Auto Refractometer: User Manual

Auto Refractometer
User Manual
February 2018
D051-E plus
Caution: Please read this User Manual before operating the equipment.
This Manual is prepared for the users of the Auto Refractometer ACOMOREF 2.
The Manual explains how to operate the equipment, precautions on safety,

and equipment specifications. Please contact your dealer regarding
installation of the equipment.
Items described herein conform to the ISO and IEC standards. In order to use
the equipment properly, be sure to thoroughly read the Manual and fully
understand how to operate the equipment and precautions on safety before
using the equipment. Keep the Manual near the equipment body so that you
can refer to it as necessary. Please contact your dealer if you have any
questions or notice any observations.
・ Duplicating any part or all of this Manual’s contents without prior consent
of the copyright holder is prohibited.
・ The contents of this Manual are subject to change without prior notice.
1
Table of Contents
READ THIS SAFETY PRECAUTION BEFORE OPERATING THE EQUIPMENT. ................ 5
■EMC (ELECTROMAGNETIC COMPATIBILITY) ............................................................ 12
1. OUTLINE .................................................................................................................. 17
1-1 EQUIPMENT OUTLINE, STANDARD ACCESSORIES, AND OPTIONAL ITEMS ........................... 17

1-2 EQUIPMENT CLASSIFICATION ......................................................................................... 18
1-3 SYMBOL ON THE EQUIPMENT .......................................................................................... 19
1-4 LABELS AND INDICATIONS .............................................................................................. 20
2. NAME AND DESCRIPTION OF THE FUNCTION OF EACH UNIT............................. 22
2-1 SYSTEM CONFIGURATION ............................................................................................... 22
3. INSTALLATION AND PREPARATION FOR MEASUREMENT.................................... 24
3-1 INSTALLATION ............................................................................................................... 24

3-2 PREPARING PRINTER PAPER ............................................................................................ 26
4. MEASUREMENT....................................................................................................... 27
4-1 MEASUREMENT FLOW .................................................................................................... 27

4-2 TURNING ON THE POWER ............................................................................................... 28
4-3 DISPLAY SCREEN ............................................................................................................ 28
4-3-1 Opening Screen ..................................................................................................... 28
4-3-2 General Screen (REF measurement) .................................................................... 28
4-3-3 Function key basic layout ..................................................................................... 31
4-3-4 SET UP screen ...................................................................................................... 31
4-3-5 Printing screen ..................................................................................................... 32
4-3-6 Error message ....................................................................................................... 32
4-4 INITIAL SETTINGS .......................................................................................................... 33
4-5 ACCURACY CHECK USING THE MODEL EYE ...................................................................... 35
4-6 PREPARATION FOR THE EXAMINEE .................................................................................. 35
4-7 REF MEASUREMENT MODE ............................................................................................ 37
4-7-1 AUTO Measurement mode(A) / AUTO Measurement mode2(A2) ........................ 38
4-7-2 Continuous Measurement mode(C) ...................................................................... 41
4-7-3 Manual Measurement mode (M) .......................................................................... 42
4-8 SCREENING MODE .......................................................................................................... 43
4-9 ACCOMMODATION MICRO FLUCTUATION MODE .............................................................. 47
4-10 ADDITION POWER MEASUREMENT MODE ........................................................................ 52
4-11 RETRO MODE ................................................................................................................. 56
4-12 VARIOUS FUNCTION ....................................................................................................... 58
4-12-1 Pupil size measurement function ......................................................................... 58
2
4-12-2 Alignment direction indication ............................................................................. 59
4-12-3 Auto Quick Function............................................................................................. 60
4-12-4 Auto Retro Mode ................................................................................................... 62
4-12-5 Memory Function.................................................................................................. 62
4-12-6 Auto start Function .............................................................................................. 64
4-13 PRINT ............................................................................................................................ 65
4-13-1 Auto Print Function.............................................................................................. 65
4-13-2 Contents of printing.............................................................................................. 66
4-13-3 Cutting Procedure of Printer Paper ..................................................................... 68
4-14 TURNING OFF THE POWER .............................................................................................. 68
4-15 OTHERS ......................................................................................................................... 68
4-15-1 Auto Fogging System ............................................................................................ 68
4-15-2 About Representative Data .................................................................................. 69
4-15-3 About REF Reliability Value ................................................................................ 69
4-15-4 About Auto Power Saving ..................................................................................... 70
4-15-5 About Measurement of IOL Eye ........................................................................... 70
4-15-6 When Measurement Data Cannot Be Obtained ................................................... 70
5. SETTING PROCEDURES .......................................................................................... 71
5-1 GENERAL SETTING <MEASURE> ................................................................................. 71

5-1-1 REF Setting Screen <REF> .................................................................................. 72
5-1-2 SCR Setting Screen <SCR> .................................................................................. 73
5-1-3 AMF Setting Screen <AMF> ................................................................................ 74
5-1-4 ADDITION/INSET Setting Screen <ADDITION/INSET> ................................... 74
5-1-5 MEASURE TYPE Setting Screen <MEASURE TYPE > ...................................... 75
5-2 AUTO MEASUREMENT SETTING <AUTO REF MODE> .................................................. 76
5-3 OUTPUT SETTING <OUTPUT> ...................................................................................... 76
5-3-1 Print Setting Screen <OUTPUT> PRINT ............................................................ 77
5-3-2 Data Signal Setting Screen <OUTPUT> SIGNAL ............................................... 79
5-4 PRINT NO. SETTING<PRINT NO.> ............................................................................... 81
5-5 MESSAGE INPUT SETTING <MESSAGE> ....................................................................... 81
5-6 TIME/DATE SETTING<CLOCK> ..................................................................................... 82
5-7 LANGUAGE OUTPUT SETTING <LANGUAGE>............................................................... 83
5-8 MEMORY MANAGEMENT SETTING<MEMORY> ............................................................. 84
5-9 INITIAL SETTING <INITIAL> ........................................................................................ 85
5-10 OTHER SETTING<OTHER> ........................................................................................... 86
5-11 MELODY SETTING <MELODY> ..................................................................................... 87
6. CONNECTION TO EXTERNAL DEVICES.................................................................. 88
6-1 CONNECTION WITH REMOTE VISION RV-II ..................................................................... 88

6-1-1 Wireless Transmission to RV-II ............................................................................ 88
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6-1-2 Cable Transmission to RV-II ................................................................................. 88
6-2 CONNECTION WITH PC .................................................................................................. 88
6-2-1 Connection with PC using USB ............................................................................ 89
6-2-2 Connection using RS-232C ................................................................................... 89
7. MAINTENANCE........................................................................................................ 90
7-1 CHECK OF MEASUREMENT ACCURACY ........................................................................... 90

7-2 CHANGE OF PRINTER PAPER .......................................................................................... 90
7-3 REPLACEMENT OF FUSE ................................................................................................. 90
7-4 CLEANING OF CHIN REST AND FOREHEAD SUPPORT ....................................................... 91
7-5 CLEANING OF MEASUREMENT WINDOW ......................................................................... 91
7-6 CLEANING OF MODEL EYE .............................................................................................. 91
7-7 CLEANING OF UNIT (EXTERIOR) ..................................................................................... 92
7-8 LIST OF CONSUMABLES & SERVICE PARTS ...................................................................... 92
8. TROUBLESHOOTING ............................................................................................... 93
9. MAIN SPECIFICATIONS ........................................................................................... 94
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Read this safety precaution before operating the equipment.
Caution symbols in this Manual
Righton products are designed with thorough consideration for safety. However,
improper use of the equipment or failure to observe precautions may cause accidents
resulting in physical injury or damage to property. Make sure to read this Manual
thoroughly for proper use of the equipment before using it. Do not discard this Manual.
Keep this Manual in a place ready for easy reference. In this Manual, the following
precaution symbols are used to highlight items requiring special attention for safety
reasons. Be sure to observe the instructions indicated by these symbols.
Mark Description
Caution: Failure to observe an instruction indicated by this symbol may cause

physical injury or damage to nearby property.
Caution 1. Purpose of using the equipment

・ Use ACOMOREF 2 only for the purposes of examining the refractive power,
such as measurement of the eye refractive power (Spherical, Cylinder, Axis),
pupil size etc. Do not use the equipment for others purposes.
Caution 2. Do not disassemble the equipment.

・ Disassembling the equipment is very dangerous because it may cause
electrical shock or a malfunction. NEVER disassemble the equipment.
Caution 3. In conducting measurement

・ Pay attention when using the equipment so as not to hit the patient’s face
when moving the equipment body toward the patient or in the lateral
directions.
5
・ While operating the equipment, be careful to prevent your fingers from
being caught by the machine.
・ When moving the chin rest up and down, the examiner must notify the
patient movement and keep an eye on the patient during the operation.
Operating the equipment without keeping an eye on the patient may injure
the patient.
・ Pay attention not to measure in an environment that will interfere with

patient measurement, such as there are many people around the patient. It
can cause a failure to measurement.
Caution 4.Installing and transporting the equipment

・ Do not place the equipment in an unstable position, such as a shaky table or
a tilted place. It may cause the equipment to fall or collapse causing personal
injury.
・ Do not place the equipment in where it is hard to insert or remove the power
supply cable.
・ Place the equipment in a location with good ventilation. Do not put a sheet of
thick cloth or paper. Doing so may prevent heat dissipation. Covering the
vent holes may prevent heat from escaping from the inside of the equipment,
resulting in a fire or malfunction.
6
・ The ambient conditions of use: Temperature 10°C to 35°C, Relative humidity
30% to 90% (no dew condensation), Atmospheric pressure 800–1060 hPa
・ Avoid using the equipment in a dusty or dirty room.
・ A semi-dark room is best suited for installation of the equipment. Do not
place the equipment facing a bright window or an illumination light.
・ The following space should be provided for the patient environment. If
another type of equipment is to be used in the patient environment, use
equipment conforming to IEC 60601-1.
Radius of 1.5m
2.5m
1.5m 1.5m
・ Although this equipment conforms to the EMC standard (IEC

60601-1-2:2014), it emits weak electromagnetic waves. In the case where use
of the equipment affects operation of other devices including TVs, radios, etc.,
take precautions, such as keeping a sufficient distance between pieces of
equipment, changing the direction of the equipment, etc.
7
・ This equipment is not waterproof. Therefore, avoid using or installing the
equipment in a place where liquids, such as rainwater, drinks, chemicals, etc.
may splash on it.
・ When condensation (wet from dew) occurs, wait until the dew dries before
using the equipment.
・ In transporting the equipment, make sure to tighten the clamp screw, and
have two persons carry the equipment with their hands holding the bottom
part under the base as shown in the figure below.
Caution 5. Others Precautions on handling the equipment

・ Do not scratch, damage, modify, forcibly bend, pull, twist, or bundle the
power cord. Putting a heavy object on the power cord or heating the cord
may damage the cord, causing fire or electrical shock. When the power cord
is damaged, replace it with a new one.
・ If dust is attached to the metallic part of the power plug, disconnect the plug
and remove the dust. Dust and dirt may cause a poor contact, resulting in
fire.
・ Make sure to plug the power cord in an outlet that meets the power supply
specifications and is provided with a ground terminal (earth). Improper
connection may affect equipment performance or cause a failure, electrical
leakage, electrical shock, or fire.
・ Be sure to insert the power plug completely and firmly into the outlet. Using
the equipment with an insufficient plug-in condition may cause fire.
・ When replacing the fuses, be sure to turn off the power switch and unplug
the power cord. Be sure to use the specified fuse. Use of a fuse other than the
specified one may cause electrical shock or fire.
Specified fuse: Time lag fuse Ф5 x 20 mm, manufactured by Littelfuse, Inc.
250V/T1.6AH (021501.6XP)
8
・ This is a precise optical device equipment embedded with many electrical
components. Handle the equipment with care, avoiding impacts.
・ Pay attention to avoid dropping the equipment or hitting it against another
object.
・ In case of a failure, unplug the power cord, and contact your dealer without
touching the inside of the equipment, etc.
・ Be sure to use the specified printer paper. Use of paper other than the
specified one may cause a failure.
・ The paper cutter of the printer is made of
plastic. However, pay attention not to hurt
your fingers when exchanging printer
paper.
Cutter unit
・ Use the attached cord for the power cord. (Refer 1 “Outline.”)
・ Do not place any object that may obstruct the equipment operation in the
area around the power supply switch. Doing so may hinder the operation in
case of emergency.
・ Pay attention not to lean over the equipment.

・ Conduct cleaning according to the specified cleaning processes. (Refer
sections 7-4 “Cleaning the chin rest and forehead support” – 7-7 “Cleaning of
Exterior.") Cleaning conducted by a process other than the specified ones
may cause deterioration or damage of the equipment.
・ Conduct cleaning of the chin and forehead supports for each patient. When
using the chin rest paper, use a new sheet of paper for each patient. (Refer
3-1 “Installation.”) Failure to clean chin rest and forehead rest can cause
cross-infection.
・ The operator must not touch the external instrument and the external
monitor connected with this equipment and the patient simultaneously.
Electrical shock can result.
・ When the devise maintenance or repair, clean the surface of the device
9
(especially, forehead support and chinrest) with a cloth dampened with
rubbing alcohol for disinfection.
・ Accessory equipment connected to the analog and digital interfaces must be
certified according to the appropriate national standards.
Furthermore, all configurations shall comply with the IEC 60601-1. Anyone
who connects additional equipment to the signal input part or signal output
part is responsible for making sure that the system complies with the
requirements of the IEC 60601-1.
If in doubt, consult the technical service department or your local
representative.
Caution 6. Transportation and storage

・ The ambient conditions of transportation: Temperature –40°C to 70°C,
relative humidity 10% to 95% (no condensation), atmospheric pressure
500–1060 hPa
・ The ambient conditions of storage in a packaged condition: Temperature
–10°C to 55°C, relative humidity 10% to 95% (no condensation), atmospheric
pressure 700–1060 hPa
・ Store the equipment in a place with less dust and dirt and without
vibrations or impacts.
・ Turn the power switch off and cover the equipment by using the provided
dust cover.
OFF
・ If the equipment is not used for a long period of time, unplug the power cord.
Leaving the power cord plugged to an outlet for a long period of time may
cause a fire.
・ Stains and oil from the patient’s nose, fingerprints, or dust on the surface of
the measurement window glass will affect the results of measurement. Pay
attention to keep the surface of the measurement window always clean.
(Refer 7-5 “Cleaning of measurement window.”)
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While cleaning the measurement window glass, be careful not to damage or
break the glass.
・ Built-in battery
This equipment has a built-in lithium primary battery as a power supply for
the clock and storing various setting. If the battery is exhausted, the time
and date printed on the printout results of measurement will be wrong, or
various settings will not be stored and thus the equipment is set back to the
default settings each time when it turned off. When exchanging the batteries,
contact your dealer.
Caution 7. Cautions in the case of disposal

・ When conducting disposal and recycling, follow the recycling instructions
established in the district where the equipment is being used. Especially as
for lithium batteries, each autonomous community has a different disposal
process. Follow the relevant instructions. We recommend that you delegate
the disposal to a registered industrial waste disposal operator.
・ When disposing of packaging materials, separate the materials by each
material and follow the ordinances and recycle plans of the related
autonomous community for disposal.
Symbol for separate collection in European countries

