Oculus Imagecam 3: Slit Lamp Documentation System

OCULUS ImageCam® 3
INSTRUCTION MANUAL
Slit Lamp Documentation System
Notes on this
Instruction Manual
The ImageCam® 3 software was manufactured and tested under strict
quality criteria. You have selected a modern and well-engineered product.
To ensure safe operation, it is essential that you use the ImageCam® 3
software correctly. For this reason, you should thoroughly familiarize
yourself with the contents of this instruction manual before operating the
device. In particular, pay attention to the safety instructions!
 This operating manual describes the management of the patient

data, how to perform an examination, and the presentation options
for the captured, single images.
 The operating manual for the beam splitter can be found in the
Appendix (sect. 19.1, page 65).
Due to ongoing development, the diagrams shown here may vary slightly
from the actual software delivered.
If you have any questions or would like additional information about your
device, please do not hesitate to contact us by mail or fax. Our team will
be happy to assist you.
OCULUS Optikgeräte GmbH
OCULUS is certified according to DIN EN ISO 13485, setting high stan-

dards of quality for the development, manufacture, quality assurance and
service of the entire range of products.
Instruction Manual ImageCam® 3 (G/69200/XXXX/EN 0120 Rev01) i/v

Table of Contents
1 Scope of Delivery.........................................................................................................................1
2 Structure of the Documentation ............................................................................................1
3 Symbols..........................................................................................................................................2
4 Safety Instructions......................................................................................................................3
4.1 About this Manual .........................................................................................................3
4.1.1 Pictograms Used in this Manual ..............................................................3
4.2 Safety Instructions for Use ..........................................................................................4
5 Intended Use.................................................................................................................................8
6 Device Description ......................................................................................................................8
6.1 How the ImageCam® 3 Works....................................................................................9
7 First-time Operation...................................................................................................................9
8 Putting Back Into Operation ................................................................................................. 10
8.1 Install Software............................................................................................................ 10
8.2 Connect Foot Switch .................................................................................................. 10
9 Preparing for Capturing Images........................................................................................... 11
9.1 Starting Patient Data Management....................................................................... 11
9.1.1 Entering a New Patient............................................................................ 12
9.1.2 Selecting an Existing Patient ................................................................. 12
9.2 Starting the ImageCam® 3 Programme ................................................................ 13
9.3 Preparing the Camera ................................................................................................ 14
9.3.1 Select Slit Lamp Magnification ............................................................. 15
9.3.2 Select Exposure Programme ................................................................... 16
9.3.3 Adjust the White Balance ....................................................................... 17
9.3.4 Editing Pre-Set Exposure Programmes, If Necessary....................... 19
9.3.5 Saving User-Defined Exposure Programmes...................................... 21
9.3.6 Shortcut Assignment to Exposure Programmes C1 through C4 .. 22
10 Capturing an Image or Recording a Video........................................................................ 23
10.1 Capture (Grab) Image................................................................................................. 24
10.2 Capture 5 Images in a Row ...................................................................................... 24
10.3 Capture 5 Images in a Row with Incremented Brightness.............................. 24
10.4 Record Video................................................................................................................. 24
10.4.1 Recording a Video Using the Foot Switch .......................................... 25
10.5 Saving Images and Videos ........................................................................................ 25
10.6 Optimisation of the Image Quality......................................................................... 26
11 Viewing the Images ................................................................................................................. 27
11.1 Overview of the ImageCam® 3 Programme......................................................... 27
11.2 Select Image/Video ..................................................................................................... 27
11.3 Display Image ............................................................................................................... 28
11.4 Zooming an Image and Panning an Image Section........................................... 28
11.5 Identify lengths and angles ...................................................................................... 29
Instruction Manual ImageCam® 3 (G/69200/XXXX/EN 0120 Rev01) ii / v

11.5.1 Determine distances..................................................................................29
11.5.2 Identify Angles for Toric Contact Lenses.............................................34
11.6 Copy and Insert Image ...............................................................................................34
11.7 Edit Image......................................................................................................................35
11.8 Print Image ....................................................................................................................36
11.9 Import Image.................................................................................................................37
11.10 Export Image .................................................................................................................37
11.11 Delete Image .................................................................................................................38
11.12 Capture an Image from a Video...............................................................................39
11.13 Change Settings ...........................................................................................................40
11.13.1 Buttons and Displays.................................................................................41
11.13.2 Change Date Format .................................................................................41
11.13.3 Select Language .........................................................................................41
11.13.4 Set Video Format........................................................................................41
11.13.5 Compress Images........................................................................................42
11.13.6 Display System Settings Information ...................................................42
12 Patient Data Management ....................................................................................................43
12.1 Rename Patient Data..................................................................................................43
12.2 Exporting Patient Data...............................................................................................43
12.3 Import Patient Data ....................................................................................................44
12.4 Data Backup ..................................................................................................................46
12.4.1 Backup Data.................................................................................................46
12.4.2 Restoring Data ............................................................................................47
12.4.3 Automatic Backup......................................................................................47
12.5 Change Settings ...........................................................................................................48
12.5.1 “Main” Tab....................................................................................................49
12.5.2 “Devices” Tab ...............................................................................................51
12.5.3 “Import/Export” Tab...................................................................................53
12.5.4 “Email” Tab...................................................................................................55
12.5.5 “Interface” Tab ............................................................................................56
12.5.6 “Smartcardreader” Tab..............................................................................57
12.5.7 “Misc”6 Tab..................................................................................................58
12.5.8 Tab Panels “Hecht” and “DICOM”..........................................................58
13 Cleaning and Maintenance....................................................................................................59
14 Troubleshooting ........................................................................................................................59
15 Transport and Storage.............................................................................................................61
15.1 Transport and Storage Information ........................................................................61
15.2 Dismantling and Packing...........................................................................................61
16 Disposal .......................................................................................................................................62
17 Terms of Guarantee and Servicing ......................................................................................62
17.1 Terms of Guarantee.....................................................................................................62
17.2 Assumption of Liability for Functions and Damage...........................................63
18 Technical Data...........................................................................................................................64
iii / v Instruction Manual ImageCam® 3 (G/69200/XXXX/EN 0120 Rev01)

19 Appendices................................................................................................................................. 65
19.1 Operating Instructions for the Beam Splitter...................................................... 65
19.1.1 Technical Data Beam Splitter................................................................. 66
Instruction Manual ImageCam® 3 (G/69200/XXXX/EN 0120 Rev01) iv / v

v/v Instruction Manual ImageCam® 3 (G/69200/XXXX/EN 0120 Rev01)
1 Scope of Delivery
1 Scope of Delivery
Components Order Number

ImageCam® 3, consisting of 69200, 69210, 69220,
 Camera modul ImageCam® 3 69230, 69240, 69250,
 Beam splitter 69260, 69270, 69280,
69290, 69300, 69310,
69320, 69330
Data medium with ImageCam® 3 software 70989
USB foot switch 77006
USB 3.0 Cabel, 5 m 05200701
USB 3.0 Extension cable, 5m 05460332
USB 3.0 Extension cable, 1,5m 05200706
Instruction Manual ImageCam® 3 G/69200/XXXX/EN 0120 Rev01
Software Installation SI/50000/.../en
We reserve the right to change the scope of delivery in line with ongoing
technical development.
 If you find transport damage upon delivery, immediately file a claim
with the transport company.
 Have the damages noted on the bill of lading, so that your claim for
damages can be handled properly.
 Keep the packaging in a safe place. You can then ship or transport
the unit in the proper manner for any servicing or repairs that may
arise. You can thus avoid unnecessary damage and costs.
Note
We reserve the right to change the scope of delivery in line with ongoing
technical development.
2 Structure of the Documentation

A folder containing documentation is supplied with your ImageCam® 3:
 Instruction Manual: The design of the unit is described in detail in
this document. The instruction manual also gives you general
information about working with the Patient Data Management
system and all safety-related instructions for use of the
ImageCam® 3.
Instruction Manual ImageCam® 3 (G/69200/XXXX/EN 0120 Rev01) 1 / 68

3 Symbols
 Software Installation: The introduction to the Software Installation

describes how to install the ImageCam® 3 software and the
associated drivers.
3 Symbols
Symbols on device Symbols packaging
Manufacturer Date of Keep dry

manufacture
Conformité Article number This way up

européenne
Follow instruction Serial number Fragile

for use
Disposal in Caution Transport Limit of temperature for

household trash is transport
prohibited
Storage Limit of temperature for

storage
Limit of humidity
Example: UDI number, consisting UDI- Limit of air pressure

DI (Device-Identification)
UDI-PI (Product Identifier)
machine-readable matrix code
Fig. 3-1: Name plate (example)
2 / 68 Instruction Manual ImageCam® 3 (G/69200/XXXX/EN 0120 Rev01)

4 Safety Instructions
4.1 About this Manual

 Carefully read through the Instruction Manual.
 Keep the Instruction Manual in good condition near the device.
 Observe the legal regulations with regard to accident prevention.
4.1.1 Pictograms Used in this Manual
Attention
Identifies a potentially dangerous situation which may cause minor injury
or damage to property.
Note
Denotes situations which could result in incorrect findings, denotes user
instructions and useful or other important information.
Identifies important information about the product and its use, which
☞
require special attention.
> This symbol denotes menu paths and screen shots. Example for
starting a new examination:
ImageCam® 3 > Examination > New
which means:
 Select the “Examination” menu from the menu bar.
 Select the menu item “New Examination”.

