Ametek Reichert Phoroptor VRx User manual

Phoroptor®VRx
Digital Refraction System
User’s Guide

©2018 AMETEK, Inc.
Reichert, Reichert Technologies, Phoroptor, ClearChart, and NearBright are registered trademarks of Reichert, Inc.
LensChek and OptoChek are 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 13485 Certified – Reichert products are designed and manufactured under quality processes meeting ISO 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
Symbol Information................................................................................................................................................ 5
Warnings and Cautions ......................................................................................................................................... 6
Introduction............................................................................................................................................................ 8
Instrument Setup ................................................................................................................................................... 9
Unpacking Instructions.................................................................................................................................... 9
 PartsIdentication ......................................................................................................................................... 9
Connecting the Phoroptor VRx System ........................................................................................................ 11
Connecting with Cables ................................................................................................................................ 13
Connecting with Bluetooth Dongles.............................................................................................................. 14
Bluetooth Dongle LED Lights Description..................................................................................................... 16
Connecting with Bluetooth USB (ClearChart 4 Series Only) ........................................................................ 17
EMR Setup.................................................................................................................................................... 19
One-Way EMR........................................................................................................................................... 19
Two-Way EMR ........................................................................................................................................... 19
Setup.......................................................................................................................................................... 20
Printer ........................................................................................................................................................... 21
Daisy Chaining Multiple Phoroptor VRx Systems......................................................................................... 22
Connecting with Internal Bluetooth ............................................................................................................ 23
Near Vision Rod and Card............................................................................................................................ 24
Face Shields ................................................................................................................................................. 24
Turn the Unit On and Off............................................................................................................................... 24
Controller Keypad ......................................................................................................................................... 25
Lens Buttons.............................................................................................................................................. 26
Chart Buttons............................................................................................................................................. 27
In & Out Buttons......................................................................................................................................... 27
Quick Comparison Buttons ........................................................................................................................ 28
Special Function Buttons ........................................................................................................................... 28
Controller Screen.......................................................................................................................................... 29
Top Menu Bar............................................................................................................................................. 30
Data Fields................................................................................................................................................. 30
Side Menu.................................................................................................................................................. 30
Acuity Chart Menu...................................................................................................................................... 31
Control Knob and Button Functions........................................................................................................... 31
Program ..................................................................................................................................................... 32
Bottom Menu Bar....................................................................................................................................... 32
Auxiliary Lenses or Filters.......................................................................................................................... 33
Settings......................................................................................................................................................... 34
Settings Options......................................................................................................................................... 34
Programs ................................................................................................................................................... 38
Creating a Program.................................................................................................................................. 38
Clearing a Program.................................................................................................................................. 38
Modifying and Deleting Steps .................................................................................................................. 39
Copying a Program.................................................................................................................................. 39
Exporting a Program................................................................................................................................ 39
Importing a Program From a USB Drive.................................................................................................. 39
Charts ........................................................................................................................................................ 40
Selecting a Preferred Chart ..................................................................................................................... 40
Default Charts.......................................................................................................................................... 40
Selecting a Default Chart...................................................................................................................... 40
Performing an Exam............................................................................................................................................ 41
Aligning the Phoroptor Head......................................................................................................................... 41
Data Input ..................................................................................................................................................... 42
Inputting Data Electronically ...................................................................................................................... 42
3
16241-101 Rev. E

