Right: Channel 1 / Left: Channel 2
- Active Electrodes: DTL/ERG-JET/Gold foil/HK-Loop
- No visual correction
- Both eyes
- Impedance < 10 kOhm

Measurement:
- Program VEP/ERG
ERG GF
- Enter/Load patient data
- Electrodes placement
- Impedance measurement
- 3 scotopic steps
- go to next step
- 10min light adaptation before next step starts
- 2 photopic steps
- go to Analysis,
Analysis, Save (original data)
- if needed: adjust the scale, Marker correction, smooth, blinking artifact remove
- Save and print out

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4 Miniganzfeld ERG

Blue Ch-
Ch-1 Blue Ch-
Ch-2

Red Ch-
Ch-1 Red Ch-
Ch-2

Requirement:

- Scotopic conditions
- Pupils dilated
- Right: Channel 1 / Left: Channel 2
- Active Electrodes: DTL/ERG-JET/Gold foil/HK-Loop
- No visual correction
- Each eye separately
- Impedance < 10 kOhm
- Patient 25min dark adapted, if possible

Measurement:

- Program VEP/ERG
ERG MGF

- Enter/Load patient data
- Electrodes placement both eyes
- Impedance measurement
- 3 scotopic steps for right eye (Ch-1) , than 3 scotopic steps for left eye (Ch-2)
- go to next step
- 10min light adaptation before next step starts
- 2 photopic steps for right eye (Ch-1), than 2 photopic steps for left eye (Ch-2)
- go to Analysis, Save (original data)
- if needed: adjust the scale, Marker correction, smooth, blinking artifact remove
- Save and print out

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5 BABYflash ERG

Blue Ch-
Ch-1 Blue Ch-
Ch-2

Red Ch-
Ch-1 Red Ch-
Ch-2

Requirement:

- Scotopic conditions
- Pupils dilated
- Right: Channel 1 / Left: Channel 2
- Active Electrodes: DTL/ERG-JET/Gold foil/HK-Loop
- Impedance < 10 kOhm
- Patient 25min dark adapted
- Distance: 20cm

Measurement:

- Program VEP/ERG
ERG BF

- Enter/Load patient data
- Electrodes placement both eyes
- Impedance measurement
- 3 scotopic steps
- go to next steps by holding the BABYflash button for a few seconds
- 10min light adaptation before next step starts
- 2 photopic steps
- go to Analysis
- Use Offline Averaging to take the most reproducible responses
- Save (original data)
- if needed: adjust the scale, Marker correction, smooth, blinking artifact remove
- Save and print out

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6 Ganzfeld Flash VEP

Red Ch-
Ch-1

Blue Ch-
Ch-1

Requirement:

- Photopic conditions
- Pupils non dilated
- 3x EEG-Electrodes at channel 1
- One eye covered
- Impedance < 10 kOhm

Measurement:

- Program VEP/ERG
Flash VEP GF

- Enter/Load patient data
- Electrodes placement
- Impedance measurement
- 2 measurements right eye : 1 step check single response, 2.step steady state
- Change eye cover
- 2 measurements right eye : 1 step check single response, 2.step steady state
- go to Analysis
- Save (original data) , Marker correction, smooth, …. if needed
- Save and print out

Single Response Steady State Response

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7 Miniganzfeld Flash VEP

Red Ch-
Ch-1

Blue Ch-
Ch-1

Requirement:

- Photopic conditions
- Pupils non dilated
- 3x EEG-Electrodes at channel 1
- No visual correction
- One eye covered
- Impedance < 10 kOhm

Measurement:

- Program VEP/ERG
Flash VEP MGF

- Enter/Load patient data
- Electrodes placement
- Impedance measurement
- 2 measurements right eye : 1 step check single response, 2.step steady state
- Change eye cover
- 2 measurements left eye : 1 step check single response, 2.step steady state
- go to Analysis
- Save (original data), Marker correction, smooth, …. if needed
- Save (analyze data) and print out