4.2 Safety Instructions for Use
Attention
Personal injury or property damage due to improper operation
 Observe the following safety instructions.
Personal injury or property damage due to equipment modifications that
could jeopardize safety
 No modifications may be made to this device without the permission
of the manufacturer.
Instructions for Operating Personnel
 Make certain that the ImageCam® 3 is used exclusively by personnel

that have the training and practical experience to safely and
properly operate the equipment.
Instructions for Setup and Connection
 Do not operate or store the ImageCam® 3 in damp rooms.

 Keep the ImageCam® 3 away from water that may drip, surge or
splash and make sure that no liquids can enter the ImageCam® 3. Do
not place any containers holding liquids in the vicinity of the
ImageCam® 3.
 Germany: Only operate the ImageCam® 3 in rooms used for medical
purposes if VDE 0100 installation procedures have been observed.
 Do not operate the devices included in the delivery in areas where
explosions may occur, or in proximity to flammable anaesthetics or
volatile substances such as alcohol, benzine or similar products.
 Do not use excessive force when connecting the electrical plug.
 If a connection is not possible, check whether the plug fits the
socket.
 If you find damage to the plug connector, have the damage
corrected by our service department.
Instructions for Operation
 Never operate an ImageCam® 3 that is damaged.

 Only operate the ImageCam® 3 with the original accessories
supplied by us and only when the unit is in a technically perfect
condition.
 Before first use: Let OCULUS or an authorized dealer train you in the
operation of the ImageCam® 3.
 Only operate the device if you have understood the operating
instructions.

Instructions for Maintenance
To ensure satisfactory and reliable operation, we recommend: Have the

ImageCam® 3 checked every two years by our service department or an
authorized dealer. If an error occurs which you cannot correct, label the
ImageCam® 3 as being “out-of-order” and contact our Service
Department.
Instructions for Disassembly and Disposal
 When disconnecting electrical connections, pull on the respective

plug instead of the cable itself.
 Dispose of the device according to legal regulations.
Patient environment information
Patient environment is the area where patients can come into contact
with any part of a medical electrical equipment (ME equipment) or with
another person being in contact with the ME equipment.
 In the patient environment, use devices that conform to IEC 60601-
1. If a multiple power socket is to be used, or if a device is to be used
that
 does not meet the IEC 60601-1 standard, use an isolating
transformer.
EMC and Electrical Safety Information
The ImageCam® 3 and a slit lamp constitute a Medical Electrical System

(ME System) in accordance with DIN EN 60601-1. If you connect any
more devices, they too become part of the ME System.
? Make sure that all devices of the ME System meet the provisions of
 IEC 60601-1 or of IEC 60950-1

Instructions on Electrical Safety
Attention
Risk of personal injury or damage to property due to an incorrect level of
safety
Connecting the ImageCam® 3 with its non-medical electrical equipment
(e.g. data processing equipment) to a medical electrical system must not
result in a patient safety level below that prescribed by DIN EN ISO
60601-1. If making this connection leads to the leakage current threshold
being exceeded, protective measures including a circuit breaker must be
in place.
 Ensure that connections with non-medical devices are made
correctly.
 Use only a computer that meets the specifications given in this
instruction manual, sect. 18, page 64.
Attention
Electromagnetic Compatibility (EMC / Cables)
Risk of personal injury or damage to property due to electromagnetic
interference
Portable and mobile HF communications appliances (high frequency) can
affect medical, electric equipment.
 Make sure that portable and mobile RF communications equipment
do not cause interference.
 Recommendation: Maintain a minimum distance of 4 m. If the
distance is shorter, you must ensure that the ImageCam® 3
functions correctly.
Cybersecurity
Do not use the ImageCam® 3 with wireless technology, for example with
☞
wireless USB.
To ensure cyber security in order to the usage of the device, the following
security measures should be considered. Contact your computer
administrator:

Precautions for access control of the computer

 Secure the computer with a password (for example at Windows start up).
 Choose a complex password: A good password should be at least
eight characters long and are not in the dictionary. In addition to
letters, it should also include numbers and special characters.
 Do not choose a name or device name for a password (for example
“ImageCam”).
 Change the password regularly.
 Do not note the password in an accessible location.
 Use different passwords for different users.
 Enable the screen saver and use the option for the necessity of re-
entering the password when exit the screen saver.
 Choose an adequate time setting for starting the screen saver if
software session is inactive (e.g. 10 minutes). Adequate time setting
should consider duration of examination, number of patients, time
between examinations, use of other devices in the examination
room, several user, etc.
 Lock the computer if you are leaving the workstation (shortcut:
‘windows logo key’ + ‘L’).
Precautions if the computer is connected to a LAN or internet network
 Prefer wired connections of the computer to the network.
 If you are using Wi-Fi connections nevertheless, please ensure the
usage of adequate security methods (for example WPA2/AES – Wi-
Fi Protected Access / Advanced Encryption Standard – with a strong
network key).
 The usage of a firewall (software or hardware) is recommended.
Recommendation: Use anti-malware tools with up to date malware
definitions.
Note
Also observe the regulations, notes and recommendations of the
Bundesamt für Sicherheit in der Informationstechnik for the protection of
critical infrastructures.

5 Intended Use
5 Intended Use
The ImageCam® 3 system is intended for the use described in this
operating manual.
It is used to capture, process and archive images and video sequences of
the slit lamp examination.
Make sure that the device is only be used by personnel, who, due to their
training or their knowledge and practical experience, can guarantee
proper handling of the device.
 Heed the safety instructions listed above.
Contraindications
not known
6 Device Description
5
6
1 Lever for swivelling in and out beam splitter prism 4 Aperture

2 Beam splitter 5 PC cable connection (with safety elements)
3 Adapter plate 6 PC cable connection (without safety elements)
Fig. 6-1: Equipment overview of the ImageCam® 3

7 First-time Operation
6.1 How the ImageCam® 3 Works

The ImageCam® 3 is used to capture, process and archive images and
video sequences
Technical Principle:
The ImageCam® 3 can be mounted to any slit lamps of a suitable design,
sect. 19.1.1, page 66.
The beam splitter splits the light of one of the two beam paths of the slit
lamp: One part is directed through the binocular viewer to the examiner’s
eyes, so that he sees a stereoscopic image, as usual. The other part is
directed into the camera of the ImageCam® 3 so that the images and
video sequences can be recorded.
The image brightness and the depth of field of the image can be selected
with the aperture control knob (4).
If no images need to be captured, you can swivel the beam splitter out of
the way with a lever (1). You then have an optically fully unmodified slit
lamp.
7 First-time Operation
Before you put the ImageCam® 3 into operation for the first time, you
must first
 have it installed and set up
 have the beam splitter and camera hardware mounted
 connect the foot switch, if necessary sect. 8.2, page 10
Attention
Risk of incorrect values/equipment damage due to improper setup
 Please note that the ImageCam® 3 must be set up, connected and
instructed by our Service Department or by an authorized OCULUS
technician prior to initial use.
Then proceed as described in sect. 9, page 11.

