Ametek Reichert Phoroptor VRx User manual

Phoroptor®VRx
Digital Refraction System
User’s Guide

©2017 AMETEK, Inc.
Reichert, Reichert Technologies, Phoroptor, and ClearChart are registered trademarks of Reichert, Inc.
AMETEK is a registered trademark of AMETEK, Inc.
Bluetooth is a registered trademark of Bluetooth SIG.
All other trademarks are property of their respective owners.
The information contained in this document was accurate at time of publication. Specifications subject to change without notice.
Reichert, Inc. reserves the right to make changes in the product described in this manual without notice and without incorporating those
changes in any products already sold.
ISO 9001/13485 Certified – Reichert products are designed and manufactured under quality processes meeting
ISO 9001/13485 requirements.
Refer to IEC 60601-1 for system level information.
No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic,
mechanical, recording, or otherwise, without the prior written permission of Reichert, Inc.
Caution: Federal law restricts this device to sale by or on the order of a licensed practitioner. Rx only.

Table of Contents
Contents
Warnings and Cautions.......................................................................................................................6
Symbol Information..............................................................................................................................8
Introduction..........................................................................................................................................9
Indications for Use.........................................................................................................................9
Contra-Indications .........................................................................................................................9
Unpacking Instructions......................................................................................................................10
Parts Identication ............................................................................................................................12
Setup.................................................................................................................................................14
Connecting the Phoroptor VRx System Components .................................................................14
Leveling the Phoroptor Head.......................................................................................................16
Face Shields................................................................................................................................17
Near Vision Rod and Card...........................................................................................................18
Turn the Unit On and Off .............................................................................................................18
Connect External Devices to the Phoroptor VRx...............................................................................19
Connect External Devices with Reichert Wireless Serial Adapters...................................................20
Connect Acuity Systems to the Phoroptor VRx.................................................................................24
Connecting Multiple Phoroptor VRx Units.........................................................................................25
User Guide Standards.......................................................................................................................27
Controller Keypad..............................................................................................................................28
Icon Description.................................................................................................................................29
Active Data Field .........................................................................................................................29
Auxiliary Lenses or Filters ...........................................................................................................30
Controller Button Descriptions and Effects..................................................................................31
Options/Setup Menu..........................................................................................................................32
Screens Available through the Options/Set-Up Menu.................................................................32
Settings........................................................................................................................................33
Language.....................................................................................................................................33
Refraction Sequence...................................................................................................................33
Aperture Default ..........................................................................................................................33
Cylinder +/- .................................................................................................................................34
Axis 0/180....................................................................................................................................34
Prism Units..................................................................................................................................34
Retinoscopy.................................................................................................................................34
Fog Amount.................................................................................................................................34
BB Fog Amount ...........................................................................................................................34
VA Up Arrow.................................................................................................................................34
NRA/PRA Order...........................................................................................................................34
Near Chart Units..........................................................................................................................34
CC ...............................................................................................................................................35
XCyl Auto.....................................................................................................................................35
XCyl Mode...................................................................................................................................35
XCyl Equal Keypad Button..........................................................................................................35
Date Format.................................................................................................................................36
Time format..................................................................................................................................36
Keypad LED ................................................................................................................................36
Sleep ...........................................................................................................................................36
Output Options ............................................................................................................................36
3
16241-101 Rev. D

