Ametek Reichert tono-vera vet User manual

INSTRUCTIONS FOR USE

Tonometer

Tono-Vera™Vet

16308-101 Rev. A • 2

Reichert and Reichert Technologies are registered trademarks of Reichert, Inc.

Tono-Vera, Ocu-Dot, ActiView, and ReichertSync are trademarks of Reichert, Inc.

AMETEK is a registered trademark of AMETEK, Inc.

All other trademarks are properties 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.

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 veterinarian. Rx only.

16308-101 Rev. A • 3

Table of

Contents

Warnings and Cautions��4

Symbol Information ��5

Introduction��6

Unpacking Instructions......................................................................................................................................................................................... 7

In the Box��8

Tono-Vera™Vet Tonometer Starter Kit - Rechargeable 16309 .................................................................................................................. 8

Tono-Vera Vet Tonometer Starter it - AA Battery 16308............................................................................................................................. 8

Tono-Vera Vet Tonometer Identiﬁcation ........................................................................................................................................................... 9

Instructions for Use �� 10

Installing the Batteries........................................................................................................................................................................................10

Rechargeable Battery Model.............................................................................................................................................................................10

AA Battery Model..................................................................................................................................................................................................10

Set Up Base............................................................................................................................................................................................................11

Install Wrist Strap.................................................................................................................................................................................................11

Turning Tono-Vera Vet On and O....................................................................................................................................................................11

Menu.........................................................................................................................................................................................................................12

Ocu-Dot™Probe Installation ..............................................................................................................................................................................13

Measurement Screen..........................................................................................................................................................................................14

Positioning..............................................................................................................................................................................................................15

Device Orientation................................................................................................................................................................................................15

Aligning....................................................................................................................................................................................................................16

Measuring...............................................................................................................................................................................................................17

Understanding Results .......................................................................................................................................................................................18

Data Transfer.........................................................................................................................................................................................................19

Connecting Ton-Vera Vet to the PC ..................................................................................................................................................................19

Transferring Data to the PC...............................................................................................................................................................................19

Tono-Vera Vet Training Aid.................................................................................................................................................................................20

Cleaning & Maintenance �� 21

Probe Chamber .....................................................................................................................................................................................................21

Cleaning Tono-Vera Vet .......................................................................................................................................................................................22

Battery......................................................................................................................................................................................................................22

Storage. ...................................................................................................................................................................................................................22

Disposal...................................................................................................................................................................................................................22

Troubleshooting�� 23

Speciﬁcations �� 25

Guidance Tables �� 27

Warranty�� 33

16308-101 Rev. A • 4

Reichert Technologies (Reichert) is not responsible for the safety and reliability of this instrument when

assembly, disassembly, repair or modiﬁcation is made by unauthorized dealers or persons, or if instrument

is not used in accordance with its Instructions for Use.

Warnings and Cautions

WARNING: An instruction that draws attention to risk of injury or death.

WARNING: United States federal law and European regulations require that this device be purchased

only by a veterinarian or a person acting on behalf of a veterinarian.

WARNING: Do not repair or service this instrument without authorization from the manufacturer.

Any repair or service to this instrument must be performed by experienced personnel or dealers who

are trained by Reichert or serious injury to the operator or patient may occur.

WARNING: This instrument should be used in strict accordance with the instructions outlined in this

Instructions for Use guide. The safety of the operator and the performance of the instrument cannot

be guaranteed if used in a manner not speciﬁed by Reichert Technologies.

WARNING: Modiﬁcations to this instrument are not allowed. Any modiﬁcation to this unit must be

authorized by Reichert or serious injury to the operator or patient may occur.

WARNING: Do not use an Ocu-Dot Tonometer Probe on more than one patient to help prevent cross

contamination. Do not clean or disinfect a probe and then use it. Probes are single-use only.

WARNING: To prevent contamination, do not touch the bare Ocu-Dot Tonometer Probe. Do not use

a probe if it touches a non-sanitized surface like a table or a ﬂoor. Properly dispose of a touched or

dropped probe (e.g. in a container for disposable needles).