8 Putting Back Into Operation
8 Putting Back Into Operation

If you want to put the ImageCam® 3 back into operation, e.g. due to a
software update, the following setup jobs may need to be done.
 Install the software, sect. 8.1, page 10
 Connect the foot switch, sect. 8.2, page 10
Note
Risk of damage to the devices if not handled properly
 Do not expose the ImageCam® 3 to any vibrations, shocks,
contaminants, moisture, or high temperatures.
 Handle the optical device with care.
8.1 Install Software

The ImageCam® 3 software consists of two programmes that are installed
together. You will find the details of the installation in the Software
Installation Manual.
Installation requirements:
 Administrator rights
 Laptop/PC as specified in the Technical Data, “Recommended
Computer Requirements” on page 64,
8.2 Connect Foot Switch

If needed, you can connect a foot switch. You can use this foot switch to
capture an image, or to start and stop recording a video sequence,
sect. 11.13.6, page 42
Prerequisite: USB port
 Plug the USB connector of the foot switch into a USB port at your
computer.
The foot switch is active.

9 Preparing for Capturing Images

Before you can capture images or record video sequences with the
camera, you must first make some preparations: These include:
 Start the Patient Data Management, sect. 9.1, page 11
 Start the ImageCam® 3 programme, sect. 9.2, page 13
 Prepare the camera, sect. 9.3, page 14
9.1 Starting Patient Data Management

You must enter patient data in the Patient Data Management and then
use it. After you have switched on the PC, it first loads the operating
system. If the Windows desktop is displayed, you have to start the Patient
Data Management programme from there.
 If necessary, click on the ImageCam® 3 icon: .
The user interface for the Patient Data Management is displayed
1
8
7 2
6 3
5 4
1 “Functions” group box 5 [Export] button
2 Previous examinations 6 [Import] button
3 [Delete exam.] button 7 Patient list
4 [Delete Patient] button 8 “Patient” group box
Fig. 9-1: Patient Data Management user interface

To start the ImageCam® 3 programme, first enter a new patient (8) or

☞ select an existing patient from the list of patients (7).
For more information on Patient Data Management, refer to the sect. 12,
page 43.
9.1.1 Entering a New Patient
 Press the [New] button to enter a new patient in the Patient Data
Management system.
 Enter the patient’s last name, first name and date of birth in the
patient window.
Fig. 9-2: Entering patients
Optionally you can enter an ID number for the patient.

 To save the data you entered, click [Save].
The patient you have just entered now appears in the patient list.
9.1.2 Selecting an Existing Patient
The patient data list on the left-hand side of the screen displays all
previously examined patients in alphabetical order.
Fig. 9-3: Patient list

 Choose [Search] to quickly find the patient you are looking for in the
list.
 Enter the patient’s name or the first letter of the name in the “Last
name” field.
Alternatively, you can search for the patient using an ID number,
first name or date of birth, assuming that one was assigned when the
patient was first recorded.

 In the list that appears, click the entry you were searching for to transfer the
patient’s name to the patient window. This also brings up a list of any previous
examinations for that patient in the examination window (bottom right side).
Extended Patient Search: [Extended] check box
 Click on the [Extended] check box.

The screen displays additional search parameters which reference previous
examinations, for example.
Fig. 9-4: Extended search
 Enter a search parameter.

The patient in question is highlighted in the list.
 Press the [Quit search] button.
 Proceed in the same way as you would when inputting a patient name.
9.2 Starting the ImageCam® 3 Programme

Transition Patient Data Management => ImageCam® 3 Programme
 After selecting a patient: Press the [Imagecam] button to start the ImageCam® 3
programme.
or
 Double-click the selected patient name to start the ImageCam® 3 programme.
Instruction Manual ImageCam® 3 (G/70750/1111/de) 13 / 68

 The following overview is displayed:
3
2
1
8 7 6
1 Patient and examination data 5 Image: Large view
2 Toolbar 6 Image: Date and Time
3 Menu bar 7 Info text field
4 Image bar with thumbnails of the images 8 Zoom factor
Fig. 9-5: ImageCam® 3 programme operation
9.3 Preparing the Camera

Before capturing an image or recording a video sequence, you must
prepare the camera. This includes:
 Select a zoom factor, sect. 9.3.1, page 15
 Select an exposure programme, sect. 9.3.2, page 16
 Adjust the white balance, if necessary, sect. 9.3.3, page 17
 Edit a pre-set exposure programme, if necessary, sect. 9.3.4, page 19
 Save the edited exposure programme, if applicable, sect. 9.3.5,
page 21 and sect. 9.3.6, page 22
To prepare for the image capture, switch over to the Image screen:

 Press the button for the right eye, or for the left eye.
The Image screen opens:
3
4
5
6
1 Menu bar 5 [Save] button

2 Shortcut to exposure programmes 6 [Settings] button
3 Drop-down list “Exposure programmes” 7 Camera image
4 [Delete] button
9.3.1 Select Slit Lamp Magnification
The menu bar shows the magnifications that are available on your slit
lamp. If you want to identify lengths in the images later, the selected
optical magnification of the slit lamp must be known.
 Select the magnification that you will be using for the image
capture.
This information is saved together with the image and the correct
calibration for the according tool will be used when identifying
lengths. You can set the magnification/zoom that you use most as a
default setting.
 Click the right mouse button.
The following is displayed:
 Press this button to set the zoom factor as the standard or default
setting.

Every time the image capture / camera window is opened, the zoom that
has been set as the standard or default value is now pre-defined.
Fig. 9-7: Zooms set as default settings.
9.3.2 Select Exposure Programme
Settings that relate to the quality of the image are saved in an exposure
programme.
Use Shortcut to Select an Exposure Programme
An exposure programme enables you to quickly re-access already set

image capture parameters. OCULUS has pre-set four exposure
programmes, which can be opened via the shortcut; you can define
another four as needed sect. 9.3.5, page 21.
 Select an exposure programme:
1 Pre-set exposure programmes

2 User-defined exposure programmes
Fig. 9-8: Shortcut to “Exposure programmes”
The respective exposure programme is displayed. If necessary, you

can adjust the white balance, sect. 9.3.3, page 17.
Select an Exposure Programme from the Drop-Down List.
You can choose various pre-set image capture parameters with the
exposure programmes. You can save any number of configurations,
sect. 9.3.5, page 21.

 Select an exposure programme from the drop-down list, fig. 9-6,

page 15, item 3.
Fig. 9-9: Drop-down list “Exposure programmes”
If you have created your own exposure programmes, these are

displayed in this list, see sect. 9.3.4, page 19.
If necessary, you can adjust the white balance, sect. 9.3.3, page 17.
9.3.3 Adjust the White Balance
The light conditions in the examination room can be very different. The
light spectrum, i.e. the colour of the slit lamp illumination, also depends
on many factors. To capture an image/video in colour, the white balances
should be adjusted:
 After installation of the ImageCam® 3
 Whenever the colour fidelity is not good
 Adjust the white balance separately for every configured exposure
programme, “Use Shortcut to Select an Exposure Programme” on
page 16
 Then save the white balance for the respective configuration.
Symbol Description White balance

Exposure Exposure pro-
programme gramme
User-defined ex- When necessary
posure program-
mes, see
sect. 9.3.5,
page 21
Diffuse lighting  Adjust the white balance
with the slit lamp
brightness typical for this
Fundus illumination type.
Optical section  Adjust the white balance

at the maximum slit lamp
Fluo brightness.

Adjust the white balance as follows:

 Select an exposure programme from the drop-down list fig. 9-6,
page 15, item 3.
 If necessary, press the [ ] button.
The following settings are then also displayed on the image screen:
1 [White balance] button 2 [Save] button

Fig. 9-10: White balance
 Hold a neutral white sheet of paper as a reference surface at the

image capture level of the camera.
If the paper appears greatly over-lit:
 Swing in the diffuser
and/or
 Close the aperture at the beam splitter until the image is dark
enough that it no longer appears over-lit.
 Press the [ ] button (1).
The automatic white balancing process starts.
The white balance adjustment ends when the red info-text “white
balance” is no longer displayed in the camera image.
 After completing the white balance adjustment, press the [ ]
button (2).
The white balance is now applied to the selected exposure
programme.
You can now capture an image or shoot a video sequence, sect. 10,
page 23.
If you are not satisfied with the image quality, you can edit and save
the appropriate parameters accordingly, sect. 9.3.4, page 19 ff.