Table of Contents (continued)
Programs...........................................................................................................................................39
Creating a Program.....................................................................................................................39
Selecting Charts for Program Steps............................................................................................40
Modifying a Step in the Program.................................................................................................41
Deleting a Step from your Program.............................................................................................41
Copying a Program already created............................................................................................41
Exporting a Program....................................................................................................................41
Importing a Program from an outside source (USB drive)...........................................................42
Clearing a Program .....................................................................................................................42
Running a Program .....................................................................................................................43
Charts................................................................................................................................................44
Selecting a Chart.........................................................................................................................44
Chart for Optotypes.....................................................................................................................45
Default Chart ...............................................................................................................................45
Prism Default Charts ...................................................................................................................45
XCyl Default Charts.....................................................................................................................46
Phoria Default Charts..................................................................................................................46
Vergence Default Charts .............................................................................................................46
Binocular Balance (BB) Default Charts .......................................................................................46
Ports..................................................................................................................................................47
Setting-Up a Port for Communication with an External Device...................................................47
Service Menu.....................................................................................................................................48
System Information......................................................................................................................48
Set Date/Time..............................................................................................................................49
Phoroptor Test .............................................................................................................................49
Keyboard Test..............................................................................................................................50
Import Settings and Export Settings............................................................................................51
Factory Settings...........................................................................................................................51
Instructions for Use............................................................................................................................52
Introduction..................................................................................................................................52
Aligning the Phoroptor Head .......................................................................................................52
Data Input..........................................................................................................................................55
Data Table....................................................................................................................................55
Entering Data Manually...............................................................................................................56
Inputting Data Electronically........................................................................................................57
Adjust Values.....................................................................................................................................59
Adjusting a Refraction From Previously Saved, Transferred, or Input Data................................59
Eye Selection...............................................................................................................................59
Sphere.........................................................................................................................................60
Cylinder .......................................................................................................................................61
Sphere and Cylinder - Maintaining Spherical Equivalent ............................................................62
Axis..............................................................................................................................................63
Near Vision Addition ....................................................................................................................64
Cross Cylinder...................................................................................................................................65
Cross Cylinder - Smart/Manual/Split Cyl Test....................................................................................66
Cross Cylinder Test Settings........................................................................................................66
Examination for Astigmatism.......................................................................................................66
Cross Cylinder - Manual Test ............................................................................................................67
416241-101 Rev. D

Table of Contents (continued)
Freely Selectable Axis Adjustment ..............................................................................................68
Cross Cylinder - Smart Test...............................................................................................................69
Axis Adjustment...........................................................................................................................69
Programmed Axis Adjustment .....................................................................................................70
Freely Selectable Axis Adjustment ..............................................................................................70
Programmed Cylinder Power Adjustment....................................................................................71
Freely Selectable Cylinder Power Adjustment.............................................................................71
Cross Cylinder - Split Cyl Test...........................................................................................................72
Axis Adjustment...........................................................................................................................73
Cylinder Power Adjustment .........................................................................................................73
Near Vision Test ................................................................................................................................74
Fused Cross Cylinder Test...........................................................................................................75
NRA/PRA Test .............................................................................................................................77
Amplitude of Accommodation Test ..............................................................................................78
Prism Testing.....................................................................................................................................79
Horizontal Prism - Right Eye .......................................................................................................80
Horizontal Prism - Left Eye..........................................................................................................80
Vertical Prism - Right and Left Eye..............................................................................................80
XY and Polar Coordinates...........................................................................................................80
Split Prism ...................................................................................................................................80
Automated Prism Test - Phorias, Vergences...............................................................................81
Phoria Testing - Distance.............................................................................................................81
Phoria Testing - Near...................................................................................................................83
Vergence Testing or Fusion Range Measurement - Distance .....................................................83
Vergence Testing or Fusion Range Measurement - Near ...........................................................88
Binocular Balance with Prisms..........................................................................................................89
Vertex Distance Calculator................................................................................................................90
Saving VisualAcuity - Distance.........................................................................................................91
Right Eye.....................................................................................................................................91
Left Eye .......................................................................................................................................91
Binocular Vision...........................................................................................................................91
Saving Refraction Data......................................................................................................................92
Comparing Refraction Data...............................................................................................................93
Data Output - EMR............................................................................................................................94
EMR Output Options ...................................................................................................................95
Data Output.................................................................................................................................95
Data Output - Printing........................................................................................................................96
Printer Data Output......................................................................................................................97
Clearing Data.....................................................................................................................................98
Cleaning and Maintenance..............................................................................................................100
Troubleshooting...............................................................................................................................102
Specications ..................................................................................................................................104
Guidance Tables..............................................................................................................................106
Appendix A - Instrument Cables and Bluetooth Kits........................................................................110
Appendix B - Compatibility Chart.....................................................................................................112
Appendix C - Phoroptor VRx, Lensmeter, and Auto Refractor Data................................................113
Appendix D - Phoroptor VRx Data Only..........................................................................................114
Warranty and Limitation of Liability..................................................................................................115
5
16241-101 Rev. D

