I-care EXPORT TS03 User manual

Icare CLINIC Icare EXPORT Icare PATIENT app
INSTRUCTION MANUAL
F O R P A T I E N T S
ENGLISH

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Icare CLINIC, EXPORT and PATIENT Instruction Manual for Patients | ENGLISH
Icare CLINIC (Type: TS02), Icare EXPORT (Type: TS03) and Icare PATIENT app (Type: TS04) -
Instruction Manual for Patients TS02-014-EN-1.4
The information in this document is subject to change without prior notice.
In a conflict situation, the English version prevails.
Copyright © 2019 Icare Finland Oy
Made in Finland
Icare Finland Oy
Äyritie 22, FI-01510 Vantaa, Finland Tel. [phone], Fax [phone]
www.icarefinland.com, [email protected]

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TABLE OF CONTENTS
1SAFETY INSTRUCTIONS....................................................................................................................4
2INTRODUCTION ...............................................................................................................................4
3INTENDED USE.................................................................................................................................5
4GETTING STARTED...........................................................................................................................5
4.1 Installation and system requirements.....................................................................................5
4.1.1 System requirements for Icare CLINIC...........................................................................5
4.1.2 System requirements and installation of Icare EXPORT................................................5
4.1.3 System requirements and installation of the Icare PATIENT app..................................9
4.2 Start-up and shutdown ..........................................................................................................10
4.3 Using the Icare HOME tonometer, Icare CLINIC, Icare EXPORT and the Icare PATIENT app
together .................................................................................................................................11
4.4 Using Icare CLINIC ..................................................................................................................13
4.4.1 Introduction to the user interface of Icare CLINIC.......................................................13
4.4.2 Managing IOP results and creating reports.................................................................15
4.5 Using Icare EXPORT to upload IOP results from the Icare HOME tonometer.......................19
4.6 Using the Icare PATIENT app to upload IOP results from the Icare HOME tonometer.........21
5MAINTENANCE AND UPDATES......................................................................................................21
6DECOMMISSIONING......................................................................................................................22
7TROUBLESHOOTING ......................................................................................................................22
8SYMBOLS .......................................................................................................................................23
APPENDIX 1 TECHNICAL DESCRIPTION ..............................................................................................23

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1SAFETY INSTRUCTIONS
PRECAUTION
It is important that the internal clock of the Icare HOME tonometer is up to date when measuring.
The time of the clock may need to be updated if the tonometer has been stored without batteries,
if the batteries have run out of charge, or if the user of the tonometer has travelled to a new time
zone. Therefore, in these situations, it is recommended to either
a) connect the tonometer to computer using the provided cable and start Icare EXPORT or
b) using the provided cable, connect the tonometer to smartphone or tablet that has Icare
PATIENT installed.
The internal clock gets automatically updated to the time of the connected computer, smartphone
or tablet.
PRECAUTION
Ensure that the computer, smartphone or tablet running the Icare EXPORT or PATIENT application
is set to the correct time and date.
PRECAUTION
Precaution! Always consult your healthcare provider before changing your treatment.
2INTRODUCTION
This is the patient’s instruction manual for the Icare CLINIC, PATIENT and EXPORT applications.
Icare CLINIC is a browser-based software service designed for viewing IOP measurement data.
Refer to chapter 04.4 for the use of the Icare CLINIC service.
Icare EXPORT is a desktop application for installation on a PC running an MS Windows operating
system. It is designed for uploading IOP results from Icare HOME tonometers to the database of
the Icare CLINIC service. Icare EXPORT can also be used for viewing the IOP results stored in an
Icare HOME tonometer and storing the IOP results in a local file. Refer to chapter 4.5 for the use
of the Icare EXPORT.
Icare PATIENT is a smartphone or tablet app designed for uploading IOP results from an Icare
HOME tonometer to the database of the Icare CLINIC service. Refer to chapter 4.6 for the use of
the Icare PATIENT app.

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This instruction manual is applicable for Icare CLINIC service version 1.3.x, Icare EXPORT
application version 2.0.x and Icare PATIENT app version 1.1.x where x indicates a minor revision.
New versions of this instruction manual are created on an as needed basis.
3INTENDED USE
The family of software consisting of Icare CLINIC, Icare EXPORT and Icare PATIENT app is
intended for:
•transferring IOP (intraocular pressure) measurement data from Icare tonometers to the Icare
CLINIC service
•showing and printing charts based on the measurement data
•exporting measurement history
4GETTING STARTED
Icare CLINIC is used over an internet connection. For you to use it, your healthcare provider needs
to subscribe to Icare CLINIC. Once your healthcare provider has activated your access to Icare
CLINIC, you will be sent an email (titled “Choose a password for your Icare account”) with
information on how to access the service.
You need to use either Icare EXPORT on a computer or the Icare PATIENT app on a smartphone or
a tablet to upload IOP data to the Icare CLINIC database. Icare EXPORT installer file can be
downloaded from the Help menu of Icare CLINIC.
The Icare PATIENT app is available free-of-charge from the Google Play application store. See
chapter 4 for information about installing and starting Icare CLINIC, Icare EXPORT and the Icare
PATIENT app. See chapter 4.3 for a description about how the Icare applications are typically used.
4.1 Installation and system requirements
Icare CLINIC is a service provided from a server located in the internet. It does not require
installation by the patient. To install Icare EXPORT, you need administrator’s privileges on a
computer used. The Icare PATIENT app may be installed on any compatible smartphone or tablet.
4.1.1 System requirements for Icare CLINIC
•Internet connection
•Minimum web browser versions: IE 11, Chrome (v 58), Firefox (v 53) and Safari (5.1.7)
4.1.2 System requirements and installation of Icare EXPORT
Minimum PC requirements for Icare EXPORT:

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•x86 or x64 1 GHz Pentium processor or equivalent
•512 MB RAM
•512 MB of hard disk space (in addition, 4.5 GB if .NET not already installed, see step 1)
•USB 2.0 connection
•800 x 600 resolution display with 256 colors
•DirectX 9 compatible Graphics Card
•.NET Framework 4.6.1 or greater
•Operating System: Windows 7, Windows 8 or Windows 10
•Internet connection (when used to upload results to Icare CLINIC)
To install Icare EXPORT on the PC, follow the instructions in the steps below:
1. Double-click the Icare EXPORT Setup.exe file. A setup wizard window appears. The PC will
notify if Microsoft’s .NET framework has not been installed. (Follow the instructions
displayed by the PC to install the .NET framework). Click Next.

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2. A window requesting agreement with the licensing terms appears. Confirm the terms by
ticking I agree and click Next.
3. A window for selecting the installation folder appears. Select a folder to install the
application. Select Everyone to allow Icare EXPORT to be visible to all users of the
computer; select Just me to restrict use of the application to the user installing the
application. Click Next.

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4. Choose to install Icare EXPORT in cloud mode or local mode. In cloud mode Icare EXPORT
sends the measurement results to your healthcare provider using the Icare CLINIC service.
Local mode should be selected to manage the IOP measurement results locally in the
computer used. The mode setting can be changed after installing Icare EXPORT.
5. A window to confirm installation of Icare EXPORT appears. Click Next to start installation.

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6. A window indicating completed installation appears. Click Close to finish installation
process.
You are now ready to start using the Icare EXPORT application. Start the application by
clicking the Icare EXPORT icon on the desktop of the PC.
4.1.3 System requirements and installation of the Icare PATIENT app
Minimum system requirements for the Icare PATIENT app:
Android smartphone or tablet with
•Operating system v 4.0.1 or later with USB OTG support
•USB OTG micro B male –micro B male cable (available from your healthcare provider).
NOTE: Connect the plug marked Host to your smartphone or tablet. Depending on your
smartphone or tablet, you may have to plug in an additional USB micro B to C (the small part in
the picture), or other adapter to the Host plug of the cable.

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•Internet connection
To verify the required USB OTG support in the smartphone or tablet, you may use OTG? (available
from Google Play) or another application providing equivalent functionality.
To install the Icare PATIENT app on your smartphone or tablet, search for the Icare PATIENT app in
the Google Play application store and then follow the installation instructions displayed on the
smartphone or tablet screen.
4.2 Start-up and shutdown
To start Icare CLINIC, open a web browser on the login page and login with your email address
and password (you will have earlier received an email asking you to set your password after your
healthcare provider activated your access to Icare CLINIC).
To stop using Icare CLINIC and exit, select the logout function from the drop-down menu, accessed
from the top right-hand corner of the user interface.

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To start Icare EXPORT, click the icon on the PC desktop. The icon is created during the installation
of Icare EXPORT.
To shut-down Icare EXPORT, click the close symbol (x) in the upper right-hand corner of the
application window.
To start the Icare PATIENT app, connect an Icare HOME tonometer to your smartphone or tablet
using the USB OTG cable. To shut down the Icare PATIENT app, use the application management
functionality of your smartphone or tablet.
4.3 Using the Icare HOME tonometer, Icare CLINIC, Icare EXPORT and
the Icare PATIENT app together
Typically, the Icare HOME tonometer and the Icare CLINIC, Icare EXPORT and Icare PATIENT
applications are used as follows:
1. Self-measure according to your healthcare provider’s instructions.
PRECAUTION

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It is important that the internal clock of the Icare HOME tonometer is up to date
when measuring. The time of the clock may need to be updated if the tonometer
has been stored without batteries, if the batteries have run out of charge, or if
the user of the tonometer has travelled to a new time zone. Therefore, in these
situations, it is recommended to either
a) connect the tonometer to computer using the provided cable and start Icare
EXPORT or
b) using the provided cable, connect the tonometer to smartphone or tablet
that has Icare PATIENT installed. The internal clock gets automatically
updated to the time of the connected computer, smartphone or tablet.
PRECAUTION
Ensure that the computer, smartphone or tablet running the Icare EXPORT or
PATIENT application is set to the correct time and date.
2. After self-measuring your IOP one or several times, you can use either the Icare
PATIENT app or Icare EXPORT on your PC to upload the IOP results from your
tonometer to the Icare CLINIC database. You may perform upload at any time
convenient to you.
3. You can then login to Icare CLINIC to view your measurement results by your health
care provider’s permission.
Note that to download measurement results from your Icare HOME tonometer, you can always
choose to use your PC with Icare EXPORT or your smartphone or tablet with the Icare PATIENT app
–whichever is the most convenient.