9.3.4 Editing Pre-Set Exposure Programmes, If Necessary
To achieve the best possible image quality, OCULUS has pre-set the
camera parameters for common image capture situations and has saved
them as exposure programmes. You can edit these settings, sect. 9.3.2,
page 16.
You can then save the edited settings as your own exposure programme,
sect. 9.3.5, page 21 or sect. 9.3.6, page 22.
The following exposure programmes have been pre-set:
Diffuse Optical Fluo Fundus

illumination section images images
Slit lamp Medium bright Very bright Very bright Minimally bright
Heat protection Swung in Swung in Swung in Swung in
filtera
Diffuser Swung forward
Blue filter In the illumination
beam path
Yellow filter In the observation
beam path
Slit width As widely as As small as As widely as To match
possible possible possible pupil diameter
Magnification 10 - 12.5 x 10 - 12.5 x 10 - 12.5 x 20 x
Slit length Maximum Maximum Maximum To match
pupil diameter
Beam splitter Aperture Aperture Aperture Aperture
medium to open open open open
Exposure time 20 ms 30 ms 35 ms 38 ms
Gain 0% 35% 20% 62%
Gamma 1.30 1.0 1.2 1.3
a.If present
If you are not satisfied with the image quality, you can optimise the
☞
images using the pre-settings; also see sect. 10.6, page 26.

 If necessary, press the [ ] button.

The following settings are then also displayed on the image screen:
1 Resolution 3 Gain
2 Exposure 4 Gamma value
Fig. 9-11: ImageCam® 3 image window
Adjusting the Resolution
 Activate the function “High resolution”.
If you want to record and send an email or a longer video sequence, the
☞
lower resolution has a lesser data volume and gives a smoother video.
Change Exposure Time
The longer the exposure time is, the brighter the image will be. The image
can, however, become less sharp as a result caused by motion blur.
 Change the exposure time with the slide control (2).
Change Gain
The image also gets brighter if you increase the gain. However, the image
quality suffers as a result; too much gain results in grainy images.
 Change the gain with the slide control (3).

Change Gamma Value
You can correct the gamma by changing the gamma value. In other
words, the colour values (or grey values) between 0 (black) and 1 (white)
can be increased or lowered to achieve an optimal presentation. With the
help of the gamma correction, you can influence, for example:
 How pronounced the vessels in the sclera are shown.
 How bright the areas outside of the slit illumination are shown.
 How intensive the colour saturation of the image is.
 Change the gamma value with the slide control (4).
 If the gamma value is too high, image noise can occur in the dark
☞
areas.
9.3.5 Saving User-Defined Exposure Programmes
In addition to the pre-set exposure programmes, you can also save

individual parameter settings as custom /user-defined programmes.
An exposure programme saves all the parameters that you have set. Thus
once ideal settings have been established, they can be recalled at any
time.
 If necessary, press the [ ] button and set the desired parameters.
 Press the [ ] button.
The following window appears:
Fig. 9-12: Adding an exposure programme
 Assign a name to the exposure programme and press [OK] to

confirm.
The saved parameter settings then appear in the drop-down list of
exposure programmes for future use.
Delete Exposure Programme
 Select an exposure programme from the drop-down list.

 Press the button (1).
The exposure programme is deleted.

9.3.6 Shortcut Assignment to Exposure Programmes C1 through C4
You can also save your own configuration as an exposure programme,

thus giving you quick access to the desired settings at any later time. Four
buttons are provided for this purpose:
Fig. 9-13: Saving your own exposure programme
 Select a configuration from the drop-down list.

 Click with the right mouse button on one of the buttons [C1] to [C4].
The following dialog is displayed:
 Select [Use configuration].

The selected configuration is saved as an exposure programme.
Deleting an Exposure Programme
To delete an exposure programme, proceed as follows:

 Click with the right mouse button on one of the buttons for the
exposure programme.
The following dialog is displayed:
 Select [Delete configuration].

The selected configuration is deleted as an exposure programme.

10 Capturing an Image or Recording a Video

 Situate the patient so that he/she is sitting comfortably.
 Use the slit lamp in accordance with the instructions given in the
supplied user manual for the slit lamp.
Different image-capture screens are opened, depending on which camera

☞
is connected. The operating concept is, however, virtually the same.
Possible image sources: USB camera, IEEE1394 FireWire
The image-capture screens for the USB camera are documented below.
 If the overview screen is open:

Select whether the left or the right eye is to be captured:
 for the right eye
 for the left eye
The Image screen opens:
Fig. 10-1: ImageCam® 3 image window
 If you want to take lenghts or angles in the image later, select the
magnification that you are using for the image capture, sect. 9.3.1,
page 15.
 To do this, press the button or 5x, 8x, 12,5x, 20x, 32x.

10.1 Capture (Grab) Image

 Click on the [ ] button.
Alternatively foot switch:
Press the foot switch.
Alternatively slit lamp SL-IC4 D/SL-IC5 D:
Press the capture button on the joystick.
The present image is captured.
 To end image capture/record video mode, press the [ ] button
The captured image appears highlighted in green in the thumbnail
preview on the overview screen.
10.2 Capture 5 Images in a Row

The eye that you want to record moves very rapidly. By capturing a series
of 5 images in a row, you will get at least one image without movement
artefacts.
5 Images in a row are captured.
The 5 captured images appear marked in green in the thumbnail preview
on the overview screen.
10.3 Capture 5 Images in a Row with Incremented Brightness

You can capture a series of 5 images in a row with incrementing
brightness. Each consecutive image becomes brighter.
5 Images in a row are captured.
The 5 captured images appear marked in green in the thumbnail preview
on the overview screen.
10.4 Record Video

Alternatively foot switch:
Press the foot switch.
Alternatively slit lamp SL-IC4 D/SL-IC5 D:
Press and hold the capture button on the joystick.
The video recording starts.
While recording is in progress, the [ ] button flashes.

 Press the [ ] button to stop recording.

 Press the [ ] button to end the recording.
The video recording appears highlighted in green in the thumbnail
10.4.1 Recording a Video Using the Foot Switch
 Press and hold down the foot switch for the duration of that you
want to record the video.
 To end the recording, take your foot off the foot switch, or
press the [ ] button.
The video recording appears highlighted in green in the thumbnail
10.5 Saving Images and Videos

 Close the overview screen.
 To save the captured images / video recording, press [Yes] in the
following confirmation dialog box.
The images / videos are listed in the Patient Data Management under
“Existing examinations”.

10.6 Optimisation of the Image Quality

If you are not satisfied with the quality of the images, there are several
different ways of optimising them:
 After the optimisation, save the changed camera configurations

☞
separately.
Problem Measure
Colours are unnatural  Adjust the white balance, sect. 9.3.3, page 17.
Colours are too bold  Increase the Gamma value,
“Change Gamma Value” on page 21
Image is too bright  Close the aperture, fig. 6-1, page 8.
 Shorten the exposure time, “Change Exposure Time” on page 20.
Image is too dark  Increase the brightness of the slit lap.

 Open the aperture, fig. 6-1, page 8.
 Increase the exposure time, “Change Exposure Time” on page 20.
 Increase the gain, “Change Gain” on page 20.
Blood vessels are emphasised too  Increase the Gamma value,

much “Change Gamma Value” on page 21.
Periphery is too dark  Increase the Gamma value,
“Change Gamma Value” on page 21.
Image is blurred  Adjust the eyepiece in 0.5 dpt increments until the user is at the
same visual acuity level as the camera.
Make sure that young examiners focus on the monitor.

11 Viewing the Images
11.1 Overview of the ImageCam® 3 Programme

The following areas are displayed on every screen:
1 2 3
1 Patient and examination data 3 Toolbar
2 Menu bar
Patient and Examination Data
The following patient and examination data (1) are displayed:
 Patient’s last name and first name

 Date of birth
 Age
 ID number, if applicable
Menu and Toolbar
In the menu bar (2), you can:

 Choose to display either a single image or 4 images
 Zoom in selected images and view exactly defined sections
 Use the function to identify lengths or angles
You can also perform some of the same actions using the buttons on the
toolbar (3).
Furthermore, you can change the settings of the ImageCam® 3
programme.
11.2 Select Image/Video

You can select an image or a video from the image bar.
 Move the cursor onto the desired image/video in the image bar.
 Double-click on it with the left mouse button.
The image / video is displayed in the full view.