WARNING: Always keep Ocu-Dot Tonometer Probes out of the reach of infants, animals, and young

children. The probes can become a choking hazard.

WARNING: Do not expose the battery to temperatures above 60ºC (140ºF) or disassemble the batteries.

Damage to this unit and/or serious personal injury may result.

WARNING: If an unusual rise in temperature on the handle of the instrument occurs, remove the

battery pack and batteries and contact Reichert Technical Support. Contact information is at the back

of this manual.

WARNING: Do not carry Tono-Vera Vet Li-Ion Rechargeable Battery Pack in a pocket, or close to your

person, as a burn injury may result.

WARNING: The battery should only be replaced with the battery speciﬁed in this manual. Use of

another battery may cause ﬁre or an explosion.

WARNING: Do not place a shorting device between the battery terminals, or allow the battery to

become wet. Misuse or improper disposal of this battery may cause it to become very hot, ignite or

explode. Damage to this unit and/or serious personal injury may result.

WARNING: Never allow liquid leaking from the battery to get in your eyes or mouth as this liquid could

cause serious personal injury. If it comes in contact with your eyes or mouth, ﬂush them immediately

with plenty of water and consult a doctor.

WARNING: The use of accessories or cables other than those speciﬁed, with the exception of those

sold by the manufacturer as replacement parts for internal components, may result in increased

emissions or decreased immunity of the equipment or system.

WARNING: Use of this equipment adjacent to or stacked with other equipment should be avoided

because it could result in improper operation. If such use is necessary, this equipment and the other

equipment should be observed to verify that they are operating normally.

WARNING: Portable RF communications equipment (including peripherals such as antenna cables

and external antennas) should be used no closer than 30 cm (12 inches) to any part of Tono-Vera Vet,

including cables speciﬁed by the manufacturer. Otherwise, degradation of the performance of this

equipment could result.

CAUTION: An instruction that draws attention to the risk of damage to the product.

CAUTION: Do not immerse Tono-Vera Vet Tonometer in ﬂuids or damage to the electronics may occur.

CAUTION: Do not bump, jar, or drop the device because damage to the electronics may occur. If the

device is dropped, carefully inspect the device for damage.

CAUTION: Use of ammonia-based cleaners on the liquid crystal display (LCD) may cause damage to

the display. See maintenance section for detailed cleaning instruction.

CAUTION: Do not attempt to sterilize Tono-Vera Vet Tonometer or damage to the electronics may occur.

CAUTION: Do not use solvents on any part of this instrument as damage to the unit may occur. See

maintenance section for detailed cleaning instructions

CAUTION: Do not autoclave or disinfect using high temperatures exceeding the recommended

temperatures indicated in the speciﬁcations section of this manual or damage to the unit may occur.

CAUTION: Do not attempt to modify Tono-Vera Vet Tonometer or Tono-Vera Vet Li-Ion Rechargeable

Battery Pack or damage to the device may occur.

CAUTION: Do not store Tono-Vera Vet Tonometer without the probe cover or debris may enter the unit

and cause malfunctions.

CAUTION: Medical Electrical Equipment needs special precautions regarding EMC and needs to be

installed and put into service according to the EMC information provided in this guide. Portable and

Mobile RF communications equipment can aect Medical Electrical Equipment.

CAUTION: Electromagnetic interference from other devices may aect this instrument.

If interference is present, turn o other electronic devices, or remove them from the immediate area

while operating this instrument.

CAUTION: Portable and mobile RF communications equipment can aect Medical Electrical Equipment.

CAUTION: This instrument is not to be used near high-frequency emitting surgical equipment.

CAUTION: Ocu-Dot Tonometer Probes should be stored between -10°C and 55°C (14°F-131°F).

CAUTION: If liquid is spilled on the device, remove the battery and return Tono-Vera Vet to Reichert for

service. Liquid may damage the electronics.

16308-101 Rev. A • 5

Symbol Information

The following symbols appear on the device.