Warnings and Cautions
Reichert Technologies®(Reichert®) is not responsible for the safety and reliability of this instrument when
unauthorized dealers or persons assemble, disassemble, repair, or modify the instrument, or when
a person does not use the instrument in accordance with this User’s Guide.
WARNING: AN INSTRUCTION THAT DRAWS ATTENTION TO THE RISK OF INJURY OR DEATH.
WARNING: UNITED STATES FEDERAL LAW AND EUROPEAN REGULATIONS REQUIRE THAT ONLY
A LICENSED PRACTITIONER OR A PERSON ACTING ON BEHALF OF A LICENSED PRACTITIONER
PURCHASE THIS DEVICE.
WARNING: THE OPERATOR OF THIS INSTRUMENT SHOULD USE IT IN STRICTACCORDANCE WITH THE
INSTRUCTIONS OUTLINED IN THIS USER’S GUIDE. REICHERT TECHNOLOGIES CANNOT GUARANTEE
THE SAFETY OF THE OPERATORAND THE PERFORMANCE OF THE INSTRUMENT IF THE OPERATOR
USES THE INSTRUMENT IN A MANNER NOT SPECIFIED BY REICHERT TECHNOLOGIES.
WARNING: DO NOT REPAIR OR SERVICE THIS INSTRUMENT WITHOUTAUTHORIZATION FROM THE
MANUFACTURER. EXPERIENCED PERSONNEL OR DEALERS WHOARE TRAINED BY REICHERT MUST
PERFORM ANY REPAIR OR SERVICE TO THIS INSTRUMENT TO PREVENT SERIOUS INJURY TO THE
OPERATOR OR PATIENT.
WARNING: NO PERSON IS ALLOWED TO MODIFY THIS INSTRUMENT. REICHERT MUSTAUTHORIZE
ANY MODIFICATION TO THIS UNIT TO ENSURE CORRECT OPERATION.
WARNING: IF ANY PERSON MODIFIES THIS INSTRUMENT, REICHERT MUST CONDUCT INSPECTION
AND TESTING OF THE INSTRUMENT TO ENSURE ITS CONTINUED SAFE USE.
WARNING: CONNECT THIS EQUIPMENT ONLY TO A SUPPLY MAINS WITH PROTECTIVE EARTH TO
AVOID THE RISK OF ELECTRIC SHOCKAND TO PREVENT DAMAGE TO THE INSTRUMENTAND/OR
INJURY TO THE OPERATOR OR PATIENT.
WARNING: APPLY RATED INPUT VOLTAGE TO THE UNITAS INDICATED ON THE DATA PLATE TO
PREVENT DAMAGE TO THE INSTRUMENTAND/OR INJURY TO THE OPERATOR OR PATIENT.
WARNING: ONLY PLUG THE INSTRUMENT INTO AN OUTLET WITH AN EARTH GROUND. DO NOT
REMOVE OR DEFEAT THE INSTRUMENT’S EARTH GROUND CONNECTION ON THE POWER INPUT
CONNECTOR OR THE UNIT’S POWER CORD, OR YOU COULD CAUSE DAMAGE TO THE INSTRUMENT
AND/OR INJURY TO THE OPERATOR OR PATIENT.
WARNING: DO NOT USE THE EQUIPMENT OR SYSTEM ADJACENT TO OR STACKED WITH OTHER
EQUIPMENT. IF YOU NEED TO USE ADJACENT OR STACKED EQUIPMENT, OBSERVE THE EQUIPMENT
OR SYSTEM TO VERIFY NORMAL OPERATION IN THE CONFIGURATION IN WHICH YOU USE IT.
WARNING: RISK OF ELECTRIC SHOCK OR FIRE. THIS DEVICE IS NOT INTENDED TO BE USED WITH
LIQUIDS. DO NOT PLACE OR USE OPEN LIQUID CONTAINERS NEAR THE DEVICE, DUE TO THE RISK OF
SPILLAGE OF LIQUID ONTO THE DEVICE.
WARNING: THIS INSTRUMENT IS NOT SUITABLE FOR USE IN THE PRESENCE OF FLAMMABLE
ANESTHETIC MIXTURES, SUCH AS OXYGEN OR NITROUS OXIDE.
WARNING: THE USE OF ACCESSORIES OR CABLES OTHER THAN THOSE SPECIFIED, WITH THE
EXCEPTION OF THOSE SOLD BY THE MANUFACTURER AS REPLACEMENT PARTS FOR THE INTERNAL
COMPONENTS, MIGHT RESULT IN INCREASED EMISSIONS OR DECREASED IMMUNITY OF THE
EQUIPMENT OR SYSTEM.
Warnings and Cautions
616241-101 Rev. D