You can also select an image/ video directly from the full view. This
applies for both single image display mode and for the active window of
four image display mode.
 Press one of the buttons to proceed to the next examination or to

return to the previous one.
The respective image / video is loaded.
11.3 Display Image

 ImageCam® 3 Programme > View
One window mode: image appers in the max. available size.
Four image mode:

 Click on the image and drag it with the mouse into the desired frame.
A frame is activated by clicking on the image with the mouse. All
operations are only executed on the active frame which is marked white.
Combined image mode:

The four image display mode must first be activated in order to activate
combined image mode.
When you zoom in a section of an image, sect. 11.4, page 28, the same
image section is zoomed in in the other three images at the same time.
If you pan an image with the hand tool, sect. 11.4, page 28, the other
three images are also panned.
11.4 Zooming an Image and Panning an Image Section

You can zoom in and out and select image sections in both one window
display mode and four window display mode.
In the 1:1 presentation, one screen pixel is equal to exactly one point of
the actual image.
The image is adapted to the size of the window (one window display
mode or four window display mode).

 ImageCam® 3-Programme> Tools > Magnifytool

 Select a certain point on the image with the magnify lens pointer.
Click on the left mouse button to zoom in on the area around this
point. The right mouse button will shrink the picture.
If the image has been enlarged with the zoom or with the 1:1 function, it
generally won’t fit completely on the screen, so that only part of the
image is shown. However, you can change the part of the image that is
displayed by scrolling it.
 ImageCam® 3 Programme> Tools > Handtool
 Instead of the mouse pointer you will now be moving a hand symbol.
 Now click and hold down the left mouse button while you move the
mouse.
The image moves in the direction that you move the mouse.
11.5 Identify lengths and angles

With the “Calibration for the display of the distance in mm” on page 30
programme, you can identify both lengths and angles.
Attention
OCULUS Optikgeräte GmbH is not liable for any re-using of obtained data
by the ImageCam® 3 or any calculated evaluations.
11.5.1 Determine distances
You can determine a distance in a full screen. It is specified in pixels (px)

or in dgt/mm.
If the distance is specified in px, you are working with an uncalibrated
function.
To specify the distance in dgt/mm, you must calibrate the function once,
“Calibration for the display of the distance in mm” on page 30. Calibrated
systems display the distance in digits [dgt], which correspond to
millimetres (mm) in the anterior segment of the eye.
You can only determine a distance in single screen mode, sect. 11.3,
page 28.
 ImageCam® 3 Program > Tools > Estimate distance
 Click on the left mouse button to set the starting point in the image.
 While holding down the mouse button, drag the line to be
determined to the desired end point.
 Read the distance on the screen.

For non-calibrated systems the distance is given in the unit pixel [px].
Fig. 11-2: ImageCam® 3 - Measure length
Calibration for the display of the distance in mm
To calibrate this function, you must

 first capture an image of a ruler (alternatively: standard graph paper)
at all magnifications of the slit lamp,
 then enter the reference lengths for the corresponding images.
Capture an image of the ruler at all magnifications of the slit lamp

 Open the image window, fig. 9-11, page 20.
 Open the iris diaphragm of the beam splitter (1) to the maximum size
(2).
Fig. 11-3: Set the iris

 Attach a ruler (1) to the chin rest.

 Start with the smallest magnification (2) of your slit lamp, here 6x
magnification.
1 2
Fig. 11-4: Attach the ruler and set the magnification
 Focus the ruler on the monitor. The scale on the ruler must be clearly
legible.
 Capture an image with the ruler, sect. 10, page 23.
Fig. 11-5: Capture a ruler image
 Switch to the next larger magnification and capture another image.

 Repeat this procedure until you have captured an image of the ruler
at all magnifications of the slit lamp. The order of captured images
should be in the same as the order of the slit lamp magnifications.
 Close the image window.

Enter the reference lengths

 Open single screen mode, sect. 11.3, page 28.
 Open the ruler image with the lowest magnification, in this case 6x
magnification.
 ImageCam® 3 Program > Tools > Estimate distance
 Click on the left mouse button to set the starting point in the image.
 Drag the line 10 mm.
Fig. 11-6: Determine distance
10 mm are set as the reference distance. Depending on the

magnification at which the image was captured, you can change the
reference distance to 5 mm.
 Click on the white cross at one end of the line with the right mouse
button. The following window is displayed (example):
Fig. 11-7: Selection “new”
 Select [new].

 Select the magnification at which the image was taken, in this case
6x magnification.
The reference distance defines the reference length in mm.

 Confirm with [OK] to accept the calibration for the first
magnification.
 Repeat the steps for all magnifications in the order of your
magnifications.
 After you have completed this, the distance determination in the
anterior segment is available in the unit dgt, which corresponds to
the millimetre scale.
Fig. 11-8: Strecke in dgt
 If you determine distances in further images, you must make sure

☞
that the magnification value of the ImageCam® 3 and the slit lamp
magnification (sect. 9.3.1, page 15) match.
Fig. 11-9: Magnification values on slit lamp and ImageCam® 3

11.5.2 Identify Angles for Toric Contact Lenses
With this function, you can display an angle which defines the inclination
of the contact lens.
 ImageCam® 3 programme > Tools > Estimate angle (Tabo)
 Click on one of the marks.
 Position the free-moving arm through the second mark.
11.6 Copy and Insert Image

 Select an image / video.
 ImageCam® 3 programme > Edit > Copy Image
The selected image/video is pasted to the clipboard.
 ImageCam® 3 programme > Edit > Insert Image
 An image from the clipboard is inserted as the last image/video in
the image bar. It is saved along with the actual date and time.

11.7 Edit Image

You can edit an image at any later time.
 ImageCam® 3 programme > Edit > Image-settings

The following window is displayed (example):
 Change the parameters as needed:

 Brightness
 Contrast
 Image sharpness
 RGB to BGR: Change colour space
You can change the colour space, e.g. to let you view blood vessels
at a high contrast. The red areas are shown in blue and vice-versa.
Green remains the same. All changes effect only the viewer, the
original image was not be changed.

11.8 Print Image

ImageCam® 3 programme > Examination > Print...
Example of a Printout in Four Image Mode
OCULUS ImageCam Name: Elise, Maier ID:

Version 3.11r07 Date of birth: 11.11.2011
Exam. date: 18.04.2012 Exam. date: 18.04.2012

Time: 16:46:27 Time: 16:48:12
Eye:: ----- Eye:: -----
Comment: Comment:
Exam. date: 18.04.2012

Time: 16:53:16
Eye:: -----
Comment:
Fig. 11-10: Example of a printout in four image mode

11.9 Import Image

ImageCam® 3 programme > Examination > Import images/videos
The following window opens:
 Select the folder from which the image is to be imported.

 Select the image that is to be imported
 Press the [Open] button to import the image.
The image is displayed both on the screen and in the thumbnail
preview.
11.10 Export Image

ImageCam® 3 programme > Examination > Export images
The following window opens:
 Select the folder into which the image is to be exported.

 Select the image format with which the image is to be saved.
Format selection is only possible for images. Videos are exported in
their source format.
 In the thumbnail preview, click on the images/videos that are to be
exported.
The selected images/videos are highlighted in blue.
 Click on the [OK] button.
The selected images/videos are exported to the destination folder.
 Click on [OK] to confirm.

11.11 Delete Image

 Mark the examination that is to be deleted in the thumbnail preview
by clicking on the respective thumbnail image.
The examination is now highlighted in blue:
Fig. 11-11: Delete Examination
 ImageCam® 3 programme > Examination > Delete marked images
 Alternatively, press the button

The following window is displayed (example):
 Click on [Yes] to confirm. The marked image is deleted.
You can delete multiple examinations simultaneously.

☞
 To do this, press and hold down the [CTRL] key and mark the
examinations that you want to delete.

11.12 Capture an Image from a Video

In the ImageCam® 3 programme, you can copy an individual image frame
from a video.
 Start a video.
Two buttons appear beside the comments line below the camera
image:
3 1
2
1 Capture image
2 Comments line
3 Start (stop) video
Fig. 11-12: Capture an Image from a Video
 Select your favourite frame by the cursor UP/DOWN keys or scroll

through the video by mouse wheel.
 Press the [ ] button.
The present image appears highlighted in green as a new picture in
the thumbnail preview.