Caution

REF Catalog Number

SN Serial Number

Date of Manufacture

Manufacturer

Waste of Electrical and Electronic Equipment

Consult Instructions for Use

Fragile Contents in Shipping Container—Handle with Care

Do not get Shipping Container Wet

This Side Up

Type BF Applied Part

Compliance with relevant EU requirements

Refer to Instructions for Use

Authorized Representative in the European Community

Symbols for Ocu-Dot Tonometer Probes only

Do not reuse. Single-Use

Batch Code

Use-by Date

LOT

16308-101 Rev. A • 6

Introduction

Congratulations on your purchase of the Tono-Vera™Vet Tonometer,

a handheld veterinary tonometer.

Tono-Vera Vet Tonometer is a prescription-only device intended for

measuring intraocular pressure (IOP) during routine eye examinations

or when increased IOP is suspected. The device is for use by

properly trained professionals such as veterinarians and veterinary

technicians.

NOTE: Tono-Vera Vet Tonometer is not approved for use on humans.

This Instructions for Use 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

device. If used properly, Tono-Vera Vet Tonometer will provide you with

fast, accurate, and reliable measurements for many years.

Please retain this manual for future reference and to share with

other users. For additional copies of this manual or questions related

to Tono-Vera Vet Tonometer, contact your local authorized Reichert®

distributor or contact Customer Service directly at:

Phone: +1-716-686-4500

Toll Free (US Only): 888-849-8955

Fax: +1-716-686-4555

Email: [email protected]om

Indications for Use

The indications for use include measuring of intraocular pressure of

animal eyes for the purpose of aiding in the diagnosis and monitoring

of glaucoma.

Contra-Indications

None.

Device Description

Tono-Vera Vet Tonometer (hereinafter referred to as Tono-Vera Vet) is

a handheld tonometer which allows IOP to be measured accurately,

rapidly, and without an anesthetic.

Our ActiView™Positioning System (patent pending) guides the

operator to proper alignment on the apex of the cornea with the

Ocu-Dot™Tonometer Probe (hereinafter referred to as Ocu-Dot

Probe). When set to ActiView Auto Measure mode (recommended),

Tono-Vera Vet automatically takes IOP measurements once properly

aligned, providing a high confidence measurement in as few as three

measurements. When set to ActiView Manual Measure mode or

Manual Measure mode, Tono-Vera Vet takes measurements only when

the Manual Measure Button is pressed.

Reichert Tono-Vera Vet incorporates a Bluetooth®module which

provides wireless communication to transfer data to an EMR system.

16308-101 Rev. A • 7

Introduction (continued)

Unpacking Instructions

Retain original packaging to use if future transportation is required.

Open the Outer Shipping Box and remove the Inner Box.

Slide the Sleeve off the Inner Box.

Remove the Carry Case from the Inner Box.

Remove the Accessory Pack beneath the Inner Box.

Verify that all parts and accessories are included.

If anything is missing, contact Reichert at the contact

information located on the last page of this manual.

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6

7

Tono-Vera Vet Tonometer Starter Kit - Rechargeable Tono-Vera Vet Tonometer Starter Kit - AA Battery

USB Cable

*Charging Plug

Spare Probe

Chamber Kit

Spare Probe

Chamber Kit

Quick Start

Guide and

Warranty Card

USB with

Instructions

USB with

Instructions

Training Aid Training Aid

Quick Start

Guide and

Warranty Card

Spot for

Ocu-Dot

Probe Box

Spot for

Ocu-Dot

Probe Box

AA Batteries

Outer Shipping Box

Carry Case

Tono-Vera Vet Base

Ocu-Dot Probes

Accessory Pack

Sleeve and Inner Box

Tono-Vera Case

Shoulder Strap

Universal Charging Plugs

(Part of the Charging Plug*)

Tono-Vera Vet

16308-101 Rev. A • 8

Tono-Vera Vet Tonometer Starter Kit - Rechargeable 16309 Tono-Vera Vet Tonometer Starter Kit - AA Battery 16308