Products bearing this symbol must be collected separately.
The following rule is applicable only to users in European
countries.
●This product is designated as an item to be collected
separately at an appropriate spot. Do not dispose of it as
household waste.
For further information, contact the retailer or the local
authorities responsible for waste management.
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Caution 8．Information of EMC (Electro Magnetic Compatibility)
1. Reorient or relocate the receiving device. Reorient or relocate the receiving

device.
2. Increase the distance to the device.
3. Correct the device into an outlet on a circuit different from that to which the
other device(s) are connected.
4. Consult the manufacturer or field service technician for assistance.
・In installation and operation of the device, observe the following instructions about
EMC (electromagnetic compatibility):
1. Do not use the device simultaneously with other electronic equipment to avoid
electromagnetic interference with the operation of the device.
2. Do not use the device near, on, or under other electronic equipment to avoid
electromagnetic interference with the operation of the device.
3. Do not use the device in the same room with other equipment such as
life-support equipment, other equipment that has major affects on the life of the
patient and results of treatment, or other measurement or treatment equipment
that involves small electric current.
4. Do not use the device simultaneously with portable and mobile radio frequency
communication systems because it may have an adverse effect on operation of
the device.
5. Do not use cables and accessories that are not specified for the device because
that may increase the emission of electromagnetic waves from the device or the
system and decrease the immunity of the device to electromagnetic disturbance.
■EMC (Electromagnetic Compatibility)

The Electromagnetic Compatibility Directive sets the essential requirements for electrical and electronic equipment
that may disturb or even be disturbed by other equipment. The ACOMOREF 2 complies with these requirements as
tabled below. Follow the guidance on the tables for use of the device in the electromagnetic environment.
WARNING: The use of this equipment adjacent to or stacked with other equipment
should be avoided because it could result improper operation.
If such use is necessary, this equipment and the other equipment
should be observed to verify that they are operating normally.
WARNING: The use of accessories and cables other than those specified or provided
by the RIGHT MFG. CO., LTD. of ACOMOREF 2 could result in
increased electromagnetic emissions or decreased electromagnetic
immunity of ACOMOREF 2 and result in improper operation.
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(A)：Environments for ACOMOREF 2
This device is applied for use in professional healthcare facility environment and
home healthcare environment.
－Doctor's offices, clinics, medical facilities, hospital, optician's, etc.
(B)List of cables, Length of cables

Model name Model No. Length
Power cord 100V area DDB20207 3.0m
Power cord 120V area (Hospital grade) DDB20201-UL 3.0m
Power cord 240V area(China) DDC20209 3.0m
(C)EMC (IEC60601-1-2:2014)
(1)Emission guidance
ACOMOREF 2 is intended for use in the electromagnetic environment specified below. The customer or the
user of the ACOMOREF 2 should assure that they are used in such an environment.
Emissions test Basic EMC standard or test method※1
Conducted and radiated RF
CISPRE 11 Group 1 ClassB
EMISSION
Harmonic EMISSION IEC61000-3-2※ 2
Voltage fluctuations and flicker IEC61000-3-3※ 2
※1:See “(A) Environments for ACOMOREF 2 for information about the environments of INTENED USE.
※2:This test is not applicable in this environment unless the ME EQUIPMENT and ME SYSTEMS used there will be
connected to the PUBLIC MAINS NETWORK and the power input is otherwise within the scope of the Bacis EMC
standard.
(2)Immunity guidance
ACOMOREF 2 is intended for use in the electromagnetic environment specified below. The customer or the
ACOMOREF 2 should assure that they are used in such an environment.
・Enclosure port
Basic EMC IMMUNITY TEST LEVELS
Phenomenon standard or test
Professional healthcare facility environment
method
±8 kV contact
Electrostatic discharge IEC 61000-4-2
±2 kV, ±4 kV, ±8 kV, ±15 kV air
10V/m※ 6
Radiated RF EM fields※ 1 IEC 61000-4-3 80 MHz – 2,7 GHz※ 2
80% AM at 1 kHz※ 3
See (C)-(3)
Proximity fields from RF
Test Specifications for ENCLOSURE PORT
wireless communications IEC 61000-4-3
IMMUNITY to RF wireless communications
equipment
equipment
Rated power frequency 30 A/m※ 7
IEC 61000-4-8
magnetic fields※ 4※ 5 50 Hz or 60 Hz
※1: The interface between the PATIENT physiological signal simulation, if used, and the ME EQUIPMENT
or ME SYSTEM shall be located within 0,1 m of the vertical plane of the uniform field area in one
orientation of the ME EQUIPMENT or ME SYSTEM.
※2: ME EQUIPMENT and ME SYSTEMS that intentionally receive RF electromagnetic energy for the
purpose of their operation shall be tested at the frequency of reception. Testing may be performed at
other modulation frequencies identified by the RISK MANAGEMENT PROCESS. This test assesses the
BASIC SAFETY and ESSENTIAL PERFORMANCE of an intentional receiver when an ambient signal
is in the passband.It is understood that the receiver might not achieve normal reception during the test.
※3: Testing may be performed at other modulation frequencies identified by the RISK MANAGEMENT
PROCESS.
※4: Applies only to ME EQUIPMENT and ME SYSTEMS with magnetically sensitive components or
circuitry.
※5: During the test, the ME EQUIPMENT or ME SYSTEM may be powered at any NOMINAL input
voltage, but with the same frequency as the test signal
13
※6: Before modulation is applied.
※7: This test level assumes a minimum distance between the ME EQUIPMENT or ME SYSTEM and
sources of power frequency magnetic field of at least 15 cm. if the RISK ANALYSIS shows that the ME
EQUIPMENT or ME SYSTEM will be used closer than 15 cm to sources of power frequency magnetic
field, the IMMUNITY TEST LEVEL shall be adjusted as appropriate for the minimum expected
distance.
・Input a.c. power port

method
Electrical fast transients / ±2 kV
IEC 61000-4-4
bursts※ 1※12※15 100 kHz repetition frequency
Surges ※ 1※ 2※10※15
IEC 61000-4-5 ±0,5 kV, ±1 kV
Line-to-line
Surges※ 1※2※10※11※15
IEC 61000-4-5 ±0,5 kV, ±1 kV, ±2 kV
Line-to-ground
6 V ※ 13
0,15 MHz – 80 MHz
Conducted disturbances
IEC 61000-4-6 6 V※ 13 in ISM bands between 0,15 MHz and 80 MHz ※
induced by RF fields※ 3※ 4※15 14
80% AM at 1 kHz※ 5
0% UT; 0,5 cycle※ 7
At 0°, 45°, 90°, 135°, 180°, 225°, 270° and 315° ※ 17
Voltage dips ※ 6※16※18
IEC 61000-4-11
0% UT; 1 cycle and 70% UT; 25/30 cycles※ 8
Single phase: at 0°
Voltage interruptions ※ 6※ 9※
15※ 18
IEC 61000-4-11 0% UT; 250/300 cycle※ 8
※1: The test may be performed at any one power input voltage within the ME EQUIPMENT or ME
SYSTEM RATED voltage range. If the ME EQUIPMENT or ME SYSTEM is tested at one power input
voltage, it is not necessary to re-test at additional voltages.
※2: All ME EQUIPMENT and ME SYSTEM cables are attached during the test .
※3:Calibration for current injection clamps shall be performed in a 150 Ω system.
※4: If the frequency stepping skips over an ISM or amateur band, as applicable, an additional test
frequency shall be used in the ISM or amateur radio band. This applies to each ISM and amateur radio
band within the specified frequency range.
PROCESS.
※6: ME EQUIPMENT and ME SYSTEMS with a d.c. power input intended for use with a.c.-to-d.c.
converters shall be tested using a converter that meets the specifications of the MANUFACTURER of
the ME EQUIPMENT or ME SYSTEM. The IMMUNITY TEST LEVELS are applied to the a.c. power
input of the converter.
※7: Applicable only to ME EQUIPMENT and ME SYSTEMS connected to single-phase a.c. mains.
※8: E.g. 10/12 means 10 periods at 50 Hz or 12 periods at 60 Hz.
※9: ME EQUIPMENT and ME SYSTEMS with RATED input current greater than 16 A / phase shall be
interrupted once for 250/300 cycles at any angle and at all phases at the same time (if applicable). ME
EQUIPMENT and ME SYSTEMS with battery backup shall resume line power operation after the test.
For ME EQUIPMENT and ME SYSTEMS with RATED input current not exceeding 16 A, all phases
shall be interrupted simultaneously.
※10: ME EQUIPMENT and ME SYSTEMS that do not have a surge protection device in the primary power
circuit may be tested only at ± 2 kV line(s) to earth and ± 1 kV line(s) to line(s).
※11 :Not applicable to CLASS II ME EQUIPMENT and ME SYSTEMS.
※12: Direct coupling shall be used.
※13: r.m.s., before modulation is applied.
※14: The ISM (industrial, scientific and medical) bands between 0,15 MHz and 80 MHz are 6,765 MHz to
6,795 MHz; 13,553 MHz to 13,567 MHz; 26,957 MHz to 27,283 MHz; and 40,66 MHz to 40,70 MHz. The
14
amateur radio bands between 0,15 MHz and 80 MHz are 1,8 MHz to 2,0 MHz, 3,5 MHz to 4,0 MHz, 5,3
MHz to 5,4 MHz, 7 MHz to 7,3 MHz, 10,1 MHz to 10,15MHz, 14 MHz to 14,2 MHz, 18,07 MHz to 18,17
MHz, 21,0 MHz to 21,4 MHz, 24,89 MHz to 24,99 MHz, 28,0 MHz to 29,7 MHz and 50,0 MHz to 54,0
MHz.
※15:Applicable to ME EQUIPMENT and ME SYSTEMS with RATED input current less than or equal to 16
A / phase and ME EQUIPMENT and ME SYSTEMS with RATED input current greater than 16 A /
phase.
※16:Applicable to ME EQUIPMENT and ME SYSTEMS with RATED input current less than or equal to 16
A / phase.
※17:At some phase angles, applying this test to ME EQUIPMENT with transformer mains power input
might cause an overcurrent protection device to open. This can occur due to magnetic flux saturation of
the transformer core after the voltage dip. If this occurs, the ME EQUIPMENT or ME SYSTEM shall
provide BASIC SAFETY during and after the test.
※18:For ME EQUIPMENT and ME SYSTEMS that have multiple voltage settings or auto ranging voltage
capability, the test shall be performed at the minimum and maximum RATED input voltage. ME
EQUIPMENT and ME SYSTEMS with a RATED input voltage range of less than 25% of the
highest RATED input voltage shall be tested at one RATED input voltage within the rage.
・Signal input/output parts port

method
± 8 kV contact
Electrostatic discharge ※4 IEC61000-4-2
± 2 kV, ± 4 kV, ± 8 kV, ± 15 kV air
6 V※ 6
Conducted disturbance by 0,15 MHz – 80 MHz
IEC61000-4-6
RF field※ 1※3※ 5 6 V※ 6 in ISM bands between 0,15 MHz and 80 MHz ※ 7
80% AM at 1 kHz※ 2
※1: SIP/SOPS whose maximum cable length is less than 3 m in length are excluded.
PROCESS.
※3: Calibration for current injection clamps shall be performed in a 150 Ω system.
※4: Connectors shall be tested per 8.3.2 and Table 4 of IEC 61000-4-2:2008. For insulated connector shells,
perform air discharge testing to the connector shell and the pins using the rounded tip finger of the ESD
generator, with the exception that the only connector pins that are tested are those that can be
contacted or touched, under conditions of INTENDED USE, by the standard test finger shown in Figure
6 of the general standard, applied in a bent or straight position.
※5: If the frequency stepping skips over an ISM or amateur radio band, as applicable, an additional test
frequency shall be used in the ISM or amateur radio band. This applies to each ISM and amateur radio
band within the specified frequency range.
※6: r.m.s., before modulation is applied.
※7: The ISM (industrial, scientific and medical) bands between 150 kHz and 80 MHz are 6,765 MHz to 6,795
MHz; 13,553 MHz to 13,567 MHz; 26,957 MHz to 27,283 MHz; and 40,66 MHz to 40,70 MHz.
The amateur radio bands between 0,15 MHz and 80 MHz are 1,8 MHz to 2,0 MHz, 3,5 MHz to 4,0 MHz,
5,3 MHz to 5,4 MHz, 7 MHz to 7,3 MHz, 10,1 MHz to 10,15 MHz, 14 MHz to 14,2 MHz, 18,07 MHz to
18,17 MHz, 21,0 MHz to 21,4 MHz, 24,89 MHz to 24,99 MHz, 28,0 MHz to 29,7 MHz and 50,0 MHz to
54,0 MHz.
15
(3)Test Specifications for ENCLOSURE PORT IMMUNITY to RF wireless
communications equipment
Test Band※ 1 Service※ 1 Modulation※ 2 Maximum Distance IMMUNITY
Frequency (MHz) power (m) TEST LEVEL
(MHz) (W) (V/m)
Pulse
385 380－390 TETRA400 Modulation※ 2 1.8 0,3 27
18Hz
FM※ 3
GMRS460
450 430－470 ±5kHz deviation 2 0,3 28
FRS460
1kHz sine
710 LTE Band 13, Pulse
745 704－787 17 modulation※ 2 0,2 0,3 9
780 217Hz
GSM800/900,
810 TETRA800, Pulse
870 800－960 iDEN820, modulation※ 2 2 0,3 28
930 CDMA850, 18Hz
LTE Band 5
GSM1800;
CDMA1900;
1720 GSM1900; Pulse
1700－
1845 DECT; modulation※ 2 2 0,3 28
1990
1970 LTE Band 1, 3, 217Hz
4, 25;
UMTS
Bluetooth,
WLAN, Pulse
2450 2400-2570 802.11 b/g/n, modulation※ 2 2 0,3 28
FRID 2450, 217Hz
LTE Band 7
5240 Pulse
5100－ WLAN 802.11
5500 modulation※ 2 0,2 0,3 9
5800 a/n
5785 217Hz
NOTE: If necessary to achieve the IMMUNITY TEST LEVEL,the distance between the transmitting antenna
and the ME EQUIPMENT or ME SYSTEM may be reduced to 1m. The 1m test distance is permitted by
IEC61000-4-3.
※1: For some services, only the uplink frequencies are included.
※2: The carrier shall be modulated using a 50% duty cycle square wave signal.
※3: As an alternative to FM modulation, 50% pulse modulation at 18Hz may be used because while it does
not represent actual modulation, it would be worst case
16
1. Outline
1-1 Equipment outline, standard accessories, and optional items
ACOMOREF 2 is the objective refractive power measurement equipment capable of
measuring the refractive powers of the eye, pupil size, as well as conducting retro
observations, accommodation micro fluctuation analysis, and addition power
measurement. This equipment is intended for use by medical doctors, orthoptists, and
optometrists at indoor (the clinic, the optometrist’s store, etc.).
In the refractive power measurement, the spherical power, cylinder, and cylinder axis are
measured by projecting light into the patient eye and receiving reflective light from the
fundus. In the pupil size measurement, the pupil sizes in lateral and vertical directions
are measured.
In the retro observations, the cloudiness in the eyeball optics system can be observed,
and binarization of the opacity degrees and measurement of the opacity range are
possible.
In the accommodation micro fluctuation analysis, measurement to check for
abnormalities in the patient’ eye condition and regulatory status is possible.
This equipment is composed of the single unit. The unit incorporates the power supply
unit and the power can be supplied to the unit by means of the power cord. The
equipment has a function to output measurement data to a computer, etc.
Standard accessories
The equipment body (1) Model eye (1) Printer paper (5)
Clamp screw (3) Blower (1) Spare fuses (2)
250V/T1.6AH (021501.6XP)
5 × 20 mm
(for transportation)
Power cord set(1)