11.13 Change Settings

In the ImageCam® 3 programme, you can change basic settings as
needed.
ImageCam® 3 programme > Settings
6 5
1 Group boxes for settings 4 [Cancel] button
2 Display of the software version 5 [Save] button
3 [System] button 6 [Use] button
Fig. 11-13: “Settings” screen

11.13.1 Buttons and Displays
 Press the button (4) to cancel the setting change.
 Press the button (5) to save the setting changes. The changes
become active after they are saved.
 Press the button (6) to use the changed settings, but not save them
permanently.
 Press the button (3) to display the system settings, sect. 11.13.6,
page 42.
The version number (2) of the ImageCam® 3 software is displayed.
11.13.2 Change Date Format
 Activate the date format that you want (D=Day, M=Month, Y=Year).
 Enter a different separator, if necessary.
11.13.3 Select Language
 Select the desired language from the drop-down list.
11.13.4 Set Video Format
ImageCam® Digital FireWire Camera:

 Activate the desired video format.
ImageCam® 3 USB camera:

If you work with the OCULUS ImageCam® 3, the appropriate parameters,
such as the video format, are pre-set. Changing the video format has no
effect.

11.13.5 Compress Images
 Select the desired image format from the drop-down list.

Setting the Image Compression
If you have selected a JPEG format, you can set the image compression to
reduce the data quantity of an image. This, of course, impairs the quality
of the image.
 Press the [Options] button.
The following screen is displayed:
 Change the image compression with the slide control.
11.13.6 Display System Settings Information
ImageCam® 3 programme > Settings > System->
The USB option is preselected for the foot switch.

The “Status” field shows whether the foot switch is presently being
pressed.
The USB Camera option is pre-set.

12 Patient Data Management

Once you have completed an examination you can do the following with
the patient data:
 Rename it, sect. 12.1, page 43
 Export it, sect. 12.2, page 43
 Import it, sect. 12.3, page 44
 Save it, sect. 12.4, page 46
You can also change the settings for the Patient Data Management
system, sect. 12.5, page 48.
12.1 Rename Patient Data

Patient data can be changed retroactively after it has been added.
 Press the [Change] button.
The input boxes for patient data are now enabled, and the cursor
jumps to the “Last name” field.
 Change the entries in the individual boxes.
 Press the [Save] button.
12.2 Exporting Patient Data

Patient and examination data can be exported, for example, for
forwarding to another clinic.
 Select the patient and also one of the examinations in the respective
list as required.
 Press the [Export] button below the patient list. The following dialog
is displayed:
1 2
1 Saving destination selec- 2 [...] button

tion
3 [Cancel] and [Export] buttons
Fig. 12-1: “Export patient data” dialog
The default options for import and export of data are configured in the
☞
“Settings” field, see also sect. 12.5, page 48.

Depending on the settings, you may not have to perform all of the

following steps (e.g. selection of the directory).
 Select the “Target” (1) where you would like to export the data to.
Recommendation: Use the option “Single file (U12)” to export the patient
☞
data.
 Press the [...] button (2).

 In the dialog that appears, select the folder or the file to which the
patient data should be exported.
 Confirm your selection with [OK] or [Open].
 To export the data, press the [Export] button (3).
12.3 Import Patient Data

If you receive patient data, for example, on a USB stick, you can import
these data.
Note
Risk of loss of data due to computer viruses
Computer viruses can cause loss of data.
 Run a virus check before importing data from the USB flash drive.

 Press the [Import] button. The following dialog is displayed:
1
2
5 3
1 Select data source 4 [Import] button

2 [...] button 5 Patient list
3 Previous examinations
Fig. 12-2: “Import” dialog box
The options for the import and export of data are pre-set in the “Settings”
☞
area, also refer to sect. 12.5, page 48.

 Depending on the settings, you may not have to perform all of the
following steps (e.g. selection of the directory).
 As option (1), select the location where the source data are located
(“Folder” or “Single File (U12)”).
Recommendation: Use the option “Single File (U12)” to import the patient
☞
data.
 Press the [...] button. (2).

 In the dialog box, select the directory or the file where the patient
data are located.
 Confirm your selection with [OK] or [Open].
The patients and the associated examinations that are found are
displayed in the lower part of the dialog.
 To import the data, press the [Import] button (4).
The data will then be available in the Patient Data Management
system.

12.4 Data Backup

You should make a backup copy of patient and examination data at
regular intervals. In case of loss of data, you can reconstruct the data
from a previously created backup with the help of this function. Since
data backup takes several minutes, depending on the scope of the
database and the data to be backed up, a backup should be carried out
when the PC and the device will not be needed.
Note
Risk of loss of data due to computer viruses
Computer viruses can cause loss of data.
 Run a virus check before making a backup to a USB flash drive.
The general rules for security backups apply to the creation of backup
☞
copies created with the help of the Patient Data Management system.
Storage of backup files should always be done on a separate system (e.g.
on a USB flash drive with adequate capacity).
12.4.1 Backup Data
 Press the [Backup] button at the top right of the Patient Data
Management system. The following dialog is displayed:
5 2
1 Backup data selection 4 Backup directory and [...] button

2 [Restore] button 5 [Cancel] button
3 Display free storage space
Fig. 12-3: “Backup” dialog
 Select whether all of the data or only changed data should be backed
up.

The Patient Data Management system internally tags all saved data
☞ records.
If you select the option “Changed and new data only”, only the data
records that were not saved during a previous backup will be backed up.
 Press the [...] button to the right of the “Backup directory” box (4).
 In the dialog that appears, select the folder to which the data should
be backed up.
 Confirm your selection with [OK].
 To back up the data, press the [Save] button (5). The previously
selected data will then be backed up to the corresponding folder.
12.4.2 Restoring Data
If a loss of data occurs, the data from a previous backup can be re-
imported into the Patient Data Management system.
 Press the [...] button.
 In the dialog that appears, select the folder which contains the
backup data.
 Confirm your selection with [OK].
 To import the data, press the [Restore] button (2). All data in the
appropriate directory are copied to the Patient Data Management
system.
12.4.3 Automatic Backup
In addition to the manually performed backup, it is also possible to

automatically run a backup when exiting the Patient Data Management
system. The settings required for this can be made in the “Settings” area,
see sect. 12.5.3, page 53.

12.5 Change Settings

Basic specifications for working with the Patient Data Management user
interface can be made in the “Settings” area.
 Press the [Settings] button at the top right of the Patient Data
Management system.
The “Settings” screen is displayed. The “Main” tab panel is in the
foreground.
2 3
1
1 [Save] button 3 Programme version of the
Patient Data Management
2 [Cancel] button
Fig. 12-4: “Settings” screen
The following information and buttons are available to you on every tab
panel on this screen:
 The programme version of the Patient Data Management user
interface is displayed at the bottom right (3).
 There are two buttons at the bottom left for saving (1) or discarding
(2) the changes that have been made. All changes are saved or
discarded, and then the screen is closed.

12.5.1 “Main” Tab
1
2
1 “Language selection” drop-down list 3 Optional patient entries

2 [Autocasing] check box
Fig. 12-5: “Settings” screen, “Main” tab
“Language” Group Box
 Select the language in the “Language” drop-down list (1) to be

displayed on the Patient Data Management user interface screen.
 Activate the [Autocasing] check box (2) as required. If the check box
is active, the first letter of a patient’s name and last name is always
converted into a capital letter.
“Optional items for patient” Group Box
Besides the five standard attributes of first name, last name, date of birth,
gender, and ID, up to five additional attributes can be freely defined.
 Enter the identifier for the attribute in one of the boxes option1 to
option5, for instance “Comment”.
To be able to carry out entries for the newly defined attributes, proceed
as follows:
 Click with the right mouse button on the patient list and open the
associated context menu.

 Select the desired attribute, e.g. “Comments” [2].
1 Presently active attributes

2 New attribute, selected
Fig. 12-6: Activate new attribute
The context menu is closed, the attribute “Comment2” is displayed both

in the input fields for patients (1) in the top section of the screen, and in
the patient list (2).
1 Attribute “Comment2” as an input field.

2 Attribute “Comment2” in the patient list
Fig. 12-7: User-defined attribute “Comment”
Selection of attributes occurs analogously in the context menu. The

☞
currently selected attributes are marked with a tick.

12.5.2 “Devices” Tab
1
9
2
8 3
7 4
6
5
1 Drop-down list for selecting a database 6 Path for the currently selected device
2 Radio button “load while starting” 7 check box for activating a device
3 Folder selection 8 Path for the database
4 Drop-down list for selecting a device 9 check box for activating a database
5 [Write permission] check box
Fig. 12-8: “Devices” tab
“Database” Group Box
Different users can be set up for different databases.