Tono-Vera™Vet Tonometer

16308-800

Tono-Vera™Vet Tonometer

16308-800

Tono-Vera™Vet Charging Base

16316

Tono-Vera™Vet Base

16314

Tono-Vera™Vet Li-Ion

Rechargeable Battery Pack

16317

Tono-Vera™Vet AA Battery Pack

16315

Charging Plug

16305-404

USB-C Charging Cable

16305-405

Pack of Four AA Batteries

16305-097

Tono-Vera™ Vet Training Aid

16308-878

Tono-Vera™Spare Probe

Chamber Kit

16305-877

Tono-Vera™Spare Probe

Chamber Kit

16305-877

Tono-Vera™ Vet Quick Start Guide

16308-105

Tono-Vera™ Vet Carry Case

16305-399

Tono-Vera™ Vet Carry Case

16305-399

Tono-Vera™ Vet USB with Instructions

16308-106

Tono-Vera™ Vet USB with Instructions

16308-106

Wrist Strap

13851-096

Wrist Strap

13851-096

Ocu-Dot™ Tonometer

Probes - 100 Count

16307

Warranty Card

16305-111

Warranty Card

16305-111

In the Box

Tono-Vera™ Case

Shoulder Strap

16305-131

Tono-Vera™ Case

Shoulder Strap

16305-131

Tono-Vera™ Vet Training Aid

16308-878

Tono-Vera™ Vet Quick Start Guide

16308-105

Ocu-Dot™ Tonometer

Probes - 100 Count

16307

16308-101 Rev. A • 9

In the Box (continued)

Tono-Vera Vet Tonometer Identiﬁcation

Tono-Vera Vet

Probe Chamber

Manual

Measure

Button

Display

Menu Button

Canthus

Mark

Battery Pack

Release

USB-C Charging Port

(Rechargeable Model Only)

Battery Pack

Release

Tono-Vera Vet Probe

Chamber Collar

Multifunction

Buttons Canthus

Mark

16308-101 Rev. A • 10

Instructions for Use

Installing the Batteries

CAUTION: Use only the battery type specified in technical specification

section of this manual.

Rechargeable Battery Model

Install the country-specific adaptor to the Charging Plug. Insert one end of

the USB-C Charging Cable into the Charging Plug, and the other end into the

back of the Tono-Vera Vet Charging Base.

Connect the Tono-Vera Vet Charging Base to an AC wall outlet.

Slide the Tono-Vera Vet Li-Ion Rechargeable Battery Pack into Tono-Vera Vet

until the Battery Pack Releases click into place.

Place Tono-Vera Vet into the Tono-Vera Vet Charging Base with the screen

facing the user.

When the device is properly docked, a beep will sound and the battery

charging symbol and percentage charged will briefly appear on the screen.

NOTE: The device may also be charged using the USB-C Charging Cable and

the Charging Plug by inserting one end of the USB-C Charging Cable into the

USB-C Charging Port at the bottom of Tono-Vera Vet.

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44 5

5

AA Battery Model

Insert the four AA batteries into the Tono-Vera Vet AA Battery Pack.

Be sure to install the batteries so the positive and negative ends

are aligned according to the inscription on the holder.

Slide the Tono-Vera Vet AA Battery Pack into Tono-Vera Vet until the

Battery Pack Releases click into place.

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2

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3

95%

16308-101 Rev. A • 11

Open the box and fold the flap back along the side.

Insert the Ocu-Dot Probe box with the tray into the back of the Base

with the opening facing forward. The box will stop halfway down. Push

the plastic Ocu-Dot Probe tray all the way forward by inserting your

finger into the circular cutout at the back of the box.

Use the recess carved into the top of the base to hold an Ocu-Dot

Probe Tube.

Insert the loop of the Wrist Strap into the opening at the base

of Tono-Vera Vet.

Pull the other end of the Wrist Strap through the loop until

the Wrist Strap is secured in place.

Install Wrist Strap

It is recommended that you always use the included Wrist Strap when

using Tono-Vera Vet to prevent the device from being dropped.