Table of Contents (continued)
Direct Connection .................................................................................................................................... 43
Imported Data List.................................................................................................................................... 43
Entering Data Manually.............................................................................................................................. 44
Starting a Refraction From Previously Saved, Transferred, or Input Data.................................................... 45
Running a Program....................................................................................................................................... 45
The Basics .................................................................................................................................................... 46
Eye Selection............................................................................................................................................. 46
Selecting a Data Field................................................................................................................................ 46
Adjusting Sphere........................................................................................................................................ 47
Adjusting Cylinder ...................................................................................................................................... 47
Adjusting Sphere and Cylinder Together.................................................................................................... 47
Adjusting Axis............................................................................................................................................. 47
Near Vision Addition................................................................................................................................... 47
Cross Cylinder .............................................................................................................................................. 48
Examination for Astigmatism...................................................................................................................... 48
Manual Test................................................................................................................................................ 49
Smart Test.................................................................................................................................................. 51
Split Cyl Test.................................................................................................................................................. 53
Binocular Balance......................................................................................................................................... 54
Near Vision Test............................................................................................................................................ 55
Fused Cross Cylinder Test......................................................................................................................... 56
NRA/PRA Test............................................................................................................................................ 56
Amplitude of Accommodation Test ............................................................................................................. 57
Prism Testing ................................................................................................................................................ 58
Phoria......................................................................................................................................................... 59
Phoria Testing - Distance......................................................................................................................... 59
Horizontal Phorias Test ............................................................................................................................ 59
Vertical Phorias Test ................................................................................................................................ 60
Complete the Phoria Test......................................................................................................................... 60
Phoria Testing - Near ............................................................................................................................... 60
Vergence.................................................................................................................................................... 61
Vergence Testing or Fusion Range Measurement - Distance.................................................................. 61
Power of Divergence................................................................................................................................ 61
Power of Convergence ............................................................................................................................ 61
Infraergence............................................................................................................................................. 62
Supravergence......................................................................................................................................... 62
Vergence Testing or Fusion Range Measurement - Near........................................................................ 62
Vertex Distance Calculator............................................................................................................................ 63
Saving Visual Acuity...................................................................................................................................... 63
Comparing Refraction Data .......................................................................................................................... 64
EMR and Printing.......................................................................................................................................... 65
Data Output................................................................................................................................................ 66
Clear ............................................................................................................................................................. 67
Cleaning and Maintenance.................................................................................................................................. 68
Troubleshooting................................................................................................................................................... 70
Service Menu................................................................................................................................................ 72
Specications ...................................................................................................................................................... 75
 Classications ............................................................................................................................................... 76
Guidance Tables.................................................................................................................................................. 77
Appendix A - Compatibility Chart......................................................................................................................... 81
Appendix B - Phoroptor VRx, Lensmeter, and Auto Refractor Data.................................................................... 82
Warranty .............................................................................................................................................................. 83
416241-101 Rev. E

Symbol Information
Symbol Information
The following symbols appear on the instrument.
Refer to Instruction Manual
Caution
Type B Product Classification
Protective Earth
Alternating Current Power
ON / OFF
2018
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
Operating Instructions
5
16241-101 Rev. E

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 STRICT ACCORDANCE WITH THE
INSTRUCTIONS OUTLINED IN THIS USER’S GUIDE. REICHERT TECHNOLOGIES CANNOT GUARANTEE
THE SAFETY OF THE OPERATOR AND 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 WITHOUT AUTHORIZATION FROM THE
MANUFACTURER. EXPERIENCED PERSONNEL OR DEALERS WHO ARE 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 MUST AUTHORIZE 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 SHOCK AND TO PREVENT DAMAGE TO THE INSTRUMENT AND/OR
INJURY TO THE OPERATOR OR PATIENT.
WARNING: APPLY RATED INPUT VOLTAGE TO THE UNIT AS INDICATED ON THE DATA PLATE TO
PREVENT DAMAGE TO THE INSTRUMENT AND/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. E

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 UNIT AND/OR INJURE THE PATIENT.
WARNING: OTHER ELECTRICAL OR ELECTRONIC EQUIPMENT CAN INTERFERE WITH THE BLUETOOTH
WIRELESS CONNECTION TRANSMITTERS OR RECEIVERS, EVEN IF THAT EQUIPMENT ALSO 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 USE AMMONIA-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 SERVICE ACCORDING TO THE EMC INFORMATION
PROVIDED IN THE ACCOMPANYING DOCUMENTS.
CAUTION: PORTABLE AND MOBILE RF COMMUNICATIONS EQUIPMENT CAN AFFECT 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 INSTALL ANY ADDITIONAL SOFTWARE OTHER THAN WHAT IS SUPPLIED WITH THIS
INSTRUMENT. IF YOU INSTALL ADDITIONAL SOFTWARE, IT MIGHT CAUSE UNEXPECTED OPERATION,
RESULTING IN INSTRUMENT MALFUNCTION.
CAUTION: YOU MUST PLUG THIS INSTRUMENT INTO AN OUTLET WITH AN 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 UNIT ARE IP3X. DO NOT SPRAY, SPLASH, OR IMMERSE THESE
INSTRUMENTS IN CLEANING SOLUTIONS.
7
16241-101 Rev. E