 In the drop-down list for selecting a database (1), choose the entry
(User) that you would like to edit.
 Choose the corresponding path for the database, data, and images
via the individual buttons for folder selection (3).
Normally, two different folders are created and displayed for data
and image during installation (8).
 For data: Name of the device plus the .DAT identifier
 For images: Name of the device plus the .BMP identifier
 For each user, activate whether the associated database should be
actively switched on or not (9).
In case more than one database is active, an additional drop-down list
appears on the main page of the Patient Data Management user
interface. You can activate a user (or the assigned database) in this list.
The patient list and the associated examinations are updated when the
active user is changed.
 You can also activate the option “load while starting” (2) for just one
user. The associated database will then normally be loaded at start
of the Patient Data Management user interface and is pre-selected.

“Devices” Group Box
Settings for connected devices can be carried out in the group box.
 In the drop-down list, select the desired device (4).
 If the device is in fact connected, then activate the check box
[Active] (7).
 Choose the path to the associated device’s application file via the
folder selection button.
To save patient and examination data in the database, this will initially be
created in the so-called “Transfer folder”. This folder is always created
locally on the PC.
 Choose the transfer folder via the folder selection button. It should
match the name of the device plus the ending .DAT
You can also specify settings for devices which are not connected to the
PC.
 Activate the check box [Write permission] for the devices that are in
fact connected to the PC.

12.5.3 “Import/Export” Tab
1
6
5
2
4
3
1 Automatic backup folder 4 Standard format for import and export

2 Select import/export folder 5 [Active] check box
3 Interface for manual operating unit 6 [Include bitmaps] chechbox
Fig. 12-9: “Import/Export” tab
“Automatic backup” Group Box
In addition to the manually performed backup (sect. 12.4, page 46), it is

possible to automatically run a backup when exiting the Patient Data
Management system. The settings required for this can be specified in the
group box.
 Select the folder via the folder selection button (1) where the data
should be saved during an automatic backup.
 Selected the check box [Include bitmaps] (6) if the camera images
should also be backed up.
 Activate the check box [Enable] (5), if the automatic backup should
be executed with the settings specified.

“Import/Export” Group Box
You can enter settings in this group box for import and export of Patient
Data Management user interface data.
Note
The settings specified in this tab for import and export of data can be
overwritten. Only typical settings are entered here.
 Select the folder via the folder selection button (1) which should be
pre-selected as the standard for import or export.
 In the “Format” drop-down list (4), select whether import or export
should normally occur in a folder or in a single file (U12).

12.5.4 “Email” Tab
1 Selection of the email connection 3 SMTP connection selection

2 Standard text for subject and body text
Fig. 12-10: “Email” tab
The three radio buttons in the top section of the tab panel (1) are used to
select whether the email connection is activated, and if so, how the data
transfer is to take place.
 Activate the option “MAPI” if an email programme (e.g. Microsoft
Outlook) is installed on your PC and if the data should be sent using
this programme.
 Activate the option “SMTP” if no email programme is installed on
your PC but you would still like to send the data via email. In this
case, additional entries are necessary in the “SMTP” group box.
“Default text” Group Box
 Enter the text in the “Subject” and “Body” (2) boxes which should
normally be pre-entered when email is sent. You can edit this text
before email is actually sent (e.g. particular to patients or
examinations).
“SMTP” Group Box
In case no email programme is installed on the computer, several entries

must be made here to send emails.
 Contact your system administrator if you have questions about the

individual entries.

12.5.5 “Interface” Tab
1 Settings for HL7 3 Settings for Default.pat

2 Settings for GDT
Fig. 12-11: “Interface” tab
Use this tab to enter the folder for different interface types and to
activate or deactivate them.
The interface “Default.pat” (3) is used if the Patient Data Management
user interface is launched by a third-party programme.
 Place the interface “Default.pat” into the third-party programme’s
folder.
 Select “in” folder as the third-party programme’s folder.

12.5.6 “Smartcardreader” Tab
1 2
1 [Config] button 2 [Active] check box

Fig. 12-12: “Smartcardreader” tab
You can configure a smartcard reader on this tab panel so that you can
directly import patient data via the patient’s insurance card into the
Patient Data Management user interface. First, you have to configure the
smartcard reader (usually only once).
 Press the [Config] button (2). A screen appears for you to select the
type of smartcard reader you are using.
 Select the [Enable if available] check box (1) to activate the
smartcard reader.

12.5.7 “Misc”6 Tab
1
2
1 check box for managing a database 2 check box for initialising in a

database
Fig. 12-13: “Misc” tab
Patient Data Management is implemented in two different versions: V2.x
and V6.x. In principle, implementing both versions on the same network
should be avoided. In any case, if the higher technical requirements of the
new version V6.x cannot be circumvented, then the corresponding
settings must be specified on this tab.
 Activate the check box on this tab (1) on just one PC with an
installed V6.x version.
 Make sure that this check box is not active on any other PC which
has version V6.x of the Patient Data Management user interface
installed.
 Activate the check box (2) to re-initialise the data in the database
on next startup.
This ensures that the database is automatically adjusted if a patient is
entered on another PC on with the older Patient Data Management V2.x
is installed.
The group box “IPad Report” has no function at present.
12.5.8 Tab Panels “Hecht” and “DICOM”
The tab panels “Hecht” and “DICOM” have no function at present.

13 Cleaning and Maintenance
13 Cleaning and Maintenance

The ImageCam® 3 system is designed to be maintenance-free.
Instructions on how to clean and maintain the individual components can
be found in the operating instructions for the various components.
To ensure satisfactory and reliable operation, we recommend: Have the
ImageCam® 3 checked every two years by our service department or an
authorized dealer. If an error occurs which you cannot correct, label the
ImageCam® 3 as being “out-of-order” and contact our service
department.
14 Troubleshooting
Attention
Risk of personal injury or equipment damage due to improper
troubleshooting
 If an error occurs which you are unable to correct by following the
instructions below, label the device as “out-of-order” and contact
our service department or an authorized dealer.
Error Possible Cause Remedy

Image preview stays black Exposure is incorrectly set  Swivel in the beam splitter
 Increase the exposure time
 Check the patient’s positioning
Error message Camera system not connected 

 Check the cables
Camera not found.  Settings > System > Image
source: select the camera that
is being used
Camera lights up red Driver not set up 

 Set up the driver again
Image is grainy Gain is too high  Increase the slit lamp
brightness and simultaneously
reduce the gain.
Image off-center with respect Beam splitter is maladjusted 

 Contact OCULUS Service or
to binocular eyepiece your authorized dealer

14 Troubleshooting
Error Possible Cause Remedy

Jerky camera image with i3/i5 Change status of i3/i5 processor  Navigate to the folder:
processor C:\IMAGECAM\DRIVER\IDS_uE
ye
 Execute program
„IDSProcIdleConfig.exe“
 Disable both options

15 Transport and Storage
15 Transport and Storage

The ImageCam® 3, must be properly dismantled and packed before being
transported or stored.
15.1 Transport and Storage Information
Storage conditions
Ambient temperature -10 — +55°C

Relative humidity, including condensation 20% — 80 %
Air pressure range 700 hPa — 1060 hPA
Transport conditions
Ambient temperature range -10 — +55°C

Air pressure range 700 hPa — 1060 hPA
 Wait approx. 3-4 hours after transport before putting the

ImageCam® 3 into initial operation. Extreme temperature changes
from cold areas to warm rooms can cause condensation on the
optical components.
15.2 Dismantling and Packing

 End the current session.
Attention
Risk of equipment damage due to incorrect shipment
 Avoid shocks, vibrations, and contamination.
 Transport the ImageCam® 3 carefully. Avoid shocks and vibration.
Attention
Risk of equipment damage from improper storage
 Avoid contamination, high temperatures and humidity.
 Avoid shocks, vibrations, and contamination. Store the

ImageCam® 3 in accordance with the specified storage conditions.
 Avoid placing near heaters and moisture.