User Manual (This document)(1)
Dust cover(1)
Phillips screwdriver(1)
■ Optional items
Chin rest paper (RXA30101)
17
1-2 Equipment classification
<Classification as per 93/42EEC (MDD)>
Class IIa
<Type of protection against electrical shocks>

Class I
The equipment does not rely only on the basic insulation for the protection against
electrical shocks, but also is equipped with a means to connect a device to the
protection installation system of the equipment in the case of a failure of the basic
insulation so that a metallic part of the device that can be reached by the human
body does not receive dangerous electrical potential. Be sure to use the attached
power cord for the power supply and connect the cord to an outlet equipped with the
ground terminal (earth).
<Level of protection against electrical shocks>

B type mounting unit
The chin rest and forehead support of this equipment uses the B type mounting unit.
Forehead support: Silicone rubber
Chin rest: Polycarbonate
The specified tests are conducted on the leak current and measurement current for
the patients and reliable protection measures against electrical shocks are provided.
<Protection against water and garrulous substances>

IPX0
The equipment has no protection against the intrusion of liquids, such as water, etc.
Pay attention to prevent liquids from splashing on the equipment.
<Safety level of use in a flammable atmosphere>

This equipment is not suitable for use in a flammable atmosphere.
Do not use the equipment in a flammable atmosphere.
<Cleaning and sterilization processes approved by the manufacturer>

If necessary, clean the chin rest and forehead support with soft cloth, etc. soaked
with rubbing alcohol.
Cleaning conducted by a process other than the one described above may cause
deterioration or damage to the equipment.
<Operation mode>
Continuous operation
18
1-3 Symbol on the equipment
: This symbol on the instrument indicates the need for caution.
: This symbol indicates the necessity of referring to the relevant part of the
instruction manual before use.
: This indicates that the classified protection level against electrical shocks of the
mounting unit is type B.
: This indicates that a report is ready for output.
: This indicates the output unit.
: This indicates the power supply switch. If the switch has been pushed toward
this side, the power has been turned on.
: This indicates the power supply switch. If the switch has been pushed toward
this side, the power has been turned off.
: This indicates the fuse.
: This indicates the USB terminal.
19
1-4 Labels and indications
This equipment uses labels and indications for various cautions to attract the user’s
attention.
Body Indication
20
Type B mounting unit
21
2. Name and description of the function of each unit
2-1 System configuration
Infrared emitter unit
LCD monitor
Power lamp Optical axis height mark
Measurement unit
Joystick button
Joystick
Printer cover
release button
Clamp screw
Printer cover
Sliding table
USB interface
Power supply switch
R232C interface
AC inlet
Forehead support Model eye mounting hole
Reference height mark
Chin rest height adjustment knob
Measurement window
Chin rest Sliding table target
line
Caps hole for clamp screw
22
Model eye holder unit
Spare fuses
Clamp screw holder (Use for
transportation)
Printer cover in an opened status
Printer paper Model eye
Printer cover (Opened status)
(Model eye and printer paper storing status)
23
3. Installation and preparation for measurement
3-1 Installation
1. Open the container box and take out the unit and accessories.
2. Place the equipment on a stable table (such as a motorized table).
3. Remove the two clamp screw for transportation with a Phillips screwdriver. (Refer
the figure below.)
4. Put the supplied caps on the screw holes. Clamp screw
Clamp screw fixation cap
Clamp screw
5. Store the two removed screws in the store hole for the clamp screw for
transportation located under the printer unit. (→Refer 2-1 “System Configuration.”)
＊In transporting this equipment, be sure to tighten the clamp screw.
6. Mount the clamp screws.

Hold the knurled portion of the clamp screw and turn until its tip hits the limit.
Clamp screw
7. Connect the power cord to the AC inlet of the equipment. *Be sure to use the
supplied power cord.
8. Plug the power cord into an outlet.
9. Place the printer paper in the equipment. (Refer 3-2 “Preparing Printer Paper.”)
10. Clean the forehead support and chin rest with soft cloth. (Soaked with detergent)
24
11. When using chin rest paper (optional), pull up the chin
rest pins (at two locations) to put the paper between the
pins. Chin rest paper stack with about 5 mm
thicknesses is adequate to be put in.
・Replace with a new paper for every new patient.

・Tear and replace with a new sheet of paper.
・Pulling up the paper will cause the pin holder to drop off.
 How to use the clamp screws

When placing the equipment on a movable or double table, use clamp screws to prevent
the sliding table from moving back and forth or right and left. To clamp the back and
forth or right to left movement, turn the clamp screw clockwise while pushing in the
upper part of the screw. To release clamp, turn the upper part of the screw
counterclockwise until the clamp springs up.
In a clamped Releasing clamp
condition
 How to store the model eye

When the model eye is not in use, store it in the
way as shown in the figure. Pick the holder body to take out
the model eye.
・ Pull upwards to remove the model eye.
25
3-2 Preparing printer paper
1. Press the release button of the printer cover.

2. Open the printer cover and remove the remaining printer
paper core.
3. Peel off the fixing tape on the new printer paper.
4. Create a fold line at a location just past the trace of peel-off.
5. Cut out the paper carefully along the fold line.
(Cutting out the paper as shown in the figure to the
right will prevent printing on the trace of peel-off.)
6. Place the paper as shown in the figure to the right.
7. Place the printer paper in the direction shown in the
figure to the right.
8. Close the printer cover by holding the end of the printer paper.
9. Check that the printer paper comes out straight. If the
printer paper comes out in a tilted way, open the printer
cover and set the printer paper again from the start.
Cutter unit
10. Insert the printer as shown on right figure. Set the paper
directly as match with the printer unit.
Match with the printer unit

11. Push this area when close the printer cover.
・Beware of setting the printer paper reversing.

・Do not forcibly pull off the paper, which will cause damage to the unit.
・Even the printer cutter is made by plastic, it will cause damage too if not taking
caution when changing the paper.
26
4. Measurement
4-1 Measurement flow
Turning on the power
Opening screen display 4-3-1

General screen (REF measurement) 4-3-2
Accuracy check using the model eye 4-5
Preparation for the patient
Chin rest position setting 4-6

Adjust the height of eye 4-6
Select measurement mode and start measurement
REF measurement mode 4-7

Screening mode 4-8
Accommodation micro fluctuation mode 4-9
Addition power measurement mode 4-10
Retro mode 4-11
Various functions 4-12
Finish measurement
Print out・Data output
Contents of printing 4-13-2

Cutting procedure of printer paper 4-13-3
Connection to External Devices 6
Turn off the power
Turn off the power 4-14
27
4-2 Turning on the power
Turn on the power at the side of the equipment body.
The power lamp will be lit green and the opening screen will be display in about 2
seconds.
ON
4-3 Display screen

4-3-1 Opening Screen
4-3-2 General Screen (REF measurement)

ID
Measurement
Type
Sequence
Mire Ring
Mode
Corneal spot Chart brightness
VD value
Eye position
R：RIGHT
L：LEFT PRINT No.
ID No
Function Key
28
About “ID/Measurement type/Sequence/Mode/Chart brightness/VD value.
ID It shifts to ID input screen.
Measurement Change the measurement type (REF/SCR/AMF/ADD)
type (→Refer 4-8 “Screening mode”, 4-9 “Accommodation micro fluctuation
mode”, 4-10 “Addition power measurement mode”)
Sequence Change the measurement sequence. (R)
(→Refer 4-7 “REF measurement mode”)
Mode Change the measurement mode.
(A(AUTO) / A2(AUTO2) / C(CONTINUOUS) / M(MANUAL ) )
(→Refer 4-7 “REF measurement mode”)
Chart Change the luminosity of a fixation chart.
brightness ( H(HIGH) / M(MIDDLE) / L(LOW) )
VD value Change the VD value [ which was set up by SETUP ] to VD0.(→ Refer
5-1-1 “REF Setting Screen <REF>”)
Key explanation
Measurement Perform accommodation micro fluctuation analysis with
type screening mode after sequence measurement finished
Perform accommodation micro fluctuation analysis with
AMF mode after sequence measurement finished
Perform addition power measurement after sequence
measurement finished
Measure the only item set with sequence setting
Sequence REF measurement
Mode AUTO measurement
AUTO 2 measurement
CONTINUOUS measurement
MANUAL measurement
Chart HIGH
brightness
MIDDLE
LOW
VD Measured based on 5-1-1 REF Setting value

(Selectable 12,13.5,13.75,15,16.0,0)
VD set to 0 during measurement
29
INPUT ID SCREEN
_____________ ID
1 2 3 4 5 6 7 8 9 0
A B C D E F G H I J
K L M N O P Q R S T
U V W X Y Z . - /
( ) # $ & ? ! % * +
ERASE EXIT ENTER
About key.
ID It is possible to input maximum of 15 characters. ID will clear under these
two conditions: Re-enter to ID input screen or precede to next
measurement after print out/transfer data.
ENTER ID is saved and returns to measurement screen.
ERASE Delete previous character.
EXIT Return to measurement screen without saving.
Screen display on the unit.

Chart Fogging
Indication
Alignment mark
Pupil Distance
Measurement cycle
REF: Right eye / Left Eye
Pupil size (mm)
Refractive measurement
Data
Cylinder (CYL) Axis (AX)

Alignment direction
Spherical (SPH) Indication
30
4-3-3 Function key basic layout
Function keys
SEND Transmits the measurement data. 5-3-2
For the transmission format, Refer 5-3-2 “Data signal setting
screen <OUTPUT> SIGNAL.”
RETRO Proceed to RETRO mode. 5-11
PRINT Print the result. 4-11
SETUP Move to SETUP menu. 5
4-3-4 SET UP screen
<SET UP>
<SET UP>
MEASURE Move to MEASURE screen.

AUTO REF MODE Move to AUTO REF screen.
OUTPUT Move to OUTPUT screen.
PRINT No. Move to PPRINT No. screen.
MESSAGE Move to MESSAGE screen.
CLOCK Move to CLOCK screen.
LANGUAGE Move to LANGUAGE screen.
MEMORY Move to MEMORY screen.
OTHER Move to OTHER screen.
INITIAL Execution of initialization.
MELODY Move to MELODY screen
EXIT Ends the SET UP menu.
31
4-3-5 Printing screen
Print screen will show upon finish both eye measurement, or press PRINT / SEND key.
M 1/50
R L R L
-REF- -CV- 10 10
SPH - 4.50 - 4.25 -PUPIL- 3.8 3.2
CYL - 0.25 - 0.75 -PD- 64.0
AX 180 180
PRINT No : 00000
ID:0000000000000
NOW PRINTING...
GO TO RETRO ?
EYE Execute EYE printing.

SEND Transmit the measurement data.
For the transmission format, Refer 5-3-2 “Data signal
setting screen <OUTPUT> SIGNAL.”
RETRO Proceed to the RETRO mode.
PRINT Executes printout.
EXIT Exit print screen.
4-3-6 Error message

Display Cause Solution
PAPER END Printer paper has run out. Replenish printer paper.
REF TIME OUT Refraction measurement cannot Check the measurement
be conducted. conditions and take
Refractory measurement values improvement measures, such
show variation. as raising the eyelid,
Are eyelashes staying in the darkening the room,
optical path? confirming opacity with the
Is the eyelid down? retro-illumination, etc.
Is small pupil size?
Is there any opacity in the
intermediate optic media?
Does the patient look to the
center of the firework?
Does the REF value exceed
the measurement range?
32
Display Cause Solution
TIME OUT Refraction measurement in Check the measurement
manual mode cannot be conditions and take
conducted within five seconds. improvement measures, such
Are eyelashes staying in the as raising the eyelid,
optical path? darkening the room,
Is the eyelid down? confirming opacity with the
Is small pupil size? retro-illumination, etc.
Is there any opacity in the
intermediate optic media?
Does the patient look to the
center of the firework?
Does the REF value exceed
the measurement range?
SRAM NG The internal battery capacity Contact your dealer and have
has been exhausted. the internal battery replaced.
FOG ERROR Initial operation did not operate Turn on power supply and
neatly. confirm again.
If symptom is generated again,
EEPROM NG! The defective device or defective Turn on power supply and
communications are thought. confirm again.
CHANGE The defective printer unit is Turn on power supply and
PRINTER UNIT thought. confirm again.
Vp ERR The defective substrate for Turn on power supply and
printer is thought. confirm again.
tmp ERR The defective substrate for Turn on power supply and
printer is thought. confirm again.
Printer thermal head is at high Do not touch directly due to
temperature. Fault of printer is avoid the risk of burns.
considered. If symptom is generated again,
4-4 Initial settings

The default settings shown at below chart are indicated in green on setup menu.
Press “SET UP” to proceed to setting menu. Refer to 5-Setting Procedure for more
details.
■ REF setting screen <MEASURE> REF
PUPIL ONE
CYL ― (Minus)
STEP AUTO
VD 120V area = 13.75[mm]
230V area = 12.0 [mm]
33
■SCR setting screen <MEASURE> SCR
M-MODE S+C/2
STIMULUS -3.0[D]
■AMF setting screen <MEASURE> AMF
M-TIME SCREENING
M-MODE S+C/2
STIMULUS -3.0[D]
■ADDITION / INSET setting screen 1 <MEASURE> ADDITION / INSET
INSET NEAR 40[cm]
INSET t 13[mm]
AMF MODE S+C/2
■ ADDITION / INSET setting screen 2 <MEASURE> ADDITION / INSET
AMF TIME 10[s] / 1step
■ AUTO measurement setting screen <AUTO REF MODE>
AUTO QUICK ON
AUTO RETRO OFF
AUTO START ON
■ Print setting screen <OUTPUT> PRINT
AUTO PRINT&SEND
REF ALL
PUPIL ON
MESSAGE OFF
SCR GRAPH & REP DATA
AMF GRAPH & REP DATA
ADDITION GRAPH
REFERENCE ON
■ Data signal setting screen <OUTPUT> SIGNAL
REF ALL
PUPIL ON
IR RT
IR UNIT No 1
PORT USB
bit / sec 38400 bps
STOP bit 1 STOP bit
FORMAT PC
■ Time/Date setting screen <CLOCK>
DATE-FORM 120V area MDY
230V area DMY
TIME-FORM 120V area AM/PM
34
230V area 24H
■ Language setting screen <LANGUAGE>
LANGUAGE ENGLISH
■ MEMORY output screen <MEMORY>
MEMORY OFF
OUTPUT LAST 30
■ OTHER setting screen <OTHER>
BUZZER ON
TOUCH SOUND ON
ALIGN OFF
POWER SAVE 3 MIN
4-5 Accuracy check using the model eye