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 Phoroptor VRx Digital Refraction System 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 Digital Refraction System.
Introduction
816241-101 Rev. E

Unpacking Instructions
Great care is taken to deliver the Phoroptor VRx 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, the second box contains the Central Unit, Controller, and
Accessories Box.
Note: The Accessories Box includes a power cord, cable for the Phoroptor Head, Bluetooth antenna for
the Central Unit, ClearChart 4 Bluetooth Adaptor, near vision card and illuminator, face shields,
dust covers for the Phoroptor Head and Controller, and User’s Guide.
Note: If any accessories or parts are missing, immediately contact Reichert.
Parts Identification
One of the following Phoroptor VRx Systems is in the shipping container, depending on the system
specifications ordered.
Phoroptor VRx System 16241 Phoroptor VRx with Prism System 16242
Phoroptor VRx Head Assembly 16212 Phoroptor VRx with Prism Head Assembly 16213
Central Unit 16219 Central Unit 16219
Controller 16217 Controller 16217
The following accessories are included in all Phoroptor VRx Systems:
Item REF Item REF
User’s Guide 16241-101 Dust Cover – Phoroptor Head 559-153
Quick Reference Card 16212-105 Dust Cover – Controller 16217-029
Phoroptor Cable 559-275 Card Beam Assembly 11636-860
Power Cord 115V or
Power Cord 230V
WCBL10018
WCBL10027
Near Bright Illuminator Kit 16200-869
Face Shield Kit (2 sets) 16200-835
ClearChart 4 Bluetooth Adapter 13779
The following optional accessories are available for use with the Phoroptor VRx System:
Item REF Item REF
Decimal Near Vision Kit 16237 Snellen Near Vision Kit 16236
Extension Cable (15ft),
Phoroptor VRx Head or Controller
16213-432 Extension Cable (25ft),
Phoroptor VRx Head or Controller
16213-433
Thermal Printer 16230 Cables and Bluetooth Dongle Kits (Various)
Instrument Setup
9
16241-101 Rev. E

1. Illuminated Bubble Level & Power Indicator Light
2. Threaded Screw for Near Vision Rod
3. Convergence Lever
4. Leveling Thumb Screw
5. Vertex Distance Adjustment Knob
6. Touch Screen Display
7. USB Port (on back)
8. Power Indicator Light
9. Control Knob
10. Phoroptor Head Connection Port
11. Instrument 1 Connection Port for connecting
pre-test equipment
12. Projector Connection Port
13. EMR Connection Port for connecting to a computer
14. Wireless Antenna
15. Transfer Port for Daisy Chaining
16. Power Indicator Light
17. Printer Connection Port
18. Instrument 2 Connection Port for connecting pre-
test equipment
19. Controller Connection Port
20. Corneal Vertex Distance Windows
21. Lens Apertures
22. Forehead Rest
23. Asymmetrical Height Adjustment Knob
24. Mid Position Height Marking
Parts Identification (continued)
Figure IS-01, Parts Identication
Instrument Setup (continued)
7
8
9
6
Controller
24
5
21 3 4
2020
23
Phoroptor Head
22 2121
19
10
18
11
17
12
16 15
13 14
Central Unit
10 16241-101 Rev. E

Connecting the Phoroptor VRx System
WARNING: APPLY RATED INPUT VOLTAGE TO THE UNIT AS INDICATED ON THE DATA PLATE TO PREVENT
DAMAGE TO THE INSTRUMENT AND/OR INJURY TO THE OPERATOR OR PATIENT.
WARNING: CAREFULLY ARRANGE THE CABLES FOR THE UNIT AND ACCESSORIES, SO THE CABLES DO NOT
PRESENT A 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 CENTRAL UNIT UNTIL THE PHOROPTOR VRX SYSTEM IS FULLY SETUP.
The basic system setup contains three components 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 pre-test 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 Reichert and other manufacturers acuity systems.
External devices, including digital acuity systems, projectors, Lensmeters, Auto Refractors, printers, and
computers are connected using serial cables or Bluetooth wireless serial adapters.
Note: Ensure that the pre-test equipment being interfaced is compatible. Refer to Appendix A for a
complete list of external devices that communicate with the Phoroptor VRx.
Please refer to the Connection Diagram below for plug and cable layout.
Phoroptor Head Projector or Digital Acuity System
Controller
Central Unit
Power
EMR
Figure IS-02, Connection Diagram
Instrument Setup (continued)
11
16241-101 Rev. E