Warnings and Cautions(continued)
Warnings and Cautions (continued)
WARNING: PRIOR TO INSTALLING THE PHOROPTOR HEAD ONTO THE STAND ARM, VERIFY THAT THE
ROD ON THE STAND ARM IS SECURE BEFORE ATTEMPTING TO INSTALL THE PHOROPTOR HEAD OR
YOU MIGHT DAMAGE THE UNITAND/OR INJURE THE PATIENT.
WARNING: OTHER ELECTRICAL OR ELECTRONIC EQUIPMENT CAN INTERFERE WITH THE BLUETOOTH
WIRELESS CONNECTION TRANSMITTERS OR RECEIVERS, EVEN IF THAT EQUIPMENTALSO COMPLIES
WITH CISPR EMISSIONS REQUIREMENTS.
CAUTION: AN INSTRUCTION THAT DRAWS ATTENTION TO THE RISK OF DAMAGE TO THE PRODUCT.
CAUTION: THE INTERNAL CIRCUITRY OF THE INSTRUMENT CONTAINS ELECTROSTATIC DISCHARGE
SENSITIVE DEVICES (ESDS) THAT ARE SENSITIVE TO STATIC CHARGES PRODUCED BY THE HUMAN
BODY. DO NOT REMOVE THE COVERS WITHOUT TAKING PROPER ESDS PRECAUTIONS.
CAUTION: DO NOT USE SOLVENTS OR STRONG CLEANING SOLUTIONS ON ANY PART OF THIS
INSTRUMENT TO ENSURE THAT YOU DO NOT DAMAGE THE UNIT. SEE THE MAINTENANCE SECTION
OF THIS GUIDE FOR DETAILED CLEANING INSTRUCTIONS.
CAUTION: DO NOT USEAMMONIA-BASED CLEANERS ON THE LIQUID CRYSTAL DISPLAY (LCD) TO
ENSURE THAT YOU DO NOT DAMAGE THE DISPLAY. SEE THE MAINTENANCE SECTION OF THIS GUIDE
FOR DETAILED CLEANING INSTRUCTIONS.
CAUTION: MEDICAL ELECTRONIC EQUIPMENT REQUIRES SPECIAL PRECAUTIONS REGARDING EMC
AND IT NEEDS TO BE INSTALLED AND PUT INTO SERVICEACCORDING TO THE EMC INFORMATION
PROVIDED IN THEACCOMPANYING DOCUMENTS.
CAUTION: PORTABLE AND MOBILE RF COMMUNICATIONS EQUIPMENT CANAFFECT MEDICAL
ELECTRICAL EQUIPMENT.
CAUTION: DO NOT USE THIS INSTRUMENT NEAR HIGH-FREQUENCY EMITTING SURGICAL EQUIPMENT.
CAUTION: THIS INSTRUMENT IS NOT INTENDED TO BE CONNECTED TO EQUIPMENT OUTSIDE THE
CONTROL OF REICHERT TECHNOLOGIES OR IT MUST BE TESTED TO APPLICABLE IEC OR ISO
STANDARDS.
CAUTION: DO NOT INSTALLANY ADDITIONAL SOFTWARE OTHER THAN WHAT IS SUPPLIED WITH THIS
INSTRUMENT. IF YOU INSTALLADDITIONAL SOFTWARE, IT MIGHT CAUSE UNEXPECTED OPERATION,
RESULTING IN INSTRUMENT MALFUNCTION.
CAUTION: YOU MUST PLUG THIS INSTRUMENT INTOAN OUTLET WITHAN EARTH GROUND THAT
IS CONNECTED TO THE RECEPTACLE TO PREVENT DAMAGE TO THE UNIT. DO NOT DISABLE OR
REMOVE THE GROUND PIN.
CAUTION: INGRESS PROTECTION CLASSIFICATION FOR THE PHOROPTOR HEAD IS IP2X, WHILE
THE CONTROLLER, AND CENTRAL UNITARE IP3X. DO NOT SPRAY, SPLASH, OR IMMERSE THESE
INSTRUMENTS IN CLEANING SOLUTIONS.
7
16241-101 Rev. D