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2

1

2

3

Instructions for Use (continued)

Set Up Base

The Tono-Vera Vet Base features a convenient dispenser for the

Ocu-Dot Probes and also includes a recess to hold the empty

Probe Tube while taking a measurement.

Turning Tono-Vera Vet On and O

Press any button to turn Tono-Vera Vet on. The screen will display the

Reichert and Tono-Vera Vet logos. After startup, the load probe notification

will be displayed if a probe is not already loaded. Once a probe is loaded, the

measurement screen will appear.

If the batteries are low, a low battery warning will briefly appear. If the

batteries are depleted, a dead battery warning will appear and the Tono-Vera

Vet will shut off.

To turn off, press and hold the center Multifunction Button for three seconds.

Wrist Strap

Loop

Probe Tube

Holder

Pull Through

16308-101 Rev. A • 12

Brightness

Low, medium, or high screen

brightness settings available.

Bluetooth

On: Device can

connect to a

computer to transfer

measurements to an

EMR system.

Off: Bluetooth off.

System Info

Displays Software Version,

the serial number, and the

device name.

Species

Dog, Cat, Horse, or

Rabbit.

Measure Mode-

ActiView Auto Measure:

Device automatically

takes measurements

when ActiView Positioning

System is properly

aligned to the eye.

Measure Mode-

ActiView Manual

Measure: ActiView

Positioning System is on,

but device will only take

measurements when

blue Manual Measure

Button is pressed.

Measure Mode-

Manual Measure:

ActiView Positioning System

is off. Device will only take

measurements when blue

Manual Measure Button is

pressed.

Volume

Off, low, or high volume

settings available.

Language

English, German,

French, Spanish,

Italian, or

Portuguese.

Exit

Exit the menu.

Measurements

1: (Quick) Provides a reliable IOP

result in one fast measurement.

3+: Takes multiple

measurements (minimum 3 /

maximum of 6) for instances

when a higher-confidence IOP

result is desired.

Sleep

30, 60, or 90 second

sleep timer available.

Instructions for Use (continued)

Menu

Press the Menu Button to access the Menu. Press the left and right

Navigation Buttons to access the different menu screens. Press the

Select Button to change the current setting/selection. The highlighted

option is the active selection.

To exit the Menu, navigate to the Exit screen and press the Select Button,

or press the Manual Measure Button at any time.

+

3

10.210.4

OD

Last

Measurement

OS

Navigation

Buttons

Select

Selected

(White)

Not Selected

(Grayed Out)

Menu

Title

30s

90s

60s

TonoVera-28461

Last Measurement

Displays the

species and results

of the previous

measurement. These

values can be exported

via Bluetooth.

10.210.4

OD

Last

Measurement

OS

16308-101 Rev. A • 13

If Tono-Vera Vet is on, the tonometer will automatically secure the Ocu-Dot

Probe. If it is not, press any button to turn the device on and secure the

Ocu-Dot Probe.

NOTE: The Probe Tube can be used to dispose of the probe, which may be

placed in a sharps container to prevent any injury.

WARNING: To prevent contamination, do not touch the bare Ocu-Dot Probe.

Do not use a probe if it touches a non-sanitized surface like a table or a

floor. Properly dispose of a touched or dropped probe (e.g. in a container

for disposable needles).

WARNING: Do not use an Ocu-Dot Probe on more than one patient to

prevent cross contamination.

WARNING: When Tono-Vera Vet turns off, the probe will be ejected.

Instructions for Use (continued)

Ocu-Dot Probe Installation

Pull off the Tono-Vera Vet Protective Probe Chamber Cover from the

Tono-Vera Vet Probe Chamber. Take a new Ocu-Dot Probe Tube from

the box and remove the cap.

Insert the open end of the Ocu-Dot Probe Tube into the Probe Chamber.

Rotate Tono-Vera Vet up so the Ocu-Dot Probe can slide into the Probe

Chamber.