Connecting the Phoroptor VRx System (continued)
1. Align the pins in the Phoroptor Cable with the Phoroptor head.
RefertogureIS-03.
2. Connect the cable by turning the metal collar clockwise until it
isfullysecure.RefertogureIS-04.
3. Connect the other end of the Phoroptor Cable to the Phoroptor
port in the Central Unit. Refer to Figure IS-05.
4. Connect the built-in cable on the Controller to the Controller
port on the Central Unit.
5. Connect the Power Cord to the Central Unit, then plug in the
power cord to an outlet providing appropriate voltage. Turn the
unit on by turning the ON/OFF switch to ON.
6. Connect the Projector to the Projector port on the Central Unit
in one of the following ways.
a. Refer to the Connecting with Cables section if connecting
with cable.
b. Refer to the Connecting with Bluetooth Dongles section if
connecting with Bluetooth.
c. Refer to the Connecting With Bluetooth USB (ClearChart 4
Series Only) section if connecting with Bluetooth USB.
7. Connect Lensmeters or Auto Refractors to the Instrument 1 or
Instrument 2 ports on the Central Unit in one of the following
ways.
a. Refer to the Connecting with Cables section if connecting
with cable.
b. Refer to the Connecting with Bluetooth Dongles section if
connecting with Bluetooth.
8. Connect a computer to the EMR port on the Central Unit in one
of the following ways. Refer to the EMR Setup section for setup
instructions.
a. Refer to the Connecting with Cables section if connecting
with cable.
b. Refer to the Connecting with Bluetooth Dongles section if
connecting with Bluetooth.
9. If needed, connect the Transfer port to another Phoroptor VRx
in one of the following ways to send data from one device to
another. Refer to the Daisy Chaining Multiple Phoroptor VRx’s
section for instructions.
a. Refer to the Connecting with Cables section if connecting
with cable.
b. Refer to the Connecting with Bluetooth Dongles section if
connecting with Bluetooth.
c. Refer to the Connecting with Internal Bluetooth section if
connecting with Bluetooth.
Instrument Setup (continued)
Figure IS-03, Phoroptor Cable
Figure IS-04, Phoroptor Connected
Figure IS-05, Phoroptor Connected
12 16241-101 Rev. E

Connecting with Cables
The Phoroptor VRx can connect to multiple Projec-
tors, Lensmeters, and Autorefractors easily with a
wired connection. Refer to the instructions below to
connect instruments with a cable.
1. Tap Settings, located at the top right of the
Controller screen. Refer to Figure IS-06
2. Tap Ports in the Settings menu.
3. In the Port Selection panel, tap the
portbeingcongured(e.g.,Projector,
Instrument 1, etc). Refer to Figure IS-
07.
4. In the Port Settings panel, select the
device being connected from the drop-
down menu. Refer to Figure IS-07.
5. Set the Connection Type to Cable.
Refer to Figure IS-07.
6. If storing or transferring of data is
needed, check the corresponding
boxes. Refer to the Daisy Chaining
Multiple Phoroptor VRx’s section of this
manual for more information on these
two options.
7. If available, set the serial
communication parameters to match
the settings on the device being
connected.
8. Tap Apply. “Connected” should appear
in the top right. Refer to Figure IS-08.
Instrument Setup (continued)
Figure IS-06, Settings
Figure IS-07, Port Settings Screen
Figure IS-08, Port Settings Screen
13
16241-101 Rev. E

Connecting With Bluetooth Dongles
Reichert developed a Bluetooth dongle to connect external devices wirelessly to the Phoroptor VRx.
To communicate properly, the Bluetooth dongle must be paired with a specific port on the Central Unit.
Perform the following steps in order to configure each Bluetooth dongle.
Note: Do not connect the Bluetooth dongle to the
power cord until directed to.
1. Tap Settings, located at the top right of the
Controller screen. Refer to Figure IS-09.
2. Tap Ports in the Settings menu.
3. In the Port Selection panel, tap the
portbeingcongured(e.g.,Projector,
Instrument 1, etc). Refer to Figure IS-10.
4. In the Port Settings panel, select the
device being connected from the drop-
down menu. Refer to Figure IS-10.
5. Set the Connection Type to Bluetooth
(Dongle). Refer to Figure IS-10.
6. If storing or transferring of data is needed,
check the corresponding boxes. Refer
to the Daisy Chaining Multiple Phoroptor
VRx’s section of this manual for more
information on these two options.
7. If available, set the serial communication
parameters to match the settings on the
device being connected. Refer to Figure
IS-11.
Instrument Setup (continued)
Figure IS-09, Settings
Figure IS-10, Port Settings Screen
Figure IS-11, Serial Communication Parameters
14 16241-101 Rev. E