1. Insert the two pins of the model eye into the
mounting holes for the model eye located at
the forehead support.
2. Check that the VD indication on the LCD
monitor is 12.0.
3. Holding the Joystick, carry out alignment for
the model eye.
(For the measurement method, Refer 4-7-1 “AUTO measurement mode.”)
4. Compare the measurement values for the model eye with the values (SPH, CYL)
described on the label attached on the model eye and check that difference between
the two values falls in the range shown below.
SPH : ±0.25 D CYL : ±0.25 D
If the difference does not fall in the range shown above, check whether the
measurement process is correct by referring to 4-7-1 “AUTO measurement mode”
and conduct measurement again. In addition, Refer 7-5 “Cleaning of measurement
window” and 7-6 “Cleaning of model eye” and check for dirt. If dirt is found, conduct
cleaning. If the value does not fall in the range after conducting measures described
above, contact your dealer.
4-6 Preparation for the examinee

Clean the chin rest and forehead support with soft cloth soaked with rubbing alcohol.
（Refer to 7-4 “Cleaning of Chin rest and Forehead Support”）
When using the chin rest paper, use a new sheet of paper for each patient. (Refer 3-1
“Installation and preparation for measurement.”)
Explain the details of the measurement thoroughly to the patient in advance.
The patient is anxious inside about what is going to happen. Try to make the patient feel
relaxed as much as possible.
35
Explain the following briefly to the patient.
・ “The measurement will find out the best fit lens prescription automatically.”
・ “Hold your eye as still as possible.”
・ “Try to look at the center of the fireworks.”
Let the patient sit on the front of the equipment with both of his/her hands placed lightly
on the lap. Adjust the heights of the motorized table and the chair so that the patient can
assume a comfortable position. Let the patient put his/her forehead onto the forehead
support and place the chin completely on the chin rest. If the chin is placed insufficiently
on the chin rest, the eyelashes may stay in the optical path, influencing the
measurement.
Optical axis height mark Optical axis height mark
Adjust the height of the chin rest so that

the height of the patient’s eye matches
the standard height mark of the
equipment. When moving the chin rest
up and down, the examiner must notify
the patient of the movement and keep an
eye on the patient during the operation.
Adjust the position of the measuring unit

with the joystick so that the eye is displayed on the monitor
screen. As for vertical directions, adjust the optical axis height
mark of the equipment’s measuring unit to match the standard
height mark.
As for the horizontal directions, adjust the measuring unit
position to match the target line on the sliding table.
When the eye under test begins to appear on the screen, make
the pupil image positioned at the center of the screen. (You can
start the measurement with either side of the eye – left or right.）
Target line
・ When moving the sliding table, be careful that the table does not hit the examinee,
・ When measuring the other eye, pull the sliding table toward the examiner once, and then move it
to the other eye. Be careful not to move the sliding table as it is after the measurement because
doing so may cause the examinee’s nose to hit the equipment, resulting in injury.
36
4-7 REF measurement mode
4 types of measurement mode and 1 type of measurement sequence are available.
You can change the measurement mode by pressing mode key.
You can select and change the measurement sequence settings with a sequence key.
Operations for each selected mode are listed in the table below.
Measurement sequence
R
Measurement mode
A:AUTO measurement mode AUTO START
(→ Refer 4-7-1.) ↓
Measurement will start and finish Fogging
automatically. ↓
Measurement will start once obtained focus REF measurement
and finish after verify the measurement data. (At least 5 times)
Data will print out after both eye ↓
measurements. (AUTO PRINT set to ON) AUTO STOP
↓
AUTO PRINT
(Only when AUTO PRINT set to ON
A2:AUTO measurement mode2 AUTO START
(→ Refer 4-7-1.) ↓
Same with Auto mode where fogging will apply Fogging
on each measurement. ↓
REF measurement
↓
Fogging
↓
REF measurement
・
・
(At least 5 times)
↓
AUTO STOP
↓
AUTO PRINT
(Only when AUTO PRINT set to ON)
C:Continuous measurement mode AUTO START

(→ Refer 4-7-2.) ↓
Same with AUTO MODE but keep on measure Fogging
for 30 second. ↓
Press joystick button to stop. Press again to REF measurement
continue. (Continuous measurement)
Press PRINT key to print.
M:Manual measurement mode Press joystick button
(→ Refer 4-7-3.) ↓
Measurement starts manually when pressing Fogging
the joystick button. ↓
Press button to start once obtained focus. REF measurement
Measurement will keeps running by press and (1 time)
hold the button. Press and hold the joystick button to
Press PRINT key to print. Continuous measurement.
37
4-7-1 AUTO Measurement mode(A) / AUTO Measurement mode2(A2)
The REF measurement can be carried out.
1. Select a measurement sequence from the sequence key. The details of measurement
(REF measurement) vary depending on each measurement sequence setting.
2. Select “A” or “A2”from the mode key item A/A2/C/M.
3. Bring the Mire ring into focus by moving the joystick back and forth before putting
the bright point in the alignment mark. (The figure below corresponds to the R
measurement mode.)
Pupil image
Alignment mark
Mire Ring
4. When the Mire ring comes in focus, adjust the bright point to the center of the
alignment mark by moving the bright point’s vertical and horizontal positions with
the joystick.
5. When the alignment mark comes close to the bright point and gets the “just
alignment” status, the alignment mark turns from white to green. If you select
<OTHER> on the <SETUP> screen and set the “ALIGN” to ON, the alignment
direction indication mark is displayed. Moving the body to the direction as indicated
will facilitate acquisition of the measurement values.
38
Bright point Alignment direction indicate mark
6. Once <AUTO START> set to ON under <SETUP>-<AUTO REF MODE>, Auto

fogging will activate after the bright spot is located within the alignment mark
area. If set to OFF, press joystick button to start after alignment. At this time, if the
bright point and Mire ring do not look sharply defined, carry out fine adjustment by
moving the joystick back and forth so that they come in focus.
Alignment mark Auto fogging indication mark
Birght point
39
7. When mark indication is no longer displayed, measurement starts
automatically. The equipment judges the measured data’s differences, etc., and if the
measurement data become stable, the equipment will finish the measurement
automatically, showing the LCD monitor display as in the figure to the left.
If you need to print out the data at this point, select the “PRINT” key.
If you need to repeat measurement, press the Joystick button again. Repeated
measurement starts.
If perform accommodation micro fluctuation analysis or addition power
measurement, showing the LCD monitor display as in the figure to the right.
Display at one side finished (REF measurement) Display at one side finished (SCR mode)
40
8. Move the sliding table toward the examiner and then shift it to the other eye. Carry
out measurement following procedures 3-7. Print screen will show after complete of
both eye measurement. If the AUTO PRINT has been set to ON (→ Refer 5-3-1
“Print setting screen <OUTPUT> PRINT”), the equipment prints out the
measurement results automatically.
If the AUTO print setting has been set to OFF, Press the “PRINT” key to carry out
printing. (→ Refer 4-3-3 “Function key basic layout.”)
LCD monitor during printing
R L R L
-REF- -CV- 10 10
SPH - 4.50 - 4.25 -PUPIL- 3.8 3.2
CYL - 0.25 - 0.75 -PD- 64.0
AX 180 180
PRINT No : 00000
ID:0000000000000
NOW PRINTING...
GO TO RETRO ?
・ After measurement on both eyes, the patient’s PD value (distance between

pupils, in mm unit) is measured.
The PD value may not be measured accurately in the following cases.
- The patient’s face moved during measurement.
- A disorder in binocular vision.
・ Dark shadows will be displayed during measurement if foreign materials
(opacity of the lens due to cataracts, other opacity, and injury, etc.) that block the
light exist inside the pupils. If dark shadows appear, we recommend that you
conduct observation in the Retro mode and carry out other ophthalmic
examinations by means of the slit lamp, etc.
4-7-2 Continuous Measurement mode(C)

Select a measurement sequence by pressing sequence key. The details of the settings
1. Select “C” from the mode key item A/A2/C/M.
41
2. Carry out measurement on the patient following procedures similar to procedures 3
to 7 in 4-7-1 “AUTO measurement mode.”
・Measurement will keep continue for 30 seconds.
・ REF measurement will show S+C/2 graph.
Print out example
-[REF]-
REF average [R] SPH CYL AX
MAX value
- 4.25 – 0.25 5
Graph - 4.25
・・・・・・・・・
* - 4.25 – 0.25 5
(S+C/2 = -4.37 )
REF count / Time
CONTINUOUS AVE :- 4.42
CONTINUOUS FAR :- 4.25
AVERAGE and MAXIMUM

value will print out.
･･････････････････････
3. If you want to finish measurement for one eye, press the Joystick button.
･･････････････････････
If the measurement data is acquired, “R OK>>” or “<<L OK” is displayed in the
message area.
4. Carry out measurement for the other eye following the same procedures.
5. Press the “PRINT” key on Function Key Layout 2 to print out the measurement
results. (→ Refer4-3-3 “Function key basic layout.”)
4-7-3 Manual Measurement mode (M)

Select a measurement sequence from the sequence key. The details of measurement
1. Select “M” from the mode key item A/A2/C/M.
2. If the bright point and Mire ring do not look sharply defined, carry out fine
adjustment by moving the joystick back and forth so that they surely come in focus.
At this time, the interior fixation chart automatically shifts slightly to the plus side
from the far point of the eye under measurement and the OK mark (→OK←) is
displayed.
3. When the OK mark (→OK←) is displayed, press the Joystick button.
At this time, the AUTO cloudy fog function is activated and measurement for the
eye under test is carried out.
- Press and hold the Joystick button to carry out continuous measurement. The
equipment stores the results of the REF measurement up to eight times of
measurement for one eye.
4. Carry out measurement for the other eye following the same procedures.
5. Press the “PRINT” key on Function Key Layout 2 to print out the measurement
results. (→ Refer4-3-3 “Function key basic layout.”)
42
4-8 Screening mode
Accommodation micro fluctuation status will show when stimuli are being applied
during fixation chart move gradually towards the eye from an infinite distance.
This mode is for screening purpose only. For precise measurement please proceed to
AMF mode.
1. Select “SCR” from “Measurement type” which is side of the ref measurement screen
and proceed to SCR mode.
2. Conducts the preliminary measurement. The starting position of the fixation chart is
determined by this measurement. The preliminary measurement carries out the
spherical power for both eyes. For the measurement procedures, Refer 4-7-1 “AUTO
measurement mode.”
During SCR mode, please change the VD value according to requirement as the
default value is 12mm.
＊ In case of measurement for one eye, press the function key “M-SCR” after
＊ If proceed to Retro mode, press the “RETRO” key. After proceed to the Retro
mode, you cannot return to the SCR mode. Therefore, if you need to carry out
repeated measurement, start with the preliminary measurement.
Screen at the end of the preliminary

Screen for the preliminary measurement measurement for one eye.
M-SCR Conducts the SCR measurement

for one eye.
RETRO Shift to the RETRO mode.
EXIT Ends the SCR measurement.
3. After pre-measurement for both eyes, if “PUSH JOYSTICK TO SCR START” is

displayed on the LCD screen, press the Joystick button to start measurement.
＊ You can adjust the starting position of the fixation chart by pressing the “+” or “-”
keys before starting measurement. The change STEP is 0.125 DP STEP.
43
Screen for starting measurement in the SCR measurement mode
REF value at the preliminary Fixation chart starting
measurement S + C/2 position
SCR measurement
graph
Press the “+” key to change the showing position of the

fixation chart toward the far point.
Press the “-” key to change the showing position of the
fixation chart toward the near point.
Switches ON/OFF for the melody play.
Finishes the SCR measurement.
＊ During measurement, carry out the fine adjustment with the joystick so that
the bright point always stays inside the reference mark and the Mire ring
comes in focus.
Screen during the SCR measurement

Measurement step
Measurement time
Measurement count Indicator-showingposition
Data loss status
44
・ The MELODY starts playing when the measurement starts. During data
acquisition, the alignment mark turns green and the measurement time will
start counting.
If data cannot be acquired, the alignment mark turns white and the number of
times will not count. Press the Melody key to stop the melody. If data successfully
acquired, short beeps sound continuously. If data cannot be acquired, no beep
sounds.
・ If you need to cancel the measurement after started, press the Joystick button to
stop. To start measurement again, press the Joystick button again.
Press the “EXIT” key to finish measurement.
Press the “PRINT” key to carry out printing.
4. For every step of measurement, pupil size will be measured base on vertical and
horizontal axis maximum value. Graph will show only horizontal direction result.
Proper measurement may not be possible due to the measuring light interruption
by the eyelashes, upper eyelid and eye brink.
5. The graph is displayed successively on the screen after every step of measurement.
(If the amount of data is small in a measurement step, the graph may not be shown
at the corresponding location.)
< First step> <Second step> < Fourth step>
SCR measurement mode graph

Stimulus amount
Move every 1.0D
1 column HFC [dB]
10 HIGH
Pupil size
65.01
Accommodative reaction value 8 65.00
S + C/2 or S
Pupil size scale 6 57.01

1 mm / scale
Range 2-10 mm 57.00
4 LOW
REF value at the preliminary
measurement S + C/2
2
* HFC (High Frequency Component) ···· Indicator of the frequency of high frequency appearance
45
Details of the SCR measurement
Starting position of the S + C/2 [D]
fixation chart for
measurement
I STEP stimulus amount -1.0 [D]
TOTAL stimulus amount -3.0 [D] or -5.0 [D]
1 STEP measurement time 10 [s]
Rest time 3 [s]
One eye measurement time -3.0 [D] -5.0 [D]
49 [s] 75 [s]
6. After the one-eye measurement, “R OK” or “L OK” will be displayed on the screen.
＊ Upon finishing the one-eye measurement, the “LARGE” key is displayed on the
function key. Press to expand the graph. Printout example
7. When measuring the other eye, move the sliding table
toward the examiner before moving it to the other eye, < SCR >
and then start the measurement. [L]
8. After measurement for both eyes are finished, printout
is carried out automatically if AUTO PRINT: ON in
the 5-3-1 “PRINT setting screen.” Carry out the
printout data format setting at “SCR” as described in
the 5-3-1 “PRINT setting screen.”
＊ For one-eye measurement only, printout is carried 5 4 5 5
SCR CV
out automatically after the one-eye measurement.
9. To carry out the previous measured result, move the
GREEN - 57.00[dB]
sliding table and switch to L or R.
＊ Note that for one-eye measurement, if you shift to
YELLOW 57.01 - 65.00[dB]
the eye that is not measured, “RETURN!” is
displayed on the upper left screen.
RED 65.01 - [dB]
10. Press the “EXIT” key to finish measurement.
11. SCR CV value (decreasing one by one from 5 to 0, PUPIL 2.0 - 10.0[mm]
whenever the data interval is 0.2[s] or more during

[L]
measurement within 1 step) shows on each column as <TARGET AVE HFC>
reliability. -4.00 -4.50 +40.60
-4.00 -4.25 +42.60
5: There is no data interval of 0.2[s] or more -4.00 -4.62 +40.06
-4.00 -4.50 +35.67
4: 1 data interval of 0.2[s] or more is exist -4.00 -4.62 +37.24
: -4.00 -4.50 +41.32
＊-4.00 -4.50 +40.60
0: 5 or more data interval of 0.2[s] or more are x: 6.2 y:6.4
･･････････････････････
exist
･･････････････････････
46
4-9 Accommodation Micro Fluctuation mode
Accommodation micro fluctuation status will show when stimuli are being applied
during the fixation chart move towards gradually from an infinite distance.
1. Select “AMF” from “Measurement type” which is side of the ref measurement screen
and proceed to SCR mode.
2. Conducts the preliminary measurement. The starting position of the indicator is
determined by this measurement. The preliminary measurement carries out
measurement of the degree of the refraction for both eyes. Follow the same
measurement procedures as those for the AUTO measurement. (Refer 4-7-1 “AUTO
measurement mode.”)
・ During AMF mode, please change the VD value according to requirement as

the default value is 12mm
＊ In case of measurement for one eye only, press the function key “M-AMF” after
the one-eye measurement.
＊ For Retro mode, press the “RETRO” key. After proceed to the Retro mode, you
cannot return to the AMF mode. Therefore, if you need to carry out repeated
measurement, start with the preliminary measurement.

