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
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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
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16241-101 Rev. D