Symbol Information
Symbol Information
The following symbols appear on the instrument.
Consult Instructions for Use symbol indicating important operating and maintenance
instructions included in this User’s Guide
Caution symbol indicating important information and maintenance instructions
included in this User’s Guide
Type B Product Classification
Protective Earth
Alternating Current Power
ON / OFF
Date of Manufacture
REF Catalog Number
SN Serial Number
Waste of Electrical and Electronic Equipment
Compliance to Medical Device Directive 93/42/EEC
Authorized to mark given by Intertek ETL Semko for conformance with electrical
standards
Fragile Contents in Shipping Container - handle with care
Keep Dry - Keep package away from rain
Authorized Representative in European Community
Unplug before opening
2016
816241-101 Rev. D

Introduction
Congratulations on your purchase of the Reichert Technologies (hereafter referred to as Reichert)
Phoroptor®VRx.
This User’s Guide is designed as a training and reference manual for operation, maintenance, and
troubleshooting. We recommend that you read it carefully prior to use and follow the instructions in
the guide to ensure optimum performance of your new instrument. Only properly trained eye care
professionals, such as ophthalmologists, optometrists, opticians, and eye care technicians should
operate this instrument. All parts of this Medical Electrical system are suitable for use within the patient
environment.
Please retain this guide for future reference and to share with other users. For additional copies of this
manual or questions related to the Phoroptor VRx, contact your local authorized Reichert dealer, or
contact our Customer Service department directly:
Tel: [phone]
Fax: [phone]
Email: [email protected]
Indications for Use
The digital refractor Phoroptor VRx is designed for:
• Subjective measurement of the refractive error of the eye.
• Determination of correction data for refraction anomalies and binocular functions as the basis for
manufacturing eyeglasses and contact lenses.
• Use in refraction rooms in clinics and practices of physicians, optometrists, or opticians.
• Connection to other medical examination equipment or to an ofce Electronic Medical Records
(EMR) system.
• Operation by physicians, optometrists, opticians, or properly trained clinical personnel.
• Installation under the conditions for medical equipment.
• The digital refractor Phoroptor VRx with Prism is additionally designed for:
• Measurement of ocular deviation in patients with latent or manifest strabismus.
Contra-Indications
• There are none associated with the Phoroptor VRx system.
Introduction
9
16241-101 Rev. D

Unpacking Instructions
Great care is taken to deliver your Phoroptor VRx to you intact. Please read this User’s Guide before
operating the unit.
We package the instrument in shipping containers to protect the instrument from damage during
shipping. Please carefully remove the Phoroptor Head, Controller, Central Unit, and Accessories Box
from the packaging material.
Note: Please retain the original packaging and use it if future transportation of the instrument is
required.
The main components of the Phoroptor VRx are packed in two separate boxes. The first box contains
the Phoroptor Head and Reading Rod, and the second box contains the Central Unit, Controller, and
Accessories Box.
1. Open the rst box, containing the Phoroptor Head and Reading Rod.
2. Remove the top foam layer.
3. Remove the Reading Rod. (Please refer to Figure IS-01.)
Figure IS-01, Top Foam Layer
4. Remove the second foam layer.
5. Remove the Phoroptor Head (wrapped in plastic) from the box. (Please refer to Figure IS-02.)
Figure IS-02, Packaging - Phoroptor Head
Phoroptor
Head
6. Remove the plastic wrapping from the Phoroptor Head, carefully placing the Phoroptor Head
aside with the patient side down.
7. Open the second box, containing the Central Unit, Controller, and Accessories Box.
Instrument Setup
Reading Rod
10 16241-101 Rev. D