Screen for the preliminary measurement
M-AMF Conducts the AMF measurement

for one eye.
AMF display RETRO Proceed to the RETRO mode.
EXIT Exit the AMF measurement.
47
3. After measurement for both eyes, if “PUSH JOYSTICK TO AMF STRAT” is displayed
on the screen, press the Joystick button to start the measurement.
＊ You can adjust the starting position of the fixation chart by pressing the “+” or “-”
keys before starting measurement. Press the “+” or “-” key to change fixation
chart position toward the far or near point respectively. The changing STEP is
0.125 DP STEP.
Screen for starting measurement in the AMF measurement

REF value at the preliminary
measurement S + C/2 Fixation chart starting position
AMF measurement
graph
Press the “+” key to change the showing position of the

fixation chart toward the far point.
Press the “-” key to change the showing position of the
fixation chart toward the near point.
Finishes the AMF mode.
48
＊ During measurement, carry out the fine adjustment with the joystick so that the
bright point always stays inside the reference mark and the Mire ring comes in
focus.
Screen during AMF measurement
Measurement step
Measurement time
Indicator-showing position
Measurement count
Data loss status
・ The MELODY will play when the measurement starts. During data acquisition, the
alignment mark turns green and the number of measurement times is being
counted.
times of measurement will not counted.
Press the Melody key to stop the melody.
If data are being acquired, short beeps sound continuously. If data cannot be
acquired, no beep sounds.
・ If you need to cancel the measurement after started, press the Joystick button to
stop the measurement. To start measurement again, press the Joystick button again.
Press the “EXIT” key to finish measurement.
Press the “PRINT” key to carry out printing.
4. For every step of measurement, pupil size will be measured base on vertical and
horizontal axis maximum value. Graph will show only horizontal direction result.
・Proper measurement may not be possible due to the measuring light interruption
by the eyelashes, upper eyelid, and eye brink.
49
5. The results are displayed successively in the graph after every step of measurement.
<1st STEP> <2nd STEP> <5th STEP> <8th STEP>
AMF Measurement mode

Stimulus amount
Move every 0.5D
1 column
HFC [dB]
10 HIGH
Pupil size
69.01
Accommodative reaction value
69.00
S + C/2 or S 8 65.01
Pupil size scale
65.00
1 mm/scale 61.01
Range 2-10 mm
61.00
6 57.01
Fixation chart starting position
START with S + C/2 + 0.5.
57.00
53.01
4 53.00
LOW
2
* HFC (High Frequency Component) ···· Indicator of the frequency of high frequency appearance
Details of the AMF measurement

Mode Precise Screening
Starting position of the fixation S+C/2+0.5 [D]
chart for measurement
1 STEP stimulus amount -0.5[D]
TOTAL stimulus amount -3.0[D] -3.0[D] -5.0 [D]
<8 STEP> <8 STEP> <12 STEP>
1 STEP measurement time 20 [s] 10 [s]
Rest time 3 [s]
One-eye measurement time 181 [s] 101 [s] 153 [s]
6. After the one-eye measurement, “R OK!” or “L OK!” is displayed on the LCD monitor.
＊ Upon finishing the one-eye measurement, the “LARGE” key is displayed on the
function key. Press this key to expand the graph display.
50
7. When measuring the other eye, pull the sliding table toward the examiner before
moving it to the other eye, and then start the measurement.
8. After measurement for both eyes are finished, printout is
carried out automatically in the case of AUTO PRINT: Printout example
ON in the 5-3-1 “PRINT setting screen.” Carry out the

< AMF >
printout data format setting at “AMF” as described in
[L]
the 5-3-1 “PRINT setting screen.”
＊ For one-eye measurement only, printout is carried
out automatically after the one-eye measurement.
＊ Note that a printed graph is displayed in three
colors.
9. If you need to display the graph for the eye under test
that was measured first, move the sliding table and 5 4 4 5 5 4 4 3
AMF CV
switch to L or R.
＊ Note that, for one-eye measurement, if you shift to GREEN - 57.00[dB]
the eye that is not measured, “RETURN!” is
displayed on the upper left screen. YELLOW 57.01 - 65.00[dB]
10. Press the “EXIT” key to finish measurement.
11. AMF CV value (decreasing one by one from 5 to 0, RED 65.01 - [dB]
whenever the data interval is 0.2[s] or more during PUPIL 2.0 - 10.0[mm]
measurement within 1 step) shows on each column as
reliability. [L]
<TARGET AVE HFC>
5: There is no data interval of 0.2[s] or more -4.00 -4.50 +40.60
-4.00 -4.25 +42.60
4: 1 data interval of 0.2[s] or more is exist -4.00 -4.62 +40.06
: -4.00 -4.50 +35.67
-4.00 -4.62 +37.24
0: 5 or more data interval of 0.2[s] or more are -4.00 -4.50 +41.32
＊-4.00 -4.50 +40.60
exist x: 6.2 y:6.4
･･････････････････････
･･････････････････････
51
4-10 Addition Power Measurement mode
In this mode, the addition power and inset amount are objectively measured based
on the amount of the accommodation reaction that occurs when the fixation chart is
gradually move towards to the eye from an infinitely far distance.
1. Select “ADD” from Function Key Layout 1.
“ADD” is displayed on the screen and the color of the ADD key changes, which gives
you confirmation of the shift to the ADD mode.
2. Conducts the preliminary measurement. The starting position of the indicator is
determined by this measurement. The preliminary measurement carries out
measurement of the degree of the refraction for both eyes. Follow the same
measurement procedures as those for the AUTO measurement. (Refer 4-7-1 “AUTO
measurement mode.”)
＊ For one eye measurement, press the function key “M-ADD” after measurement
for the one eye.
＊ If you need to shift to the Retro mode, press the “RETRO” key. After shifting to
the Retro mode, you cannot return to the ADD mode. Therefore, if you need to
carry out repeated measurement, start with the preliminary measurement.

Screen for the preliminary measurement measurement for one eye.
ADD display M-ADD Conducts ADD measurement for

one eye
RETRO Proceed to RETRO mode
EXIT Exit ADD measurement
・ For one eye measurement, note that the inset amount cannot be measured.
3. After both eyes measurement, if “PUSH JOYSTICK TO ADD STRAT” is displayed on

the LCD screen, press the Joystick button to start measurement.
52
ADD measurement start screen
ADD measurement REF value at the preliminary Fixation chart starting
graph measurement S + C/2 position
Exit the ADD measurement.
＊ During measurement, carry out the fine adjustment with the joystick so that the
bright point always stays inside the reference mark and the Mire ring comes in
focus.
- MELODY will play when measurement starts. During data acquisition, the
alignment mark turns green and the number of measurement times is being
counted.
times of measurement will not counted. Press the Melody key to stop the melody.
53
4. The results are displayed successively in the graph after every STEP measurement.
・ After the ADD measurement, the equipment automatically shifts to the AMF
measurement.
ADD measurement screen
Measurement step
Measurement time
Measurement count Indicator-showing position
Max SPH
Min SPH
ADD
Finishes the ADD mode.
5. Fixation chart location for AMF measurement under ADD mode will determine by
2/3 of the maximum accommodation reaction amount.
Example: Fixation chart location: -3.0D (S+C/2)
AMF measurement will start from –2.0D
Screen shows “R OK” or “L OK” after measurement.
ADD Measurement Mode Graph

Position of 2/3 Accommodative Stimulus
Accommodative stimulus amount Amountduring Max. Accommodative Reaction
Shift every 0.5 D
Accommodation reaction amount

S + C/2
REF value at the

preliminary measurement
S + C/2
54
Details of the ADD measurement
Starting position of the fixation chart for S+C/2 [D]
measurement
1 STEP stimulus amount -0.5 [D]
TOTAL stimulus amount -5.0 [D] <11 STEP>
1 STEP measurement time 3 [s]
Intermission 3 [s]
One-eye measurement time (without the AMF 63 [s]
measurement)
AMF measurement time 10 [s] or 20[s]
One-eye measurement time (with the AMF 73 [s] or 83 [s]
measurement)
6. When measuring the other eye, pull the sliding table toward the examiner before
moving it to the other eye, and then start the measurement for the other eye. After
measurement for both eyes are finished, printout is carried out automatically in the
case of AUTO PRINT: ON in the 5-3-1 “PRINT setting screen. ”Carry out the printout
data format setting at “ADDITION” as described in the 5-3-1 “PRINT setting screen.”
＊ In case of the one-eye measurement only, printout is carried out automatically
after the one-eye measurement. Printout example
7. If you need to display the graph for the eye under test
< ADDITION >
that was measured first, move the sliding table and
NEAR: 40[cm]
switch to L or R. d: 12.00[mm]
t: 13.00[mm]
＊ Note that, in the case of the one-eye measurement,
if you shift to the eye that is not measured, -INSET-
[R] 1.61[mm]
“RETURN!” will display on the upper left of [L] 1.59[mm]
screen.
[L]
8. Use the AMF measurement results as a reference for
the addition powers in the subjective measurement.
Green ·Regulation is in a relaxed state, showing room
for regulation.
Yellow · A state of being slightly burdened on
regulation. It is considered that the addition
GREEN - 57.00[dB]
power is adequate or could be made a little bit
stronger. YELLOW 57.01 - 65.00[dB]
Red ···· A state of being burdened on regulation. It is RED 65.01 - [dB]

considered that the addition power should be
[L]
made stronger. <TARGET AVE HFC>
-4.00 -4.50 +40.60
-4.00 -4.25 +42.60
-4.00 -4.62 +40.06
-4.00 -4.50 +35.67
-4.00 -4.62 +37.24
-4.00 -4.50 +41.32
＜ MAX MIN
ADD>
- 4.11 - 6.50 1.00
55
Since the ADD power must be final determined by the subjective test, it must not
be determined only based on the result from the ADD measurement.
9. In case where you want to stop during half of the measurement

If you need to cancel measurement after starting due to the measurement result is
suspected to be presbyopia, etc, press the joystick button to stop the measurement.
4-11 Retro mode

If the “RETRO” key of a function key is pressed, it will move to the retro mode.
If foreign material/opacity within lens found during measurement, a black shadow or
bubble-like image will displayed as shown in the figure below.
Retro mode screen
Center of bright
spot φ3mm
Mire ring
ON/OFF
Exit key
Pressing the key, display the binarized image as shown in the figure below.
56
Function key
Up or down THERESHOLD.
Scaling center of bright spot
Printing the binarized image
Pressing the key, display the binarized image as shown in the figure below.
RETRO
X : 5.5
Y : 5.6
Diameter : 3.0mm
OPACITY :
THRESHOLD : 85/255
PUSH JOYSTICK TO RETURN
Function key
Up or down THERESHOLD
Printing the binarized image
Pressing the key again, display the binarized image as shown in the
figure below.
RETRO
Y : 5.6
Diameter : 3.0mm
OPACITY :
THRESHOLD : 85/255
PUSH JOYSTICK TO RETURN
57
Function key
Moving the upper bar to up or down
Moving the lower bar to up or down
4-12 Various function

4-12-1 Pupil size measurement function
- This equipment is equipped with the pupil size measurement function that synchronize
with REF.
Carry out the pupil size measurement when the sequence is set to R.
(Refer 5-2 “Auto Measurement Setting.”)
1. On the “REF setting screen” in the <SETUP>, set the “PUPIL” setting to “ALL” or
“ONE.”
When “PUPIL” setting is set to “ONE”, pupil size is measured only once for
one-eye measurement.
If the “PUPIL” setting is set to “ALL,” the pupil size is measured after the REF
measurement.
2. Upon starting measurement, the pupil size measurement automatically starts after
the REF measurement. When the measurement data is obtained, “PUPIL” and
Measured value are displayed on the measurement screen.
Small Pupil
Display
Pupil Measurement
Value
As for the pupil size, the maximum values of the lateral and vertical directions are
measured. Screen will shows vertical direction data.
Measurement range: 2.0 mm minimum
Measurement step: 0.1 mm
58
・ The measurement may not be performed when the measurement light is
blocked by eyelashes and/or upper lid.
3. If the lateral and vertical values of the pupil are 3.0 mm or smaller, constriction of
the pupil may have occurred, and therefore, the brightness of the fixation chart will
automatically reduced.(Chart brightness will change to L)
Note that this function will only work in AUTO MODE/AUTO MODE2.
4. In case of a small pupil(2.3 mm or less), “SMALL PUPIL” is displayed in the message
area.
Note that this function will only work in AUTO MODE/AUTO MODE2.
・ If pupil size is under φ2.3mm, there is a possibility where the measurement

will not perform smoothly or the data will be instable.
・
4-12-2 Alignment direction indication

Alignment indication mark will guide user to focus properly during measurement.
Move the unit according to the indication mark will facilitate the measurement
process.
Alignment Direction: Left Alignment Direction: Up
Alignment Direction: Down Alignment Direction: Right
1. On the “OTHER setting screen” in the <SETUP>, set the “ALIGN” setting to “ON.”
* Indication marks will not shown if set to “OFF”.
2. Start measurement.
3. When the LED infra light illuminates the eye, the alignment indication mark will
shows.
4. Alignment can be obtained by moving the equipment according to the indication
mark.
59
5. If the alignment direction indication key is displayed as shown in the figure to the
right, move the body to the lower left direction to achieve the alignment.
4-12-3 Auto Quick Function