To remove the Ocu-Dot Probe, press and hold the center Multifunction

Button for three seconds to turn the device off and eject the Ocu-Dot

Probe. It is recommended to eject the used Ocu-Dot Probe directly into

the Probe Tube for disposal.

You may store the empty Ocu-Dot Probe Tube in recess on base.

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3

5

Store Ocu-Dot Probe

Tube in recess.

16308-101 Rev. A • 14

Instructions for Use (continued)

Measurement Screen

ActiView Positioning System Area: The full-color area on screen where

the eye is aligned to the device.

Battery Indicator: The battery icon indicates the battery level.

Species: The species selected. Options are Dog, Cat, Horse, or Rabbit.

Alignment Target: The alignment area, consisting of a circular center

target and level indicators.

Probe Angle Indicator: Two colored marks (green or yellow) appear on

each side of the Alignment Target, indicating the probe angle of the device.

Number of Measurements: The dots indicate the measurements required

and completed (1 or 3+). An empty white dot indicates a required

measurement. A solid yellow dot indicates an unreliable measurement. A

solid blue dot indicates a completed, reliable measurement.

Measure Mode: If AUTO is illuminated, device will automatically measure

when properly aligned. If AUTO is grayed out (ActiView Manual Measure

or Manual Measure modes), then the Manual Measure Button must be

pressed to take a measurement. Pressing and holding the blue Manual

Measure Button will take continuous measurements.

OD: Right eye. The circle will be blue if selected.

OS: Left eye. The circle will be blue if selected.

Menu: To access the Menu, press the center button beneath the Menu icon.

Refer to the Menu section of this manual for details. If an X icon appears,

measurements have been taken. Press the button beneath the X to clear

out all measurements. If Bluetooth is activated and connected, an export

icon (up arrow) will appear after measurements are taken. Press the

button beneath the arrow to transfer the data to an EMR system.

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7

8

1

2

3

4

5

6

7

8

Battery Indicator

Species

Probe Angle Indicator

OS (Left Eye)

OD (Right Eye)

Select OD/OS

Buttons

Menu

Alignment Target

Number of

Measurements

ActiView Positioning

System Area

Measure Mode

9

10

11

9

10

11 Select OD/OS Buttons: Select OD or OS by pressing the corresponding button.

16308-101 Rev. A • 15

Instructions for Use (continued)

Positioning

To obtain quick, easy, and accurate IOP results,

Tono-Vera Vet features the ActiView Positioning System to guide

users to proper alignment.

The default Measure Mode is ActiView Auto Measure which

enables automatic measurements upon correct alignment.

Canthus marks on the outside of the device also aid with

alignment.

Turn Tono-Vera Vet on by pressing any button.

Install a new Ocu-Dot Probe.

OD (right eye) will automatically be selected, indicated by

a blue circle.

NOTE: To start on the OS (left eye), press the button

beneath the OS area to select the left eye.

Position the device so that the two canthus marks located

at the front of Tono-Vera Vet (one on each side) are

level with the patient’s canthus. Tono-Vera Vet is able to

measure at a probe angle of ±15º, but the Ocu-Dot Probe

must remain perpendicular to the eye.

The correct working distance is 6 mm (±2 mm) from

the eye.

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5

Correct Probe Angle

Incorrect Probe Angle

Device Orientation

Tono-Vera Vet can be rotated a full 360º around the axis of

the Ocu-Dot Probe, as long as the probe is kept parallel to

the ground, within the ±15º probe angle range.

Device Orientation

6 mm (±2mm)

15°

16308-101 Rev. A • 16

Distance & Centration (Approx. 6 mm)

Probe Angle (±15º)

Instructions for Use (continued)

Aligning

Using the ActiView Positioning System, slowly align Tono-Vera Vet so the device

is level with the eye.

NOTE: Tono-Vera Vet is able to measure at a probe angle of ±15º, but the Ocu-

Dot Probe must remain perpendicular to the eye. The Probe Angle Indicators

located on the left and right side of the positioning target will help with the

probe angle. The Probe Angle Indicators will be yellow if the probe angle is too

high or too low, and will be green when the probe is within the correct probe

angle range. The device will not measure if the probe is outside of the ±15º

probe angle range.