Instrument Setup (continued)
Connecting With Bluetooth Dongles (continued)
8. Connect the Bluetooth dongle to the power adapter
provided. The LED should illuminate red, indicating it is
ready to be paired. Refer to Figure IS-12.
9. Connect the Bluetooth dongle to the corresponding
Central Unit port with the provided pairing cable. Refer to
Figure IS-13.
10. In the Port Settings panel on the Phoroptor VRx
controller tap Pair. Refer to Figure IS-14.
CAUTION: DO NOT TAP PAIR AGAIN. IF PAIR IS ACTIVATED,
IT WILL BE NECESSARY TO REPEAT THE ABOVE PROCE-
DURE TO RE-ESTABLISH THE WIRELESS CONNECTION.
11. While connecting, the LED will illuminate blue. Do not disconnect the dongle. Refer to Figure IS-15.
12. Once the connection has been established, the LED will illuminate green. Refer to Figure IS-16.
Figure IS-16, Connected
Green Light
Figure IS-15, Actively Pairing
Blue Light
Figure IS-13, Bluetooth Dongle to Central Unit
Pairing
Cable
Bluetooth
Dongle
Power
Cord
Figure IS-12, Ready to Pair
Red Light
Figure IS-14, Pair Button
15
16241-101 Rev. E

Connecting With Bluetooth Dongles (continued)
Note: The LED will blink red if the connection fails.
Note: If the Bluetooth dongle was successfully paired, “Connected” will appear in the upper right
corner of the panel. Refer to Figure IS-18. If “Failed” appears, then press and hold the Bluetooth
dongle’s reset switch, using an appropriate object (e.g., paperclip) for approximately 2 seconds.
The reset switch is on the side of the Bluetooth dongle. Refer to Figure IS-17. The LED will
illuminate solid red. Repeat the directions starting with step 10.
13. Disconnect the power cord and pairing cable from the Bluetooth dongle.
14. Connect the Bluetooth dongle to the external device’s serial port using the appropriate serial cable
and/or adaptor using the corresponding cable, then power on using the power adaptor. The LED will
illuminate blue.
15. Once the connection has been established again, the LED
will remain green.
Note: At this point the Central Unit and Bluetooth dongle
may be powered off and on in any order. The wireless
connection will be established automatically once both
devices are powered on.
Bluetooth Dongle LED Lights Description
Solid Red
Light
• No connection.
• Ready to be paired
Blinking Red
Light
• Pairing Failed
• Reset Dongle and try to pair again
Solid Blue
Light
• Connection In Progress.
• Do not disconnect dongle from Central Unit
Solid Green
Light • Dongle successfully paired
Instrument Setup (continued)
Figure IS-17, Reset the Dongle
Red
Light Paperclip
Figure IS-18, Connected Status
16 16241-101 Rev. E

Connecting With Bluetooth USB (ClearChart 4 Series Only)
Reichert has a Bluetooth USB op-
tion to connect a ClearChart 4, 4X,
or 4P to the Phoroptor VRx. In order
to establish wireless communications
between the Phoroptor VRx and a
ClearChart, the Projector port must
first be paired to the Bluetooth USB
adapter.
1. Ensure the ClearChart is turned
off before pairing.
2. Tap Settings, located at the top
right of the Controller screen.
3. Tap Ports on the Settings menu.
4. In the Port Selection panel, tap
Projector.
5. In the Port Settings panel, select
the ClearChart model from the
device list.
Note: The Bluetooth USB is only
compatible with the ClearChart 4,
4X or 4P.
6. Set the Connection Type to Blue-
tooth (USB). Refer to Figure IS-19.
7. Install the Bluetooth USB into the
ClearChart.
8. Turn the ClearChart ON.
Note: The Bluetooth USB must be
installed in the ClearChart before the ClearChart is powered ON or the Bluetooth USB will not be
paired properly.
9. Press the Menu button on the ClearChart remote and view the Bluetooth address in the lower right
corner of the ClearChart. Refer to Figure IS-20.
10. Tap Discover on the Ports page and the Phoroptor VRx will search for all available ClearChart Digi-
tal Acuity Systems. Refer to Figure IS-19.
Instrument Setup (continued)
Figure IS-19, Device & Connection Type
Figure IS-20, Bluetooth Address
17
16241-101 Rev. E