Unpacking Instructions (continued)
8. Remove the white cardboard Accessories Box. (Please refer to Figure IS-03.)
Note: The Accessories Box includes a power cord, cable for the Phoroptor Head, Bluetooth
antenna for the Central Unit, near vision card and illuminator, face shields, dust covers for
the Phoroptor Head and Controller, and User’s Guide.
9. Remove the Controller (wrapped in plastic) from the box. (Please refer to Figure IS-04.)
10. Remove the plastic wrapping from the Controller.
11. Remove the Central Unit (packed in foam) from the box. (Please refer to Figure IS-05.)
Note: If any of the above accessories or parts are missing, immediately contact Reichert,so we
can ship the missing accessories or parts.
Instrument Setup(continued)
Figure IS-03, Packaging - Accessories Box
Controller
Accessories
Box
Figure IS-04, Packaging - Controller
Controller
Central
Unit
Figure IS-05, Packaging - Central Unit
Central
Unit
11
16241-101 Rev. D

Parts Identification
One of the following Phoroptor VRx Systems is in the shipping container, depending on the system
specifications you ordered:
Description – System Catalog Number REF
Phoroptor VRx, Middle Mount 16241
Includes • Phoroptor VRx Head Assembly 16212
• Central Unit 16219
• Controller 16217
Phoroptor VRx with Prism, Middle Mount 16242
Includes • Phoroptor VRx with Prism Head Assembly 16213
• Central Unit 16219
• Controller 16217
The following are included in all Phoroptor VRx Systems:
Item REF
Dust Cover – Phoroptor Head 559-153
Dust Cover – Controller 16217-029
Phoroptor Cable 559-275
User’s Guide 16241-101
USB Derive with Instructional Video 16212-107
Power Cord 115V or
Power Cord 230V WCBL10018 WCBL10027
Card Beam Assembly 11636-860
Near Bright Illuminator Kit 16200-869
Face Shield Kit (2 sets) 16200-835
Quick Reference Card 16212-105
Bluetooth Adapter 13779
Optional Accessories
The following optional accessories are available for use with the Phoroptor VRx System:
Item REF
Decimal Near Vision Kit
Snellen Near Vision Kit
Thermal Printer
Extension Cable (15ft), VRx Head or Controller
Extension Cable (25ft), VRx Head or Controller
Cables and Bluetooth Dongle Kits - for connecting
auxiliary equipment
16237
16236
16230
16213-432
16213-433
Appendix A
Instrument Setup(continued)
12 16241-101 Rev. D

1. Illuminated Bubble Level
2. Convergence Lever
3. Threaded Pin for Near Vision Rod
4. Leveling Thumb Screw
5. Forehead Rest Adjustment Knob
6. Touch Screen Display
7. USB Port
8. Power Indicator Light
9. Control Knob
10. Phoroptor Connection Port
11. Instrument 1 Connection Port for connecting
auxiliary equipment
12. Projector Connection Port
13. EMR Port for connecting to a computer
14. Wireless Antenna
15. Transfer Port
16. Power Indicator Light
17. Printer Connection Port
18. Instrument 2 Connection Port for connecting
auxiliary equipment
19. Controller Connection Port
20. Target Device Corneal Vertex Distance
21. Lens Apertures
22. Forehead Rest
23. Height Adjustment Knob
24. Mid Position Height Marking
25. Power Indicator Light
Parts Identification (continued)
Figure IS-06, Parts Identication
7
24
25 5
21 3 4
2020
23
8
9
6
Instrument Setup(continued)
Phoroptor Head
Central Unit
Controller
22 2121
19
10
18
11
17
12
16 15
1314
13
16241-101 Rev. D