Single Response Steady State Response

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8 EOG

Blue Ch-
Ch-1 Blue Ch-
Ch-2

Red Ch-
Ch-1 Red Ch-
Ch-2

Requirement:
- 20min normal room light adaptation before measurement
- Impedance < 10 kOhm
- Patient has to move his eyes to LED, with the head fixed, patient should move
eye between illuminating LEDs
- Without correction
- Dilated or non dilated eyes
- Complete dark room

Measurement:
- Program EOG
select dilated or non dilated eye
- Enter patient data
- Electrodes placement
- Measure impedance
- Start measurement
- Measurement 15 min dark, then 15 min with light, runs automatically
- Go to Analysis
Analysis
- Set min. value marker with left mouse button and max. value marker with right
mouse button
- Save and print out

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9 Visual Acuity

Red Ch-
Ch-1

Blue Ch-
Ch-1

Requirement:
- Distance patient
monitor: 100 cm
- Photopic conditions
- Patient refraction/correction for 100 cm viewing distance
- 3x EEG-Electrodes at channel 1
- One eye covered
- Impedance < 10 kOhm

Measurement:

- Program Visual Acuity
„Right VisAc“ for right eye, „Left VisAc“ for left eye
- Enter patient data
- Electrodes placement
- Measure impedance
- Run all 13 steps
- go to Analysis
Analysis
- Save and print out

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10 mfERG

Blue Ch-
Ch-1 Blue Ch-
Ch-2

Red Ch-
Ch-1 Red Ch-
Ch-2

Requirement:

- Distance patient
monitor 30cm (Chinrest), standard 61areas

- Photopic conditions
- Pupils dilated with correction lenses (correct value= patient value +3)
- Right: Channel 1 / Left: Channel 2 ( according to the Channel selection )
- Test each eye separately ( both eyes together is also possible )
- Active electrodes: DTL/ERG-JET/Gold foil /HK-Loop
- Impedance < 10 kOhm
Channe selcetion
Measure window

Measurement:

- Program mfERG
Measure

- Enter patient data
- Electrodes placement
- Measure impedance
- 8 runs ( 61 areas) right eye (or eye with disease first)
- Change eye, and select the correct channel, over
- 8 runs opposite eye
- go to Analysis
- Save and print out
Standard printout

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11 mf Perimeter – objective visual field testing

3 2
4

Inion

Requirement:
- Distance patient
monitor 30cm (Chinrest)
- Patient refraction/correction for 30 cm viewing
distance
- Photopic conditions
- Pupils dilated with correction lenses
- Right: Channel 1 / Left: Channel 2
- Active electrodes: DTL/ERG-JET/Gold foil/HK-
Loop
- One eye covered
- Impedance < 10 kOhm
Measurement:
- Program mfPerimeter
- Enter patient data and click on „Take“
- Set controls
- Electrodes placement
- Measure impedance
- Start measurement
- go to Analysis
- Save and print out
Color / Channel Position
Brown / 1 A
Red / 2 D
Orange / 3 B
Yellow / 4 C

Channel reference active

1 A C
2 B D
3 B C
4 D C

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12 Patient Window

New Patient:
- click on New Patient.
Patient This will clear the data fields.
- insert the patient data. The red labeled fields are required.
- click on Store Patient.
Patient This will store the patient data into the database
- set the examination parameters for the patient.
- click on OK to close the window and start the measurement

Load Patient:
- click on Load Patient to open the database window.
- select a patient.
- Click on OK to close the window and start the measurement

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13 Recording Window

Preparations:
- click on Impedance to check the impedance of the electrodes
- click on Start Biosignal to check the signal

Recording:
- click on Start or press F2
- the first step will run
- after the first step the recording stops
- click on Next Step or press F3 to select the next step
- repeat this procedure for all steps

Delete:
- select the step in the Examination Steps window
- click on Delete or press F5.
F5 This will delete the selected step only
- click on Start to run this step again