Using the ActiView Positioning System, slowly align Tono-Vera Vet so the device

is centered over the pupil and the Ocu-Dot Probe is approximately 6 mm from

the apex of the cornea.

A colored ring will appear when the device detects the eye. The size, color, and

position of the ring indicate alignment and distance.

The goal is to obtain a green ring directly over the central alignment target. This

indicates proper distance and proper alignment.

Yellow Ring

Device is too far away or off-center. Move closer or more centered on the eye.

Green Ring

Proper alignment and distance obtained.

Large Red Ring

Device is getting too close. Move the device further away from the eye.

Large Red Stop Sign

STOP! Device is too close. Move the device further away from the eye.

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3

1

Yellow Ring:

Too Far and/or O-Center

Yellow Probe Angle Indicators:

Probe Angle Too High

Green Ring:

Proper Distance and Centration

Green Probe Angle Indicators:

Proper Probe Angle Alignment

!

Large Red Ring:

Too Close

Beep Will Sound

Large Red Stop Sign:

Too Close

Beep Will Sound

16308-101 Rev. A • 17

Instructions for Use (continued)

Measuring

If Measure Mode is set to ActiView Auto Measure, measurements will be

taken automatically when Tono-Vera Vet is aligned correctly. If Measure

Mode is set to ActiView Manual Measure or Manual Measure, press the

blue Manual Measure Button to measure upon correct alignment.

NOTE: The blue Manual Measure Button can be pressed at any time if the

operator wishes to override the auto measurement system. However, this

may result in less reliable measurements. Measurements will only be

taken if the device is within the ±15º probe angle range.

The measurement dots indicate the number of and status of

measurements needed to obtain the Final IOP Result.

Each empty white dot indicates a required measurement. A solid blue

dot indicates a successful measurement. A solid yellow dot indicates an

unsuccessful measurement which must be retaken.

When Measurements are set to 1 (Quick), only one meaurement will

be needed to obtain a high-confidence IOP result. When set to 3+,

measurements will be taken until a high-confidence IOP result is obtained,

a minimum of three measurements and a maximum of six. If more than

three measurements are required, an empty gray dot will turn white,

indicating another measurement is required.

NOTE: When measurements are completed, the IOP will be displayed in

a large colored ring on the screen. Refer to the Understanding Results

section of this manual for detailed information.

After measuring the first eye, the device will automatically select the next

eye to measure.

WARNING: If the device takes a measurement while the patient blinks, the

probe could potentially become caught by the patient’s eyelashes. If this occurs,

simply dispose of the probe and begin the examination again with a new probe.

CAUTION: Do not place device on a surface with the Ocu-Dot Probe or

Probe Chamber facing down. This may damage the device and Ocu-Dot

Probe. Place device on its side if the device must be laid down on a surface.

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2 3

Manual

Measure

Button

12.514.5

OD IOP

Select and Clear

OD/OS Buttons

Clear

Number of

Measurements

16308-101 Rev. A • 18

Instructions for Use (continued)

Understanding Results

High Confidence Final IOP Result

Once enough measurements are taken for a high confidence Final

IOP Result, the Final IOP Result will be briefly displayed in a large

green ring. After, the measurement screen will reappear and the

corresponding OD or OS circle will have a green ring around it.

Low Confidence Final IOP Result

If the Manual Measure Button was pressed during ActiView Auto

Measure Mode, the Final IOP Result will be briefly displayed in a

yellow ring. After, the measurement screen will reappear and the

corresponding OD or OS circle will have a yellow ring around it.

If the other eye is selected before sufficient measurements

were taken to obtain a High Confidence Final IOP Result, the

corresponding OD or OS circle will appear in yellow.

Retake Measurement

If there is a high variability between measurements (high standard

deviation) the Retake Measurement arrow will appear with a large

orange ring around it. Retake the measurement to obtain a reliable

Final IOP Result.