Setup
Connecting the Phoroptor VRx System Components
WARNING: APPLY RATED INPUT VOLTAGE TO THE UNITAS INDICATED ON THE DATA PLATE TO PREVENT
DAMAGE TO THE INSTRUMENTAND/OR INJURY TO THE OPERATOR OR PATIENT.
WARNING: CAREFULLYARRANGE THE CABLES FOR THE UNITAND ACCESSORIES, SO THE CABLES DO
NOT PRESENTA TRIPPING HAZARD TO THE EXAMINER OR A DANGER TO THE PATIENT.
WARNING: POSITION THIS INSTRUMENT SO THE PLUG IS EASILY ACCESSIBLE.
WARNING: DO NOT PLUG IN THE UNIT UNTIL THE COMPUTER SYSTEM IS SETUP.
1. Connect the Phoroptor Cable (REF 559-275) to the
Phoroptor Head by aligning the cable to the Pins in
the Phoroptor Head and securely attaching the Cable.
(Please refer to the picture at the top right.)
2. Secure the metal Collar on the Phoroptor Cable by
turning it clockwise, until the cord is fully secured and
properly seated to the back of the Phoroptor Head.
(Please refer to the picture at the bottom right.)
3. Connect the Phoroptor head to the Central Unit by
attaching the Phoroptor Cable (REF 559-275) to the
Phoroptor port in the Central Unit.
(Please refer to Figure IS-07.)
4. Connect the Controller to the Central Unit by attaching
the built-in cable to the Controller port in the Central Unit.
(Please refer to Figure IS-07.)
5. Connect the Projector to the Central Unit by attaching
the cable or pairing a Bluetooth adapter to the projector
port in the Central Unit. (Please refer to Figure IS-07.)
6. Connect a computer to the Central Unit by attaching the
cable or pairing a Bluetooth adapter to the EMR port in
the Central Unit. (Please refer to Figure IS-07.)
7. Connect Lensmeters or Auto Refractors to the Central
Unit by attaching the cable or pairing a Bluetooth adapter
to the Instrument 1 or Instrument 2 port in the Central
Unit, as needed.
Note: The instrument includes connection cables for the Phoroptor Head and the Controller.
You must purchase separately all connection cables or Bluetooth adapters for connecting
Lensmeters, Auto Refractors, projectors, and computers.
8. Plug in the power cord to an outlet providing appropriate voltage.
9. Connect the Phoroptor VRx to another Phoroptor VRx through the Transfer port to send data
from one device to another. You can make the connection using the appropriate serial cable or
Bluetooth adapter.
Instrument Setup(continued)
14 16241-101 Rev. D

Setup (continued)
Please refer to the Connection Diagram in Figure IS-07 for plug and cable layout.
Instrument Setup(continued)
Phoroptor
Head Projector or
Digital Acuity
System
Controller
Central
Unit
Power
EMR
Figure IS-07, Connection Diagram
15
16241-101 Rev. D

Setup (continued)
Leveling the Phoroptor Head
After you install the Phoroptor Head onto the stand and connect all the wires, check to see if the
Phoroptor Head requires leveling. If the Phoroptor Head is not level, adjust it by rotating the Thumb
Screw on the top of the Phoroptor Head.
1. Check the bubble inside the Level on the Phoroptor Head.
Note: The Level is illuminated when the Phoroptor Head is powered on, enabling you to see
the bubble more clearly. (Please refer to Figure IS-08.)
2. Turn the Thumb Screw slowly clockwise or counterclockwise to adjust the level of the Phoroptor
Head, using the illuminated Level on the front of the Phoroptor head.
(Please refer to Figure IS-09.)
3. Continue leveling the Phoroptor Head, until the bubble in the Level looks like the “Level” picture
at the right side of Figure IS-08.
Unlevel Level
Figure IS-08, Level
Figure IS-09, Thumb Screw
Instrument Setup(continued)
16 16241-101 Rev. D

Setup (continued)
Face Shields
Face shields are provided for the patient side of the Phoroptor VRx Head to help keep the equipment
clean. Magnets hold the face shields in place, enabling the user to easily remove, clean, and replace
the shields. The Phoroptor VRx comes with two sets of face shields.
Instrument Setup(continued)
Figure IS-10, Face Shield
17
16241-101 Rev. D

Instrument Setup(continued)
Setup (continued)
Near Vision Rod and Card
The near vision testing accessories include a rod, reading card, and a card illuminator. The reading
card is attached to the card illuminator. Place three AAA batteries provided in the card illuminator. Slide
the card illuminator onto the near vision rod and position it at the desired reading distance. Loosen the
thumb screw on the convergence lever in the center of the Phoroptor head. Mount the near vision rod
in the convergence lever and tighten the thumb screw. The Reading Rod Holder is held in the stored
position by a spring clip. The Rod Hinge contains two pins, which engage into the clip when moved to
the vertical position. Please exercise caution when moving the Phoroptor head to make sure the rod is
not inadvertently lowered (Please refer to Figure IS-11).
The reading card automatically illuminates when the near vision rod is lowered. Reduce the illumination
level by pressing the button on the underside of the card illuminator (Please refer to gure IS-12).
The card illuminator automatically shuts off when the near vision rod is raised. The card illuminator
automatically shuts off after 15 minutes when the rod is lowered.
Turn the Unit On and Off
The ON/OFF switch for the Phoroptor VRx is located on the Central Unit. The entire system (Phoroptor
Head and Controller), is connected to the Central Unit and turned ON/OFF from this unit.
The initialization time of the computer in the Phoroptor VRx is approximately 50 seconds. When the
Phoroptor Head is turned ON, it automatically starts to check all lenses and settings, cycling through all
possible lens changes and moving the Pupillary Distance back and forth to check for any malfunctions.
To shut down the system, set the ON/OFF switch to OFF.
Figure IS-11, Near Vision Rod and
Card Holder
Figure IS-12, Reading Card Illuminated
18 16241-101 Rev. D