Instrument Setup (continued)
Connecting With Bluetooth USB (ClearChart 4 Series Only) (continued)
Note: If the desired Bluetooth
USB device is not found,
tap the Discover button
again.
11. Once the Bluetooth address is
displayed, select the address
that matches the address on the
ClearChart and tap Pair. (Tap-
ping Apply is not needed.) Refer
to Figure IS-21.
12. Press the Menu button on the
ClearChart remote to exit the
menu.
Note: The Phoroptor VRx
will only display
‘Initializing Device’ until
the ClearChart menu
is exited. Once the
ClearChart is displaying
a chart, only then can
the Bluetooth connect
and Connected will
appear. Refer to Figure
IS-22 .
13. If pairing is unsuccessful, check
all the connections and repeat
the steps in this section.
Figure IS-21, USB Address & Pair
Figure IS-22, ClearChart Connected
18 16241-101 Rev. E

Instrument Setup (continued)
EMR Setup
The Phoroptor VRx can connect to an EMR system one of two ways, depending on the capability of the
EMR system. Contact the EMR company to find out if the specific EMR system is configured to support
one-way or two-way communication.
One-Way EMR
One-way communication means the EMR system can only accept data coming in. This configuration
requires pre-test equipment to send data to the Phoroptor VRx, then all of the data (the pre-test data and
final refraction data) would transfer to the EMR. Refer to Figure IS-23.
Figure IS-23, One-Way Communication Diagram
Pre Test Data goes
TO
the Phoroptor VRx
All Data Goes
TO
the EMR
Note: If there are multiple lanes with Phoroptor VRx systems, they will need to be connected via
daisy-chaining. This will allow all pre-test data to be transferred to each Phoroptor VRx system.
From there, each Phoroptor VRx can load the pre-test data and send all of the data to the
EMR system. Refer to the Daisy chaining Multiple Phoroptor VRx’s section for more detailed
information on this setup.
Two-Way EMR
Two-way communication means the EMR can send pre-test data out to the Phoroptor VRx and receive
final refraction data in from the Phoroptor VRx. At the end of the exam, the Phoroptor VRx will send only
final refraction data out to the EMR. Refer to Figure IS-24.
Pre Test Data Goes
TO
the EMR
Pre Test Data Goes
FROM
the EMR
TO
the Phoroptor VRx
ONLY Final Refraction Data Goes
TO the EMR
Figure IS-24, Two-Way Communication Diagram
19
16241-101 Rev. E

EMR Setup (continued)
Setup
1. Tap Settings, located at the top right of the Controller screen.
2. Tap Ports on the Settings menu.
3. In the Port Selection panel, tap EMR. Refer to Figure IS-25.
4. In the Port Settings panel, select the device according to the list below.
Devices
Phoroptor VRx - Sends Phoroptor VRx final refraction data only (including subjective refraction data
and binocular test results).
Phoroptor VRx Exp - Sends Phoroptor VRx final refraction data (including subjective refraction data
and binocular test results) and pre-test data.
AutoPhor - Sends Phoroptor VRx final refraction data only.
AutoPhor Exp - Sends Phoroptor VRx final refraction data and pre-test data.
Vis900 - Sends data in original Visutron 900+ format, for Visutron 900 units only.
5. Connect the computer to the EMR port on the Central Unit with a cable or Bluetooth dongle.
a. Refer to the Connecting with Cables section if connecting with a cable.
b. Refer to the Connecting with Bluetooth Dongles section if connecting with Bluetooth.
6. Set the serial communication parameters to match the settings of the computer serial port.
7. Tap Apply.
Figure IS-25, Port Settings Screen
Instrument Setup (continued)
20 16241-101 Rev. E