NOTE: The Retake Measurement arrow will not apear when

Measurement Mode is set to 1 (Quick).

11

2

33

14.5

OD

8.7

OD

14.5

8.7

16308-101 Rev. A • 19

Instructions for Use (continued)

Data Transfer

Tono-Vera Vet is capable of transmitting data via Bluetooth® to EMR,

using ReichertSync™Software. To successfully transmit data, Tono-

Vera Vet must be paired with a PC that has ReichertSync installed on

it. To obtain a copy of ReichertSync, contact the Reichert Technical

Support Group at the contact information at the back of this manual.

Install ReichertSync on your PC. Refer to the ReichertSync

Instructions for Use to set up Tono-Vera Vet in ReichertSync.

Navigate to the Bluetooth screen in the Menu.

Follow the directions in ReichertSync to pair Tono-Vera Vet and

the PC. When Bluetooth is enabled, a Bluetooth icon will appear

in the upper right corner beneath the Battery Indicator. This

indicates the status of the Bluetooth connection.

After obtaining Final IOP Results, press the center Multifunction

Button to transfer data to the PC. A countdown may appear

indicating that data is transferring.

Once the data has been transferred, a Bluetooth icon in a green ring

will briefly appear on the screen. The IOP measurements will clear

out and the device will be ready to take a new measurement.

NOTE: If an error occurs, the Bluetooth symbol will appear in an

orange ring. Refer to the Troubleshooting section of this manual.

NOTE: After Tono-Vera Vet is paired to the PC, the Bluetooth

connection will automatically reconnect when the device is powered

up. If Tono-Vera Vet does not automatically reconnect to the PC, refer

to the Troubleshooting section of this manual.

To disable Bluetooth, navigate to the Bluetooth screen in the Menu

and press the Select Button. The large Bluetooth icon will turn gray

and the small Bluetooth icon in the upper right will disappear.

1

2

3

4

5

Press the Select Button to enable

Bluetooth. The Bluetooth icon will

turn white when Bluetooth is enabled.

1

2

Connecting Tono-Vera Vet to the PC

Transferring Data to the PC

No Dots:

Not Connected

Green Dots:

Connected and Able to

Transfer Data

TonoVera-28461

14.514.5

16308-101 Rev. A • 20

Instructions for Use (continued)

Tono-Vera Vet Training Aid

The included Training Aid allows users to become familiar with the

operation of Tono-Vera Vet. The Training Aid is designed to simulate

the experience of aligning the device using the ActiView Positioning

System to take measurements.

Turn Tono-Vera Vet on and install a new Ocu-Dot Probe.

Hold the Training Aid in the palm of your hand. Using the on-screen

ActiView Positioning System, slowly align Tono-Vera Vet so the

Ocu-Dot Probe tip is centered over the training eye, and at the correct

distance. The alignment ring and level indicators will turn green when

the device is properly aligned for both distance, centration, and probe

angle. Refer to the Positioning, Aligning, and Measuring sections of this

manual for detailed instructions.

After a successful measurement, the Final IOP Result will read “>99”

and briefly appear in a large orange ring, indicating a successful

Training Aid measurement. After, the orange ring and “>99” will appear

in the selected eye as the Final IOP Result for that eye.

NOTE: The Training Aid eye is a hard material, and the IOP value will

always read as greater than 99. Any IOP measurement over 99

will appear as “>99” and appear in an orange ring.

At any point, measurements can be cleared by pressing Clear (×).

Practice taking IOP measurements with the Training Aid as many

times as desired.

After practice measurements are finished, dispose of the Ocu-Dot

Probe by ejecting it into the Probe Tube. Refer to the Ocu-Dot Probe

Installation section of this manual for more detailed instructions on

disposing the Ocu-Dot Probe.

NOTE: The Training Aid may not work well in very bright environments.

1

1 1

3

2

3

4

5

6

>99

Approx. 6 mm

Ametek Reichert Tono-Vera Vet User manual

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