Instrument Setup(continued)
Connect External Devices to the Phoroptor VRx
The basic system setup contains three items programmed to interact with each other: the Phoroptor
Head, the Central Unit, and the Controller. The Central Unit directs communication between the
Phoroptor Head, Controller, and other external devices, while the Controller acts as the user interface
and controls the Phoroptor Head and the Input/Output of data.
The Phoroptor VRx is also designed to communicate with acuity systems, available from Reichert and a
few other manufacturers. These acuity systems are configured to communicate with the Phoroptor VRx.
(Please refer to Appendix A for a complete list of acuity systems that interface with the Phoroptor VRx.)
Note: Ensure that the device with which you are interfacing is compatible with the Phoroptor VRx.
(Please refer to Appendix A for a list of external devices that connect to the Phoroptor VRx.)
External devices, including digital acuity systems, projectors, Lensmeters, Auto Refractors, printers,
and computers are connected using serial cables or Bluetooth wireless serial adapters. (Please refer to
Appendix A for a complete list of external devices and necessary connection cables or Bluetooth dongle
kits to communicate with the Phoroptor VRx.)
External devices are also connected using Bluetooth wireless serial adapters. (Please refer to
Appendix A for a complete list of Bluetooth dongle kits for connecting different external devices to the
Phoroptor VRx.)
The following instructions describe how to connect external devices to the Phoroptor VRx Central Unit
using Bluetooth wireless serial adapters.
19
16241-101 Rev. D

Connect External Devices with Reichert Wireless Serial Adapters
Bluetooth Dongle
Reichert designed a proprietary Bluetooth serial adapter to connect external devices to the Phoroptor
VRx. In order to establish wireless communications between the Phoroptor VRx and an external device,
you must first configure the Reichert Bluetooth dongle for a specific Central Unit port (e.g., Projector,
EMR, Instrument #1) and program the adapter with the serial communications parameters (baud rate,
data bits, parity, stop bits) required by the external device.
Perform these steps to configure a Bluetooth dongle for communication with an external device using a
specific Central Unit port:
1. Turn on the Phoroptor VRx.
2. Touch OPTIONS/SETUP MENU on the Controller screen, located at the top right of the screen.
3. Touch PORTS on the Settings screen.
4. In the Port Selection panel, select the port that you would like to congure (e.g., Instrument 1,
Instrument 2, etc).
5. On the Port Settings panel, select the device you are connecting to from the drop-down menu.
6. Set the Connection Type to Bluetooth (Dongle) for the wireless connection.
Note: if using a wired cable refer to Setting-Up a Port for Communication with an External
Device section in this manual.
7. If necessary, set the serial communication parameters to match the settings on the device you
are connecting to.
8. Provide power to the Bluetooth dongle using the power adapter provided. (Please refer to Figure
IS-13.) The LED light should illuminate green.
9. Press and hold the Bluetooth dongle’s reset switch, using an appropriate object (e.g., paperclip)
until the green LED goes out (approximately two seconds). The LED should now blink at a slow
rate (once every 2 seconds).
Note: The reset switch is accessed via the small hole located on the antenna end of the Bluetooth
dongle.
10. Connect the Bluetooth dongle to the appropriate Central Unit port, using the provided null
modem serial cable. (Please refer to Figure IS-13.)
Figure IS-13, Bluetooth Dongle to Central Unit
Null Modem
Serial cable
(black or grey)
Bluetooth
Dongle
Power
Cord
Instrument Setup(continued)
20 16241-101 Rev. D