Auto Quick will be useful when measuring small children, frequently moving eye or
poor fixation eye’s patient. Quick Mode will activate if REF value cannot be obtained
smoothly.
1. In the Auto Measurement Setting Screen in <SETUP>, set “AUTO QUICK” setting
to “ON.”
2. “AUTO QUICK MODE” will activate if REF data cannot obtained within 4 second.
“AUTO QUICK” startup condition
Condition
1 When the data cannot be acquired within 4 seconds after measurement start.
(Cannot complete measurement.)
2 Unable to proceed for next data measurement (within 4 sec) after the first data.
60
3. “AUTO QUICK,” will show when system switch to AUTO QUICK MODE.
AUTOQUICK Display
The Auto Quick function will only activate when the mode is AUTO
MEASUREMENT MODE (A) or AUTO MEASUREMENT MODE2(A2). Auto Quick
will not apply for Continuous Measurement Mode(C) or Manual Measurement
Mode(M).
4. After the measurement of one eye is finished, AUTO QUICK is canceled
automatically.
The conditions when Auto Quick function is cancelled are as follows.
Condition
1 The measurement of one eye is finished in the Auto Quick mode.
2 During the measurement, it is stopped by pressing the Joystick button.
3 The right/left eye discrimination is changed.
4 Any key operation is performed during the measurement.
5. The value measured in the Auto Quick function is printed with AQ.
Printout example This indicates that the measurement was

performed by the Auto Quick function.
-[REF]-
[R] SPH CYL AX
- 5.75 – 1.25 5 AQ
- 5.75 – 1.25 5 AQ
- 5.75 – 1.25 7 AQ
- 5.75 – 1.25 5 AQ
･･････････････････････
When the function is switched to the Auto Quick function, the REF data
acquisition time is about half of the normal time, but the variation of the
measurement values may increase.
61
4-12-4 Auto Retro Mode
When the measurement data are vary or cannot be acquired, it will proceed to RETRO
MODE automatically to allow for the observation of the optic media.
1. In the Auto Measurement Setting Screen in <SETUP>, set “AUTO RETRO” setting
to “ON.”
2. When the Auto quick function is ON, and when the data cannot be acquired within 4
seconds after measurement start, “AUTO QUICK MODE” will display on the
measurement screen. (→ Refer 4-12-3 “Auto Quick Function.”)
3. When the measurement cannot be performed within an additional 3 seconds, it will
automatically switch to the Retro mode. (→ Refer 4-11 “Retro Mode.”)
4. The Auto Retro function will only active when the mode is Auto Measurement Mode
(AUTO). Auto Retro will not apply for Continuous Measurement Mode or Manual
Measurement Mode.
4-12-5 Memory Function

This equipment has a memory function of 50 patients (100 eyes) for each measurement
and can store the Ref values in the memory.
1. Memory Content
The memory data in the table below can be stored. The ID and date & time are also
recorded to each memory data at the same time.
Data which can be stored in the memory
Basic Item
ID Pupil Size Measurement Value REF values
Print No. Fixation chart brightness Date & Time
PD Value Measurement mode CYL Sign
(A / A2 / C / M)
VD values Measurement Data STEP
SCR AMF ADD
(including the basic items) (including the basic items) (including the basic items)
Accommodation Accommodation ADD Power
stimulus quantity stimulus quantity
Graph Data Graph Data Inset Amount
Pupil Size Measurement Value Pupil Size Measurement Value Distance between Centers of
Rotation
Measurement mode (S or S+C/2) Measurement mode (S or S+C/2) Measurement mode (S or S+C/2)
Measurement time AMF measurement time
Max. Accommodative Power
Min. Accommodative Power
Graph Data
Near Point Distance
2. Using the Memory

Select <MEMORY>on the <SETUP> screen to MEMORY Output Screen.
Select “ON” from “MEMORY” ON/OFF. (→ Refer 5-8 “MEMORY Management
Setting”)
62
2.1. If AUTO PRINT set to “ON” (Refer to 5-3-1), data will be saved after
printout/output. As show on the below image, the save count will increase.
Refer to “2.2 Auto Print OFF” if using C or M mode.
Display of the LCD monitor during printing

M 1/50
R L R L
-REF- -CV- 10 10
SPH - 4.50 - 4.25 -PUPIL- 3.8 3.2
CYL - 0.25 - 0.75 -PD- 64.0
AX 180 180
PRINT No : 00000
ID:0000000000000
NOW PRINTING...
GO TO RETRO ?
2.2. When the Auto Print function is “OFF” (→ Refer 5-3-1 “Print Setting Screen”)
Data will save after complete of measurement, or printout/output. If choose
“EXIT”, data will discard and proceed to main screen. The storage of the data
into memory is completed when the screen as shown above is displayed.
3. Output of Memory Data (→ Refer 5-8 “MEMORY Management Setting”)
All the past measurement data saved in this equipment can be printed,
transmitted wirelessly using infrared port, and transmitted via RS-232C cable or
USB cable. The output can be selected for the past 10, 30 or 50 patients.
4. Memory Data Erasing (→ Refer 5-8 “MEMORY Management Setting”)
The data stored in the memory can be erased.
63
5. If save data is over 50 person, the below screen will show up. If press “YES”, all of
the saved 50 person data will delete, the latest save data will count as 1. If select
“NO”, the save data will keep un-touch.
M50/50
R L R L
-REF- -CV- 10 10
SPH - 4.50 - 4.25 -PUPIL- 3.8 3.2
CYL - 0.25 - 0.75 -PD- 64.0
AX 180 180
PRINT No : 00000
ID:0000000000000
NOW PRINTING...
CLEAR MEMORY ALL ?
4-12-6 Auto start Function

Measurement will automatically start once the bright spot is located within the
alignment mark area.
1. On the “AUTO REF MODE setting screen” in the <SETUP>, set the “Auto Start”
setting to “ON.” Only works under “AUTO MODE(A)” “AUTO MODE 2(A2)”
“CONTINUOUS(C)”. It will not work under “MANUAL(M)” mode.
2. Measurement will start once mark show after the bright spot is located within
the alignment mark area. If “AUTO START” set to OFF, press joystick button to
start after alignment.
Alignment mark
Birght point
64
4-13 Print
After the measurement is finished, the measurement data can be print out.
・The measurement cannot be perform while printing.
・Tear off the print out paper by tearing it upward. (→ Refer 4-13-3 “Cutting Procedure of
Printer Paper”)
4-13-1 Auto Print Function

After the measurement, data will print out automatically.
* During Continuous Measurement mode or Manual Measurement mode, the data
will not print out automatically.
In the “Print Setting Screen” in <SETUP>, set the “AUTO” setting to “PRINT&SEND.”
* When the Auto Print setting is OFF or under Continuous Measurement mode /
Manual Measurement mode, press the “PRINT Key” on Function key layout .
When the Auto Print setting is SEND ONLY, only communication data will send after
measurement.
After the print is finished, when <IR UNIT No.> of the data signal setting (multiple
refractor heads IR Setting) is “SELECT” (→ Refer 5-3-2 “Data Signal Setting Screen”), the
screen below is displayed.
M 1/50
R L R L
-REF- -CV- 10 10
SPH - 4.50 - 4.25 -PUPIL- 3.8 3.2
CYL - 0.25 - 0.75 -PD- 64.0
AX 180 180
PRINT No : 00000
ID:0000000000000
SELECT UNIT No.

GO TO RETRO ?
Select the ID number of IR UNIT No. to be sent.

･Press “1” to send to refractor head unit no. 1
For setting method of the unit no of Remote Vision RV-II, refer the instruction manual for
RV-II.
65
4-13-2 Contents of printing
1. The content of printing is that set in 5-3-1 “Print Setting Screen” in <SETUP>. The
measurement results to be printed are up to 8 data sets for one eye. (For the auto
measurement, it is up to 5 data sets for one eye.)
2. Data communication setting allows the equipment to communicate with external
devices in parallel while printing. (→ Refer 5-3-2 “Data Signal Setting Screen”)
After printing is finished, if you want to print (transmit data) again, press the “PRINT
Key” to do so. The screen as shown below is displayed.
•Press the “PRINT Key” to print the measurement result again.

•Press the “SEND Key” to transfer data.
•Press the “EYE Key” performs the eye print.
M 1/50
R L R L
-REF- -CV- 10 10
SPH - 4.50 - 4.25 -PUPIL- 3.8 3.2
CYL - 0.25 - 0.75 -PD- 64.0
AX 180 180
PRINT No : 00000
ID:0000000000000
NOW PRINTING...
GO TO RETRO ?
66
Print Example
REF Measurement Example of Eye Print

－－ID: －－
ID －－ID:000000000000000－－－－－No. 12345－－－－－－－－
Print No . －－No. 12345－－－－－－－－ ‘17. 8.17 14:58
Measurement Date & Time ‘17. 8.17 14:58 Name:
MODE:A
Please fill in the name by
hand if necessary. Name: VD:12.0 PD:65.5 CHART: H
MODE:A -REF-
Measurement mode.
VD:12.0 PD: 65.5 CHART: H [R] SPH CYL AX
* Cornea －REF－＊ – 2.12 –0.62 111 10 Ref Representative Value

VertexDistance
* Pupil distance [R] SPH CYL AX (S+C/2 = ―2.37)
* Fixation target
brightness
–2.00 –0.75 110 PUPIL x: 5.7 y: 5.7 Pupil Size
Measurement value
x:5.5 y:5.6
–2.12 –0.75 111
Pupil Size Measurement
value
x:5.6 y:5.6
–2.12 –0.62 111 Eye Print
Ref + Pupil Size Measurement
value (Right Eye)
x:5.7 y:5.7
–2.12 –0.62 112
x:5.7 y:5.7
Message
–2.00 –0.62 111 ACOMOREF 2
Right Eye Ref Reliability x:5.8 y:5.8
value
Ref + Pupil Size

＊ –2.12 –0.62 111 10
Representative Value (S+C/2 = – 2.37)
(Right Eye)
PUPIL x:5.7 y:5.7
Refractory
measurement values [L] SPH CYL AX
(Left Eye)
–1.50 AQ
x:5.8 y:5.7
–1.50 AQ
x:5.8 y:5.8
Ref + Pupil Size Measurement
Value (Left Eye)
–1.50 AQ
x:5.9 y:5.8
Quick Mode –1.62 AQ
x:5.8 y:5.8
–1.62 AQ
Left Eye Ref Reliability
x:5.9 y:5.8
Value
＊ –1.62 10
Ref Representative Value (S+C/2 = – 1.62)
(Left Eye) PUPIL x:5.8 y:5.8
The measurement results are printed in the order of the right eye and the left eye even if the
measurement was started from the left eye.
67
4-13-3 Cutting Procedure of Printer Paper
Tear out the printer paper by holding the right edge of the paper, and cut the paper by
pulling it up to the direction as shown in the figure on the right.
・ Small amount of paper dust generated when teared off the print out paper may be
caused failure to print by adhering to the printer vent or thermal head. Clean when
necessary to avoid failure to print out.
・ Tear the print out paper with matching to the cutter direction. Do not tear to the
opposite side which will cause damage to the printer unit.
4-14 Turning off the power

At the end of the work (daily), make sure to turn OFF the power. After the power is
turned OFF, cover with the dust cover (provided) on the main body. If the equipment
will not be used for a long period, pull the power cord out of the outlet. Leaving the
power cord plugged to an outlet for a long period of time may cause a fire.
OFF
4-15 Others
4-15-1 Auto Fogging System
Auto fogging system is used to minimize the patient’s eye accommodation. When
patient’s eye matches the system requirement, it will automatically change to
fogging condition. Pleasekeep remind patient to look into the central of the fixation
chart.
68
1． Once ready for measurement, fixation chart will looks blur at patient side.
(Fogging Status)
↓
2． Acquire the data.
↓
3． Beep sound play once obtained the data.
↓
4． The fixation chart remains blur at patient side.
↓
5． Proceed to acquire the next data.
4-15-2 About Representative Data

The “Representative data” is the middle of the measurement data after sorted by the
computer.
The value with the “*” mark in the print out is the representative data. For the
example of print content, Refer 4-13-2 “Contents of printing.”
The reliability data is displayed with the representative value. The smaller the
variation the higher the reliability value (Max 10).
In cases where the variation in the Ref measurement is large, use the following points
as reference when you select one value from an individual measurement result.
・ When only SPH varies significantly.
Patient’s eye is intervened by accommodation. Restart the measurement again.
Remind patient to look at the central of fixation chart.
・ When CYL and AXIS vary
AXIS data will slightly unstable when CYL is low or <0.5D.
In other cases:
・ The eyelashes are in the area of pupil.
・ The pupil size is smaller than 2.3 mm diameter.
・ The patient has an eye disease. (Such as irregular astigmatism, opacity in the optic
media)
In these cases listed above, the reliability value tends to be low in general. When the
eyelashes or the pupil size is the cause, perform the measurement again by paying
attention to them.
4-15-3 About REF Reliability Value

The reliability value indicates the degree of variation in the measurement result. The
value is displayed when the measurements were performed three times or more and
is printed on the far right of the representative data. For the example of print content,
69
refer 4-13-2 “Contents of printing.”
・ 8 or higher: The variation is small.
・ 7 or lower: There is a variation. The handling of the measurement result requires
adequate care.
Check the unstable data under C mode measurement.
4-15-4 About Auto Power Saving

When there is no switch operation within the preset time while the measurement is
not performed, the power of this equipment automatically goes into the power saving
mode.
To perform the measurement again, press the joystick button/touch the LCD
screen/change the LR eye.
In the Menu Setting screen, the preset time for the power saving mode can be set. (→
Refer 5-10 “OTHER Setting Screen”)
* Note that the power saving mode is not activated during the measurement or in the
<SET UP> screen.
4-15-5 About Measurement of IOL Eye

This equipment can measure IOL eyes (eyes with intraocular lens) using the same
operation as that for normal eyes without any switching operations. However,
depending on the type of IOL and/or the condition of IOL eye, the reflected light from
the IOL may acts as a noise and the measurement may not be performed, the
reliability value of the measurement value may be low, or the measurement data
may vary.
By setting the Auto Quick function in advance, the measurement mode goes into the
QUICK MODE automatically when the measurement is difficult (Refer 4-12-3 “Auto
Quick Function”), and this makes the measurement easy.
4-15-6 When Measurement Data Cannot Be Obtained

When a normal measurement value is obtained, it is displayed on the main body.
However, when the measurement value cannot be obtained even if the alignment is
correct, there might be some kind of error. The handling methods for such cases are
as follows.
・ Keep the patient’s eyelashes out of the outer line of the alignment mark on the
screen. Ask patient to lift up the eyelash or widely open the eye.
・ Blinking during the measurement will restart the measurement automatically.
・ SPH measurement is out of range (-20D to +23D) or CYL measurement is out of
range (+- 0~12D).
・ The measurement cannot be performed when <S+C> is outside the measurement
range from -20D to +23D or <C> is outside the measurement ranges from 0D to
-12D and from 0D to +12D.
70
・ When measuring the patient eye with a contact lens:
Normally the measurement value can be obtained. However, if the contact lens does
not fit completely, the correct value cannot be obtained. The measurement cannot
be performed when the contact lens is dirty or damaged. ,
・ When measuring the patient eye with glasses:
The measurement value can be obtained even if the lens is slightly tilted. The
correct value cannot be obtained if the lens is tilted too much. The measurement
may not be performed when the reflected light on the lens surface goes into the
measurement window or the lens transmission is low in case of a color lens.
5. Setting Procedures
Press “SETUP” key to enter setup menu for various configuration.
<SET UP> <SET UP>
MEASURE 5-1 General Setting <MEASURE>

AUTO REF MODE 5-2 Auto Measurement Setting <AUTO REF MODE>
OUTPUT 5-3 Output Setting <OUTPUT>
PRINT No. 5-4 Print No. Setting <PRINT No.>
MESSAGE 5-5 Message Input Setting <MESSAGE>
CLOCK 5-6 Time / Date Setting <CLOCK>
LANGUAGE 5-7 Language Output Setting <LANGUAGE>
MEMORY 5-8 Memory Management Setting <MEMORY>
INITIAL 5-9 Initial Setting <INITIAL>
OTHER 5-10 Other Setting <OTHER>
MELODY 5-11 Melody Setting <MELODY>
5-1 General Setting <MEASURE>