16 Disposal
16 Disposal
In accordance with Directive 2012/19/EC of the European Parliament and

the Council of 4 July 2012, and in accordance with German law governing
the marketing, return and environmentally compatible disposal of used
electrical and electronic devices, such appliances must be recycled and
may not be discarded as household waste.
 Dispose of the ImageCam® 3 in a compliant manner.
17 Terms of Guarantee and Servicing
17.1 Terms of Guarantee

Please note the following guarantee provisions:
 Prior to and while operating the device it is important that you heed
the instruction manual and safety instructions.
 The ImageCam® 3 carries a guarantee to which you are entitled in
accordance with the legal provisions.
 If any unauthorized persons interfere with the ImageCam® 3, all
guarantee entitlements shall be void. Improper modifications and
repairs may result in considerable hazards to users and patients.
 Any entitlement to a guarantee shall also be void if unauthorized
persons interfere with the supplied PC hardware and software.
 Any transport damage must be reported immediately to the shipping
company. Have the transport damage noted on the bill of lading so
that complaint handling and compensation of damages can proceed
in an orderly manner.
 In general, our Business and Shipping Terms on the date of purchase
apply.

17 Terms of Guarantee and Servicing
17.2 Assumption of Liability for Functions and Damage

OCULUS will only accept responsibility for the safety, reliability and
serviceability of the ImageCam® 3 if the unit is used in compliance with
the following terms:
 Only use the equipment in conformance with this instruction
manual.
 There are no user-serviceable parts either on or inside the
ImageCam® 3. OCULUS shall not assume any liability if assembly,
extensions, adjustments, changes or repairs are carried out by
unauthorized personnel, if the ImageCam® 3 is maintained
improperly or if it is handled incorrectly.
 If the above-referenced work is performed by authorized persons,
request a certification of the scope and type of repair, and, if
necessary, the changes to the standard values or to the operating
range from the service technician. This certification must contain
the date of performance and statement of the performing firm, with
signature.
 If requested, OCULUS will provide the service technician with a list
of spare parts and additional descriptive material for this purpose.
 Make certain that only original OCULUS parts are used.

18 Technical Data
18 Technical Data
Camera
Camera Progressive scan

Interface USB 3.0
Dimensions (W x D x H 29 x 29 x 48 mm (1.1 x 1.1 x 1.9 in)
Weight 47 g (1.7 oz)
Operating Conditions
Temperature +10°C — +35°C

Humidity 20% — 80%
Air pressure 800 hPa to 1060 hPa
Transport and Storage Conditions
Ambient temperature -10 — +55°C

Air pressure 700 hPa — 1060 hPA
Recommended Computer Requirements
Use a computer which is in conformity with the DIN EN 62368-1 or

DIN EN 60950 standard.
Intel Core™ i5, 256 GB SSD,1 TB SATA, 8 GB RAM, Windows® 10,

USB 3.0
Recommended screen resolution 1920 x 1200 pixel
Power supply
Power supply USB cable (5V — 0,5A)
Additional information
CE in accordance with EC Directive 93/42/EEC for Medical

Devices
The unit is a Class I product.
Conformity assessment: Directive 93/42 / EEC: annex VII

19 Appendices
19 Appendices
19.1 Operating Instructions for the Beam Splitter
1 Lever for swivelling in and out beam 2 rotary knob

splitter prism
Fig. 19-1: Operating elements of the beam splitter
Swing in the Beam Splitter Optic
The beam splitter optic couples out the light for the video recording from
one of the two beam paths.
The respective beam path thus loses brightness. The beam splitter optic
can therefore be swung out when no recording is being made.
 To do this, actuate the lever (1).
“IN” = Beam splitter lens swivelled in, ready for capturing images or
recording videos.
Set the Shutter
The rotary knob (1) is used to adjust the shutter of the objective lens. The
depth of focus of the image can thus be changed. Turn the knob clockwise
to open the shutter and let more light into the camera. The depth of focus
simultaneously decreases.

19 Appendices
19.1.1 Technical Data Beam Splitter
Splitter ratio 70/30 (camera/viewer)

Splitter prism swivels in and out
Aperture adjustable
Weight 335 g – 480 g, depending on model
Installation size (with Zeiss/Nidek mount) 34 mm (1.4 in)
Camera mount C-mount
Objective lens 4.0/f=50 mm integrated
Slit lamp adaptions See: www.oculus.de >
Products > Slit lamp Documentation
> ImageCam® 3 >
Slit lamp adaptions
Fig. 19-2: Dimensions in mm (in inches)

Shown with Zeiss / Nidek mounting plates
Depth: 39 to 55 mm (1.5 to 2.2 in), depending on model

19 Appendices

19 Appendices

Manufacturer and Service Address
G/69200/XXXX/EN 0120 Rev01
Headquarters:
OCULUS Optikgeräte GmbH
Münchholzhäuser Straße 29 • 35582 Wetzlar • GERMANY
Charge:20196005
Tel. +49 641 2005-0 • Fax +49 641 2005-295

G/69200EN
E-Mail: export@oculus.de • www.oculus.de
USA:
OCULUS, Inc.
17721 59th Avenue NE • Arlington • WA 98223
Tel. +1 425 670 9977 • Fax +1 425 670 0742
Email: sales@oculususa.com • http://www.oculususa.com

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OCULUS ImageCam® 3

 This operating manual describes the management of the patient

OCULUS Optikgeräte GmbH

OCULUS is certified according to DIN EN ISO 13485, setting high stan-

Instruction Manual ImageCam® 3 (G/69200/XXXX/EN 0120 Rev01) i/v

Instruction Manual ImageCam® 3 (G/69200/XXXX/EN 0120 Rev01) ii / v

iii / v Instruction Manual ImageCam® 3 (G/69200/XXXX/EN 0120 Rev01)

Instruction Manual ImageCam® 3 (G/69200/XXXX/EN 0120 Rev01) iv / v

Components Order Number

Software Installation SI/50000/.../en

2 Structure of the Documentation

Instruction Manual ImageCam® 3 (G/69200/XXXX/EN 0120 Rev01) 1 / 68

 Software Installation: The introduction to the Software Installation

Symbols on device Symbols packaging

Manufacturer Date of Keep dry

Conformité Article number This way up

Follow instruction Serial number Fragile

Disposal in Caution Transport Limit of temperature for

Storage Limit of temperature for

Example: UDI number, consisting UDI- Limit of air pressure

Fig. 3-1: Name plate (example)

2 / 68 Instruction Manual ImageCam® 3 (G/69200/XXXX/EN 0120 Rev01)

4.1 About this Manual

4.1.1 Pictograms Used in this Manual

require special attention.

Instruction Manual ImageCam® 3 (G/69200/XXXX/EN 0120 Rev01) 3 / 68

4.2 Safety Instructions for Use

Instructions for Operating Personnel

 Make certain that the ImageCam® 3 is used exclusively by personnel

Instructions for Setup and Connection

 Do not operate or store the ImageCam® 3 in damp rooms.

Instructions for Operation

 Never operate an ImageCam® 3 that is damaged.

4 / 68 Instruction Manual ImageCam® 3 (G/69200/XXXX/EN 0120 Rev01)

Instructions for Maintenance

To ensure satisfactory and reliable operation, we recommend: Have the

Instructions for Disassembly and Disposal

 When disconnecting electrical connections, pull on the respective

Patient environment information

EMC and Electrical Safety Information

The ImageCam® 3 and a slit lamp constitute a Medical Electrical System

Instruction Manual ImageCam® 3 (G/69200/XXXX/EN 0120 Rev01) 5 / 68

Instructions on Electrical Safety

6 / 68 Instruction Manual ImageCam® 3 (G/69200/XXXX/EN 0120 Rev01)

Precautions for access control of the computer

Instruction Manual ImageCam® 3 (G/69200/XXXX/EN 0120 Rev01) 7 / 68

1 Lever for swivelling in and out beam splitter prism 4 Aperture

8 / 68 Instruction Manual ImageCam® 3 (G/69200/XXXX/EN 0120 Rev01)

6.1 How the ImageCam® 3 Works

Then proceed as described in sect. 9, page 11.

Instruction Manual ImageCam® 3 (G/69200/XXXX/EN 0120 Rev01) 9 / 68

8 Putting Back Into Operation

8.1 Install Software

8.2 Connect Foot Switch

10 / 68 Instruction Manual ImageCam® 3 (G/69200/XXXX/EN 0120 Rev01)

9 Preparing for Capturing Images

9.1 Starting Patient Data Management

Instruction Manual ImageCam® 3 (G/69200/XXXX/EN 0120 Rev01) 11 / 68

To start the ImageCam® 3 programme, first enter a new patient (8) or

9.1.1 Entering a New Patient

Fig. 9-2: Entering patients

Optionally you can enter an ID number for the patient.