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4.4 Using Icare CLINIC
4.4.1 Introduction to the user interface of Icare CLINIC
Patient profile shows your personal information. This information includes your personal
forehead and cheek support settings. You should check that these settings are the same as
documented in the patient profile before self-measuring. You are not able to modify your patient
profile information yourself.
HOME use periods list shows the periods during which you have previously been self-measuring
IOP with the Icare HOME tonometer.

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Measurement list shows your measurements, either your self-measured readings (indicated by
the device type Icare HOME) or those measured by your healthcare provider. By default, the IOP
measurements from the most recent HOME use period are shown. OD means the right eye. OS
means the left eye.

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4.4.2 Managing IOP results and creating reports
IOP measurements are listed under the Measurements tab. OD means the right eye. OS means the
left eye. The listed measurements can be filtered either by entering From and To dates or by
selecting a HOME use period from the Select period drop down list.
The quality of the measurement, as calculated by the tonometer, is shown to the right of the
displayed IOP value. The term Excellent for quality indicates a low variation among the IOP data
sampled by the tonometer during a measurement. The term Good indicates fairly low variation
among the data sampled. Poor indicates higher but still acceptable variation of the data sample for
IOP values 19 mmHg or lower. Rejected indicates high variation in the sampled data and the IOP
result should not be used for clinical determination.

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An IOP report is created from the rows of IOP measurement data listed. The user can exclude a
measurement by ticking the Exclude box on the measurement row. To create a report, click on the
REPORT button. A report shows a graph with time on the x-axis and the IOP measurements from
both eyes (if both were measured) on the y-axis. The measurement time and the calculated IOP
for individual measurements are revealed by moving the cursor (with the PC mouse) over the IOP
results on the graph. The user can zoom the graph by moving the cursor over the graph while
pressing and holding down the left-side button on the PC mouse (painting the graph). The
statistics describing the data vary according to the user’s zooming and are dynamically
recalculated for display.
The format of the graph can be changed using the Chart type menu. The chart type Line connects
the presented data points with direct lines.
Chart type Line

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Chart type Scatter
The chart type Scatter displays the data points without connecting them with lines.

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The chart type Diurnal positions all the IOP data points to a 24-hour x-axis. Thus, all data points
measured at the same time of the day will show at the same point on the x-axis. The IOP data
points of each day are connected with direct lines.
Chart type Diurnal

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Ticking the Compare periods check box when the chart type Line is displayed, allows the user to
select two sub-periods from the displayed chart and compare the periods to each other one eye at
a time. The sub-periods are selected by painting the displayed chart.
Clicking on the SHOW TABLE button below the graph opens a list of all the measurements on the
graph. The entire report can be printed or saved as PDF file by clicking the PRINT button on the
report. Click the SHOW TABLE button to open and display the measurement list below the graph.
4.5 Using Icare EXPORT to upload IOP results from the Icare HOME
tonometer
Once you have made some measurements, perform the following steps:
1. Connect the Icare HOME tonometer to the PC using a USB cable. Icare EXPORT starts
up when the tonometer is connected.
2. Successful uploading is confirmed by Icare EXPORT with Measurements saved!
a. NOTE! By default, Icare EXPORT uploads the measurement results to Icare
CLINIC. Icare EXPORT does not send the results to Icare CLINIC in the Local
mode. The mode can be set via the configuration menu in the lower right-
hand side of the user interface.
Compare periods

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Icare EXPORT displays the uploaded results in chronological order. The results can be saved to a
local file by clicking the Save local copy button. The results are appended to the selected file if an
existing file has been selected.
If a local copy of locally saved results has been saved earlier, it can be accessed by clicking on the
Open local copy button and selecting the name of the file the results were originally saved in.
By default, all results that have been uploaded to the Icare CLINIC database are removed from the
memory of the Icare HOME tonometer. Click the LOG IN link on the upper right-hand side to login
to Icare CLINIC (if enabled by your healthcare provider) for viewing your full measurement result
history.
Results are not uploaded to the Icare CLINIC database if the Icare HOME that you are using does
not belong to the device fleet of any healthcare provider or Local mode is set in Icare EXPORT. In
these cases, the results in the memory of the connected Icare HOME tonometer can be removed
by clicking the Clear all measurements button and by confirming the removal.
NOTE!The Select BT Device menu on the left-hand side displays connected Icare tonometers with
wireless capabilities. Currently, there are no Icare tonometers with wireless capability for home
use.