On the <SETUP> screen, press the “MEASURE” key to go into the “MEASURE Setting
Screen. The settings of each measurement can be set. Press the <REF>key to go into
each setting.
71
<MEASURE>
REF To “5-1-1 REF Setting Screen <REF>”
SCR To “5-1-3 SCR Setting Screen <SCR>”
AMF To “5-1-4 AMF Setting Screen <AMF>”

To “5-1-5 ADDITION / INSET Setting Screen
ADDITION / INSET
<ADD>”
MEASURE TYPE To “5-1-6 MEASURE TYPE Setting Screen”
5-1-1 REF Setting Screen <REF>

On the <MEASURE> screen, press the “REF” key to go into the REF Setting Screen. The
settings for the pupil size measurement and the setting for the VD value can be set on
this screen. The setting for each item can be set by key.
<MEASURE> REF
PUPIL ONE
CYL -
STEP AUTO
VD 12.0
72
Item Selection Item Description
PUPIL ONE The pupil size is measured once in a one eye measurement.
ALL The pupil size is measured after the REF measurement.
OFF No measurement
CYL － CYL is converted to minus.
MIX No CYL measurement value conversion
＋ CYL is converted to plus.
STEP AUTO When the measurement value is within ±3 D, the step is 0.12 D.
When above +3D, the step is 0.25 D.
0.25 0.25 D step
0.12 0.12 D step
VD 12 Setting of cornea vertex distance [mm]
13.5
13.75
15
16
0
5-1-2 SCR Setting Screen <SCR>

Select <SCR> on the <MEASURE> screen to go into the SCR Setting Screen.
The settings for the measurement time and the setting for the accommodative stimulus
amount can be set on this screen.
The setting for each item can be set by key.
<MEASURE>SCR
M-MODE S+C/2
STIMULUS -3.0[D]

M-MODE S+C/2 Selection of the accommodative micro fluctuation mode
S+C/2: Equivalent spherical diopter power
S S: Spherical diopter power
STIMULUS -3.0 D Selection of the accommodative stimulus amount
-5.0D
73
5-1-3 AMF Setting Screen <AMF>
Select <AMF> on the <MEASURE> screen to go into the AMF Setting Screen.
The settings for the measurement time and the setting for the accommodative stimulus
amount can be set on this screen.
<MEASURE>AMF
M-TIME SCREENING
M-MODE S+C/2
STIMULUS -3.0 [D]

M-TIME SCREENING Selection of the measurement time
SCREENING: 10 [sec]/1 STEP
PRECISE PRECISE: 20 [sec]/1 STEP
M-MODE S+C/2 Selection of the accommodative micro fluctuation computing mode
STIMULUS -3.0 D Selection of the accommodative stimulus amount
* When -0.5 D is selected, the available measurement mode is
-5.0D SCREENING only.
5-1-4 ADDITION/INSET Setting Screen <ADDITION/INSET>

Select <ADDITION/INSET> on the <MEASURE> screen to go into the
ADDITION/INSET Setting Screen.
The target near use distance and the center of rotation can be set on this screen.
<MEASURE>ADDITION/INSET
INSET NEAR 40 [cm]

INSET t 13 [mm]
AMF MODE -3.0 [D]
74
<MEASURE> ADDITION/INSET
AMF TIME 10 [s] / 1step

INSET d VD (12.0 [mm])

INSET NEAR 30–50 [cm] The target near point distance is set. It can be set in an increment
of 5 cm.
INSET t 12–15 The center of rotation is set. It can be set in an increment of 0.5
mm.
AMF MODE S+C/2 Selection of the accommodative micro fluctuation mode
AMF TIME 10 [S] / 1 STEP Selection of the accommodative micro fluctuation analysis
20 [S] / 1 STEP measurement time
INSET d － The VD value is set. The VD is changed in conjunction with the
<REF> VD setting.
Refer “5-1-1 REF Setting Screen” for details.
5-1-5 MEASURE TYPE Setting Screen <MEASURE TYPE >

Select <MEASURE TYPE> key on <MEASURE> Screen to go into the MEASURE TYPE
Setting Screen.
It can be set on this screen that measurement type button on normal measurement
screen are with or without.
<MEASURE> MEASURE TYPE
SCR ON
AMF ON
ADD ON
75
5-2 Auto Measurement Setting <AUTO REF MODE>
On the <SETUP> screen, press the <AUTO REF MODE> key to go into the AUTO
Measurement Setting Screen. The measurement contents can be changed on this screen.
<AUTO REF MODE>
AUTO QUICK ON
AUTO RETRO ON
AUTO START ON

AUTO QUICK ON ON: With AUTO QUICK setting
(Works under A,A2) OFF: Without AUTO QUICK setting
OFF
(Refer 4-13-3 Auto quick function)
AUTO RETRO ON ON: With AUTO RETRO setting
OFF: Without AUTO RETRO setting
OFF
(Refer 4-13-4 Auto retro function)
AUTO START ON ON: With AUTO START setting
(Works under A,A2,C) OFF: Without AUTO START setting
OFF
(Refer 4-13-6 Auto start function)
5-3 Output Setting <OUTPUT>

On the <SETUP> screen, press the “OUTPUT” key to go into the Output Setting Screen.
The output method of the measurement data can be set. Press the <PRINT>, <SIGNAL>
to go into each setting.
<OUTPUT>
PRINT To the “5-3-1 Print Setting Screen <OUTPUT> PRINT”

SIGNAL To the “5-3-2 Data Signal Setting Screen <OUTPUT> SIGNAL”
76
5-3-1 Print Setting Screen <OUTPUT> PRINT
On the <OUTPUT> screen, press the “PRINT” key to go into the Print Setting Screen.
The contents for print output can be changed on this menu.
<OUTPUT>PRINT
AUTO PRINT & SEND
REF ALL
<OUTPUT>PRINT
PUPIL ON
MESSAGE OFF
<OUTPUT>PRINT
SCR GRAPH & REP DATA

AMF GRAPH & REP DATA
ADDITION GRAPH
REFERENCE ON
77
AUTO PRINT&SEND Auto print setting when the Auto Measurement mode is used:
PRINT&SEND: After measurement, data will print and send
SEND ONLY automatically.
SEND ONLY: After measurement, only data transmission is
performed automatically.
OFF OFF: After the measurement, print out and data
transmission are not performed automatically.
REF ALL Print setting of the Ref measurement value:
ALL: The measurement value and representative value are
REP printed when the Ref measurement value exists.
REP: The representative value is printed when the Ref
OFF measurement value exists.
OFF: No print
PUPIL ON Print setting of the pupil size:
Will not output if ON: The measurement value is printed.
REF set to OFF OFF
OFF: No print
MESSAGE ON Print setting of the message:
ON: The message is printed.
OFF
OFF: No print
SCR GRAPH Print setting of SCR measurement：
GRAPH& REP GRAPH：Printing graph
DATA GRAPH&REP DATA：Printing graph and representative data
GRAPH& ALL GRAPH&ALL DATA：Printing graph and all measurement
DATA data
REP DATA REP DATA：Printing representative data
ALL DATA ALL DATA：Printing all measurement data
OFF OFF：Not printing
AMF GRAPH Print setting of AMF measurement：
GRAPH& REP GRAPH：Printing graph
DATA GRAPH&REP DATA：Printing graph and representative data
GRAPH& ALL GRAPH&ALL DATA：Printing graph and all measurement
DATA data
REP DATA REP DATA：Printing representative data
ALL DATA ALL DATA：Printing all measurement data
ADDTION GRAPH Print setting of ADD power measurement：
GRAPH：Printed ADD power, graph and INSET amount
GRAPH&DATA
GRAPH&DATA：Printing graph and measurement data
DATA DATA：Printing measurement data
REFERENCE ON Setting to print the graph legend of SCR, accommodative
micro fluctuation and adding power measurement.
ON : Print the graph legend
OFF
OFF : Not print the graph legend
78
5-3-2 Data Signal Setting Screen <OUTPUT> SIGNAL
On the <OUTPUT> screen, press the “SIGNAL” key to go into the Data Signal Setting
Screen. The output settings for the data transmission by infrared transmission or via
cable connection can be changed on this screen.
<OUTPUT>SIGNAL
REF ALL
PUPIL ON
IR RT
<OUTPUT>SIGNAL
IRUNIT No 1
PORT USB
bit / sec 38400bps
STOP bit 1STOP bit
FORMAT PC
(Depend on a format)
<OUTPUT>SIGNAL
SCR REP
AMF REP
ADDITION REP
79
REF ALL Output setting of the Ref measurement value:
ALL: The measurement value and representative value are
REP transmitted when the Ref measurement value exists.
REP: The representative value is transmitted when the Ref
OFF measurement value exists.
OFF: No transmission
PUPIL ON Output setting of the pupil size:
Will not ooutput if ON: The measurement value is transmitted.
REF set to OFF OFF
OFF: No transmission
IR RT The setting of infrared transmission is set.
RT: Select this when the data is transmitted to the Righton
RV products.
RV: Select this when the data is transmitted to RV-II.
CLOSE CLOSE: Not transmitted
IR UNIT No 1 When there are multiple RV-II, the destination of the infrared
2 transmission is set.
•1 - 4: Select the number of RV-II in which you want to transmit
3
•SELECT: Select this when data transmission, select from 1 to 4
4 numbers.
SELECT
PORT USB The output port is set.
D-sub9 USB: Compatible with USB 2.0 Full Speed standard
CLOSE D-SUB9: Interface in conformity with the RS-232C standard
bit / sec 38400 bps Select data transmission speed
115200 bps
9600 bps
STOP bit 1 STOP bit Select the STOP BIT
2 STOP bit
FORMAT RT Select the OUTPUT method
PC RT：When connect with RV-II
PC：When connect with PC
PC(CSV)
PC(CSV)：Output as CSV file to PC
NNKE NNKE：When connect with Remote Vision
SCR ALL Output setting of SCR measurement：
ALL：Sending all data
REP
REP：Sending representative data
OFF OFF：Not output
AMF ALL Output setting of AMF measurement：
REP
ADDTION ALL Output setting of addition power measurement：
REP
80
5-4 PRINT No. Setting<PRINT No.>
On the <SETUP> screen, press the “PRINT No.” key to go into the PRINT No Setting
Screen. Press the number key corresponding to the desired number to input the number
where the cursor is positioned (indicate in orange).
■ Setting Example: To input a number “7”
Press the “7” key: The number “7” is input

to the cursor digit.
When a number is entered, the cursor moves to the lower place by one digit.
Move the cursor with button.
After all the digits are entered, press the “EXIT” key to store the numbers and return to
the “SET UP Screen.”
•When a PRINT No. is set, the numbers of the subsequent measurements are
automatically increased by “1.”
•The highest-order digit should be entered at first.
5-5 Message Input Setting <MESSAGE>

On the <SETUP> screen, press the “MESSAGE” key to go into the Message Input Screen.
The message can be up to 24 characters x 2 lines (48 characters). The input character can
be deleted using the ERASE key. After the input is finished, press the “ENTER” key to
store the message and to return to the SET UP Screen. Message will print on bottom part
of printout. Useful when using to verify the instruments model name.
81
5-6 Time/Date Setting<CLOCK>
On the <SETUP> screen and press the “CLOCK” key to go into the Time/Date Setting
Screen. In addition to the time and date, the display formats of time and date can be set on
this screen.
<CLOCK>
' 17. 08. 24 10:58 AM
YEAR 17
MONTH 08
DAY 24
HOUR 11
MINUTE 58
<CLOCK>
' 17. 08. 24 10:58 AM
DATE-FORM YMD
TIME-FORM AM/PM

YEAR 0~99 Last 2 digits of the western year
MONTH 01~12
DAY 01~31
HOUR 0~12 or 0~24
DATE-FORM YMD Setting of date display format：
YMD ：YY / MM / DD
MDY
MYD ：MM / DD / YY
DMY DMY ：DD / MM / YY
TIME-FORMAT AM/PM Setting of time display format：
AM/PM：12-hour clock (AM/PM) display
24H 24H：24-hour clock display
82
5-7 Language Output Setting <LANGUAGE>
By selecting the language setting from the table below, the display for print out will
changed.
<LANGUAGE>
<LANGUAGE>
Content of Language Output Setting

Selection Item
Language RIGHT LEFT SPH CYL AXIS PD VD
ENGLISH R L S SPH C CYL A AX PD VD
DANISH H V S SPH C CYL A AX PD VD
DUTCH R L S SPH C CYL A AS PD VD
FRENCH D G S SPH C CYL A AXE PD VD
GERMAN R L S SPH C CYL A A PD VD
HUNGARIAN J B S SZF C CYL T TEN PT VT
INDONESIAN KN KR S SPH C CYL A AX PD VD
ITALIAN D S S SF C CYL A AS PD VD
NORWEGIAN H V S SPH C CYL A AXS PD VD
POLISH P L S SF C CYL O OS PD VD
PORTUGUESE D E E ESF C CIL E EIXO DP DV
SPANISH D I E ESF C CIL E EJE DP DV
SWEDISH H V S SPH C CYL A AX PD VD
TURKISH R L S SPH C CYL A AXS PM VM
JAPANESE R L S SPH C CYL A AX PD VD
Print out indication
83
5-8 Memory Management Setting<MEMORY>
On the <SETUP> screen and press the “MEMORY” key to go into the MEMORY Output
Screen. Printing, data transmission through RS-232C, or data erasing of all the past
measurement values recorded in this equipment (max. 50 patients (100 eyes) is performed
on this screen. The output can be selected for the past 10, 30, or 50 patients.
Select the output data with “REF”, “SCR”, “AMF”, “ADD” key.
<MEMORY>
MEMORY
OUTPUT LAST30
COUNT 3/50
PRINT
SIGNAL
IR

MEMORY ON Storage of each measurement data is set.
OFF
PRINT& LAST 10 Output the latest 10 patients data
OUTPUT LAST 30 Output the latest 30 patients data
ALL (50) Output all of the data (50 patients)
COUNT - Display the number of selected data
PRINT PRINT Printing the selected data
The number of printing is set in “OUTPUT”
SIGNAL SEND Sending the selected data by external communication
The number of sending is set in “OUTPUT”
IR SEND Sending the selected data by IR communication
The number of sending is set in “OUTPUT”
DELETE DELETE Delete the data.
Select the output data quantity and press “PRINT” or “SEND” key. To printout, press
“PRINT” key. To transfer to external device, press “SEND” key. If you try to perform
“DELETE,” the confirmation screen will show as below. To delete all the data (YES), press
the “YES” key. If you do not delete them (NO), press the “NO” key. Then, the screen will
return to the MEMORY Output Screen.
84
5-9 Initial Setting <INITIAL>
On the <SETUP> screen, press the “INITIAL” key to display a confirmation message. If
“YES” key is pressed, a confirmation message will displayed. If “YES” key is pressed
again, all the settings in SET UP will restored to the default settings and clear the
memory. “FINISHING INITIALIZATION” message will show for 3 second and return to
<SETUP> screen. If don't initialize, press the “NO” key to cancel the operation and
return to the <SETUP> screen.
perform ?
85
5-10 Other Setting<OTHER>
On the <SETUP> screen and press the “OTHER” key to go into the OTHER Setting
Screen. The setting contents can be changed on this screen.
<OTHER>
BUZZER ON
TOUCH SOUND ON
ALIGN ON
POWER SAVE 3MIN
THRESHOLD 80