Artifact rejection:
- if the bio signal is higher than 95% of the amplifier input range, the system
detect this signal as an artifact, and the artifact counter is increasing
- the system starts again, if the response is lower than the 95% the signal will
except and does to the averager calculation, the average number is increasing
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14 Analysis Window

Save examination:
- click on Save Examination.
Examination Afterwards confirm the message box.
Load examination:
- click on Load Examination
- select a patient in the upper part of the window
- select a examination in the lower part of the window
- click on OK to confirm your selection
Set marker:
- move the mouse in the near of a marker
- press the left mouse button and hold
- move the marker to the new position
- release the left mouse button
- the marker values are displayed together with normal values in the lower table
- the checkbox Curve Not Evaluated disables the marker for the selected curve
Next Group:
- click on Next Eval. Group to switch between the different groups of a program

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15 Print out

Settings:
- select a printer
- select groups for printing
- set the check box Colored for a color print
- set the check box Anonymous Print for a print without the patient data

Preview:
- click on Preview to see a preview of the print

Print out:
- click on Print Out to make print with the chosen settings

Print to file:
- click on Print To File to save the Printout as BMP, GIF or JPG on hard disk

Export:
- click on Export CSV to export the data as text file

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16 Instrument table PC-car RETItable plus

Panels

The electric driven lifting columns guarantee the height adjustment in a very large area.
Adjust the amount of installed equipment to the investigation body size of the patient.

Please note: At maximum lift height increases the risk of tipping!

Initialization:
- Check the power connector on the instrument table and power switch
- Press the push button DOWN (↓) move down to the table carried out an
automatic synchronization of all lifting devices. It is a short stroke 3 mm
top and bottom. Then the table is fully operational.
.

Caution: Make sure that no objects or body parts in stroke of the table are.

Panel:

- In order to obtain a desired height, use the UP (↑) and DOWN (↓)
- You can save even three different heights, by press (S)
and press within 2 seconds to an arbitrary number (1) - (3)
- Please note in order to reach the saved amount,
you must start the respective numbers hold up to stop.

The lifting system of the instrument tables is not a continuous operation.

Cycle: 10% or 6 minutes per hour or 2 min continuous operation at full load.

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17 Cleaning instruction
17.1 Cleaning, Disinfection
Cleaning and disinfection is only to be made when equipment is offline and separated from the patient.
Cleaning and disinfection supplies have to be used as provided by manufacturers e.g. in appropriate
dilution.

17.2 Electrodes and Patient cable

The electrodes can be cleaned and disinfected as described on the package insert. If not described
anywhere, electrodes can be cleaned like the patient cable.
Disinfect the electrodes and cables with a cloth saturated with disinfection solution (e.g. Cidex®,
Gigasept®).
The electrodes can be cleaned with warm water.
Do not soak the connectors of the cables into liquid.
The usage of acetone, alcohol, chloroform or any other strong solvents makes the cable less flexible
and damages the cable.

17.3 The body

All bodies can be cleaned with a lint-free, damp cloth and mild soap.

17.4 Monitor and TFT-Screen

Use a lint-free, damp (not wet!!) cloth and mild soap for cleaning.
The stimulation monitor for medical and clinical application can be cleaned with non-rubbing cloths
and cleaning supplies used in hospitals for similar equipment. That includes warm water and mild
cleaning supplies for all surfaces and 70% Isopropyl alcohol for the screens.
Do not spray liquid cleaning supplies directly on the screen. Spray the cleansing supplies on a
nonrubbing
cloth and wipe over the screen without excessive pressure.
Possible cleaning supplies are:
70% Isopropyl alcohol; 1,6% ammonia liquid; Cidex® (2,4% Glutaraldehyde solution); sodium
hypochlorite (bleach agent) 10%; “green soap” USP (United States Pharmacopoeia);
0,5% Chlorhexidin in 70% Isopropyl alcohol; Ovation®, Formula 409®, Fantastic®, WexCide®

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