BUZZER ON The ON/OFF settings for all the buzzer sounds other than
OFF those during SETUP or printing.
TOUCH SOUND ON With touch sound.
OFF Without touch sound.
ALIGN ON With alignment function
OFF Without alignment function
POWER SAVE 1 MIN Timer for power saving mode.
3 MIN
5 MIN
NEVER
THRESHOLD 0~255 Setting threshold with retro mode
Possible to set for every 5 steps
86
5-11 Melody Setting <MELODY>
Select <MELODY> on the <SETUP> screen to go into the MELODY Setting Screen. The
setting contents can be changed on this screen. By selecting the desired item using the
function keys, the setting can be changed.
<MELODY>
MELODY Vol 15
TITLE 01
Twinkle Twinkle
Little Star

MELODY Vol 0～15 Adjust the volume
TITLE Twinkle Twinkle little star Selection of the music to be played
Where, Oh Where Has My Little Dog Gone? when MELODY I selected
Rain, Rain
London Bridge
Lavender’s Blue
Rock-a-bye, Baby
Canon
Spring Song
Jeanie With The Light Brown Hair
To a wild Rose
ROMANCE de Amor
Green Sleeves
Swan Lake
About strange Lands and People
Old French Song
Impromptu
Solveig’s Song
Berceuse
Jingle Bell
Lullaby
My Bonnie
Little Boy Blue
Clementine
Mary Had a Little Lamb
Old Black Joe
87
6. Connection to External Devices
The connector is used for the interfaces in conformity with EIA RS-232C. The
measurement results can be transmitted to external devices, such as a PC etc. via this
connector.
6-1 Connection with Remote Vision RV-II

Before starting the subjective examination, the REF data can be transmitted
automatically for faster measurement.
6-1-1 Wireless Transmission to RV-II

When you are using RV-II, the data can be transmitted wirelessly using infrared. To use
wireless transmission, set the “IR Setting” in 5-3-2 “Data Signal Setting Screen” to “RT.”
Place RV-II face with this unit without obstacle in between. If data cannot transmit
under the recommended configuration distance, check and adjust the distance or range
for both units.
6-1-2 Cable Transmission to RV-II

(Note: This function will be implemented in RV-II software version 4.00.01.)
To connect to the RV-II using a cable, use a commercially available RS-232C cable (9-pin
female to 9-pin male). Remove the RS-232C cap from the main body and connect the
RS-232C cable. After the RS-232C cable is removed, attach the RS-232C cap again for the
protection against electric shock. To output to RV-II, set “FORMAT” on the Data Signal
Setting Screen to “RT.”(→ Refer 5-3-2 “Data Signal Setting Screen”)
・ The operator must not touch the pin(s) of RS-232C and the patient
simultaneously.
This will cause electric shock.
6-2 Connection with PC

The measurement results can be output to a PC etc.
By creating an appropriate program, recording and statistical processing of the data can
be performed efficiently.
88
6-2-1 Connection with PC using USB
Use a USB cable (A-B type connector) to connect the equipment with a PC.
Connect the B type connector to the equipment.
To output to a PC, set “PORT” on the Data Signal Setting Screen to “USB.” (→ Refer
5-3-2 “Data Signal Setting Screen”) and “bit/sec” / “Stop Bit” accordingly (Refer to
5-3-2 “Data Signal Setting Screen”)
6-2-2 Connection using RS-232C

Use a RS-232C cable (9-pin female).
Remove the RS-232C cap from the main body.
Connect the 9-pin female connector to the equipment.
To output to a PC, set “PORT” on the “Data Signal Setting Screen” to “D-SUB.” (→
Refer 5-3-2 “Data Signal Setting Screen”) and “Bit/Sec” / “Stop bit” accordingly.
(Refer to 5-3-2 “Data Signal Setting Screen”)
After the RS-232C cable is removed, attach the RS-232C cap again for the protection
against electric shock.
・ The operator must not touch the pin(s) of RS-232C and the subject
simultaneously.
This will cause electric shock.
For the details on the connection with a PC, contact the dealer where you purchased
the equipment.
89
7. Maintenance
This device does not require periodic calibration.
7-1 Check of Measurement Accuracy
Check the measurement accuracy every time before using the equipment by using the
model eye provided. For the measurement method using the model eye and the accuracy
check method, Refer 4-5 “Accuracy check using the model eye”. If the value does not fall
in the range after conducting measures described in 4-5 “Accuracy check using the model
eye”, contact your dealer.
7-2 Change of Printer Paper

When the end of the printer paper approaches, red lines appear on the both sides of the
paper. When the red lines appear on the paper, replace it with a new one. (Please use the
printer papers specified by us.)
For the replacement method of the paper, Refer 3-2 “Preparing Printer Paper”
7-3 Replacement of Fuse
Caution
・ Before checking or replacing the fuses, make sure to turn OFF the power switch
and pull the power cable out of the outlet.
・ Use the fuse shown below for the both fuses. Do not use other fuses.
To order the spare fuses, contact the dealer where you purchased this equipment.
Manufacturer: Littelfuse
Time lag fuse: φ5 x 20 mm
250V/T1.6AH (021501.6XP)
When the POWER lamp and/or fixation chart do not light up and the LCD screen
does not brighten up even if the power switch is turned ON (“｜” side), the fuse may
be blown out.
Disengage the right and left claws of the fuse holder using the tip of a fine flat blade
screwdriver and pull out the holder.
Pull the fuses (2) out from the holder. Check if the fuses are blown out and replace
them if necessary.
90
The spare fuses are located in the spare fuse holder inside the printer cover.
（→ Refer 2-1 “System configuration”)
7-4 Cleaning of Chin rest and Forehead Support

Cleaning should be done before the measurement. Clean the chin rest and forehead
support with soft cloth, etc. soaked with rubbing alcohol.
ex) “Schnelldesinfektion”, “Sixtan® Desinfektion” : They are registered in the VAH list.
When using the chin rest paper, use a new sheet for each patient.
For the replacement method of the chin rest paper, Refer 3-1 “Installation.”
7-5 Cleaning of Measurement Window

A dust-proof glass is mounted in the measurement window. When dust is seen from the
patient side, use the blower (provided) to clean the dust.
When the dust cannot be removed after that, wipe the glass with lens cleaning liquid or
anhydrous alcohol (commercial item).
・The dust-proof glass is thin and fragile, so wipe it gently without applying
excessive force.
7-6 Cleaning of Model eye

When measuring the model eye, the correct value cannot be obtained if the lens surface
of the model eye is dirty or if dust, fingerprint, etc. is attached to the surface. In such
cases, use a gauze with a small amount of lens cleaning liquid or anhydrous alcohol
(commercial item) and wipe the lens surface without damaging it. (Do not use a
handkerchief or absorbent cotton.）
・Damage on the surface of the model eye may have influence on measurement
accuracy. To prevent the damage of the model eye, do not hit it with a hard
object or throw it.
91
7-7 Cleaning of Unit (Exterior)
When the exterior becomes dirty, wipe it with soft cloth. For severe dirt, use a soak gauze
(dilate with mild detergent) to wipe it gently.
We recommend the use of the dust cover provided after using the equipment for the
prevention of fouling, such as dust.
・Do not use any organic solvent (alcohol, ether, thinner, etc.). Discoloration
and/or damage may be caused.
7-8 List of Consumables & Service Parts

Item Name Item Number Remarks
Printer Paper (5 rolls) DXA30109 Width: 58 mm, Diameter: 48 mm
Chin rest Paper (500 sheets) RXA30101 －
<Fuse> 021501.6XP Rating:250V, T1.6AH
Manufacturer: Littelfuse Size: φ5 x 20 mm
Time-lag fuse
92
8. Troubleshooting
● Please check the following points before you send your equipment for repair.
Phenomenon Check Cause and Solution
The POWER lamp does Is the AC cable not plugged Check the fuses and replace
not light up after the in? them.
power is turned ON. Are the fuses blown out?
The monitor screen
does not turn ON.
The monitor turns off Is the power saving mode Change the power saving mode
by itself. activated? setting.
Cannot perform REF Do the measurement values Check for foreign matter using
measurement. exceed the measurement the Retro mode.
range?
REF data are varies. Is there any foreign matter
etc. in the pupil which blocks
the light?
Does the patient look hold at Tell the patient look at the
fixation chart central? central of the chart
Is the VD value appropriate? Set the VD value to an
appropriate value.
Does the patient have a small Check and measure the pupil
pupil? diameter.
Nothing is printed. Is the specified printer paper Use the specified printer paper.
used?
Does the printer cover remain Close the printer cover.
open?
Is the printer paper set with Set the paper properly. (→
the wrong side facing up? Refer “7-2 Change of Printer
Paper.”)
Cannot connect to Are both unit set to proper Check the communication
external device setting? setting for both devices.
Is there any obstacle between Remove the obstacle.
both devices?
・Built-in battery
This equipment houses a lithium primary battery as a battery for the clock function and
the storage function for various settings. If the battery is exhausted, the date & time
printed on the printed results of the measurement data SRAM NG
become incorrect and/or the equipment will reset to the
default setting each time when it is turned OFF. When the
built-in battery is exhausted, the screen shown at right will
show. If the display as shown in the figure on the right
appears, please contact the dealer where you purchased the Internal battery exhaustion
equipment. message
93
9. Main Specifications
<Name> ACOMOREF 2
<Measurement Function>
▼REF measurement
Measurement range: S+C: -20D to +23D (VD=12mm)
C: 0D to ±12D
A: 0° to 180°
Measurement step: S,C: AUTO/ 0.25D/ 0.12D
A: 1°
Min. pupil size: φ2.3mm
Measurement wavelength: 840 to 900nm
Cornea vertex distance: 12/ 13.5/ 13.75/ 15/ 16/ 0
▼ Pupil distance measurement
Measurement range: 1 to 83 mm
▼ Pupil size measurement
Measurement range: 2.0 to 12.0 mm
<Other Functions>
▼ Alignment direction indication
▼ Auto Quick
▼ fixation chart brightness switching
▼ Power saving function
▼ Auto start Function
<Measurement Time>
Ref measurement: 0.124 s
(from display to display)
94
<Other>
Main body dimension: W 254 x D 469x H 477 mm
Weight: 13kg
Moving range of main body: Longitudinal 38 mm or more
Lateral 58 mm or more
Chin rest moving range: 45 mm (86 to 131 mm from baseline to chin rest)
Input power: 100 – 240 V, 50/60 Hz (without voltage switching)
Power consumption: 40VA
Real time clock: Built-in real time clock for printing of year / month / day /
time / minute
Monitor: 5.7 inch color LCD VGA
External output: Communication to Remote Vision RV-II via infrared (max.
5 m)
Interface complies to the RS-232C standard
Interface complies to the USB standard
Fixation chart: Firework
Fixation chart lighting: 3 level adjustable luminance.
Alignment target: 18-point dot LED, φ2.6 mm (at R8 mm)
Printer unit: 58 mm wide line printer
Print message Available
Main LED peak center wavelength 870 mm

Kerato / Peri peak center wavelength 805 mm
Emitting power 0.84 µW / cm2
🔻Spectrum output of all light source
95
RIGHT MFG. CO., LTD.
1-47-3, Maeno-cho, Itabashi-ku, Tokyo, 174-8633 Japan.
Tel : +81-3-3960-2275 Fax : +81-3-3960-2285
TOHOKU RIGHT MFG. CO., LTD.

OPHTHALMIC SERVICE
45-1, Aza Yashikimae, Nakamura Osato-cho, Kurokawa-gun, Miyagi, 981-3521
Japan.
Tel : +81-22-359-3113 Fax : +81-22-359-3213
Medical Device Safety Service GmbH

Schiffgraben 41
30175 Hannover, Germany

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Auto Refractometer

The Manual explains how to operate the equipment, precautions on safety,

READ THIS SAFETY PRECAUTION BEFORE OPERATING THE EQUIPMENT. ................ 5

■EMC (ELECTROMAGNETIC COMPATIBILITY) ............................................................ 12

1-1 EQUIPMENT OUTLINE, STANDARD ACCESSORIES, AND OPTIONAL ITEMS ........................... 17

2. NAME AND DESCRIPTION OF THE FUNCTION OF EACH UNIT............................. 22

2-1 SYSTEM CONFIGURATION ............................................................................................... 22

3. INSTALLATION AND PREPARATION FOR MEASUREMENT.................................... 24

3-1 INSTALLATION ............................................................................................................... 24

4-1 MEASUREMENT FLOW .................................................................................................... 27

5. SETTING PROCEDURES .......................................................................................... 71

5-1 GENERAL SETTING <MEASURE> ................................................................................. 71

6. CONNECTION TO EXTERNAL DEVICES.................................................................. 88

6-1 CONNECTION WITH REMOTE VISION RV-II ..................................................................... 88

7-1 CHECK OF MEASUREMENT ACCURACY ........................................................................... 90

9. MAIN SPECIFICATIONS ........................................................................................... 94

Caution: Failure to observe an instruction indicated by this symbol may cause

Caution 1. Purpose of using the equipment

Caution 2. Do not disassemble the equipment.

Caution 3. In conducting measurement

・ Pay attention not to measure in an environment that will interfere with

Caution 4.Installing and transporting the equipment

・ Although this equipment conforms to the EMC standard (IEC

Caution 5. Others Precautions on handling the equipment

・ Pay attention not to lean over the equipment.

Caution 6. Transportation and storage

Caution 7. Cautions in the case of disposal

Symbol for separate collection in European countries

1. Reorient or relocate the receiving device. Reorient or relocate the receiving

■EMC (Electromagnetic Compatibility)

(B)List of cables, Length of cables

・Input a.c. power port

※3:Calibration for current injection clamps shall be performed in a 150 Ω system.

※8: E.g. 10/12 means 10 periods at 50 Hz or 12 periods at 60 Hz.

※11 :Not applicable to CLASS II ME EQUIPMENT and ME SYSTEMS.

※12: Direct coupling shall be used.

※13: r.m.s., before modulation is applied.

・Signal input/output parts port

※6: r.m.s., before modulation is applied.

Clamp screw (3) Blower (1) Spare fuses (2)

Power cord set(1)

<Type of protection against electrical shocks>

<Level of protection against electrical shocks>

<Protection against water and garrulous substances>

<Safety level of use in a flammable atmosphere>

<Cleaning and sterilization processes approved by the manufacturer>

: This symbol on the instrument indicates the need for caution.

: This indicates that a report is ready for output.

: This indicates the output unit.

: This indicates the fuse.

: This indicates the USB terminal.

Forehead support Model eye mounting hole

Reference height mark

Chin rest height adjustment knob

Chin rest Sliding table target

Caps hole for clamp screw

Printer cover in an opened status

Printer paper Model eye