Optos 200tx User manual

Copyright 2007-2010, Optos plc. All rights reserved.
The information contained within this document is subject to change without notice. The latest version of
this information can be found at www.optos.com.
This document should be used in conjunction with the help files supplied in each application and the
Technical Data Specifications supplied with the device. Instructions and service information can be
obtained by contacting the Optos Customer Service Department through the contact details given in this
handbook.
The device is a prescription device.
Caution
Federal law restricts this device to sale by or on the order of a physician or
practitioner. See CFR 801.109(b)(1) for more information.
Optos does not provide, and the optomap® plus guidelines do not constitute advice on making
reimbursement claims. Diagnostic tests should be ordered by the treating physician and this physician is
responsible for appropriate usage, adequate documentation and proper coding. It is the responsibility of
the physician to comply with Medicare regulations, and check with the local insurance carrier for
reimbursement information and instructions. Optos does not accept any liability for reimbursement claims
made while using optomap® plus.
Copyright
This document may only be used for your personal, non-commercial use. This document and all its
contents (including without limitation, all text, formats, graphics and logos) are the property of Optos plc
and are protected from unauthorized copying and dissemination by the Copyright, Designs and Patents
Act 1988 (as amended), by various intellectual property laws and by international conventions.
Trademarks
Optos, optos, optomap, V2, ResMax, 3D Wrap and P200 are ® Marks. All rights reserved.
WINDOWS is a Trademark of Microsoft Corporation.
ADOBE and ACROBATREADER are Trademarks of Adobe Systems Incorporated.
All other trademarks are the property of their respective owners.
Part Number: G-00085/1
Print Date: February 2011

Table of Contents
1 What's New 1
2 Introduction 3
About the device 3
Indications for use 3
About images 3
Image types 5
3 Getting to know the device 7
Understanding the equipment 7
About the head rest 8
Attaching and detaching the Patient Arm Support 9
Attaching and detaching the Head Rest 9
About the detector settings 9
How to use the hand control 11
4 About the software applications 13
Getting Help 13
Admin application features 13
Capture application features 14
Review application features 14
Storage application features 16
Scheduler application features 16
About software updates 17
5 About capturing an image 19
Working with patient records 19
Cleaning before each patient 20
Patient instructions 21
Capturing images 21
Capture Single Eye Image 23
Single Image Preliminary checks 24
Capturing Stereo Images 24
Multiple Image Preliminary Checks 26
How to capture Autofluorescence images 27
Multi-Frame Settings 27
Capturing Multiple Images (Angiography) 28
How to do eye steering 29
View captured image 30
Checking the quality of captured images 30

Patient positioning 30
6 About the Patient History view 35
Using the Patient History window 36
Opening images 36
Selecting images from the Image Series view 38
Opening images using alternative methods 39
Discarding unwanted images 40
7 Using the viewing options 43
Color Channels 43
Review Tools 43
Recommended reading protocol 44
Using the Automated view 45
Using the Magnifier 45
Using the 3D Wrap view 46
Using the Comparison Overlay 47
Simulating a Binocular Indirect Ophthalmoscope (BIO) view 47
Using False Color views 48
Viewing stereo images 48
Comparing with sample disease images 49
Using the Adjustment and Information panels 49
8 Documenting your review 51
About annotations, retinal drawings and measurements 52
Using annotations 52
Using retinal drawings 53
Using measurements 54
About review notes, diagnostic (pathology) codes and procedure codes 55
Using procedure codes 56
Using review notes 57
Using diagnostic codes 58
9 Distributing images 61
Emailing images 61
Exporting images 62
Importing an image to a patient’s record 63
Printing images 64
Changing eye images from Right to Left (and Left to Right) 66
Assigning an image to another patient’s record 66
10 Using the Image Library 67

11 About archiving 69
When to Archive 69
Changing the Archive Task Settings 69
Archiving to disk 71
Archiving to a network 74
Scheduling storage tasks 74
12 Getting help 75
Accessing help from the device 75
Accessing help from the applications 75
Optos on the Web 76
13 Where to find features 77
Capture application user reference 77
Review application user reference 81
Storage application user reference 91
Scheduler application user reference 92
14 Contact us 93
Global Headquarters 93
Regional Offices 93
15 Training Checklist 95

Chapter 1 - What's New
1 What's New
This release supports the display of optomap® af images.
Note:
optomap® af images are captured using a green laser light for illumination. This contrasts with the
traditional use of blue illumination or white light for autofluorescence imaging. Green light
autofluorescence differs, and allows a different visualization of macular pathologies since macular
pigment does not interfere. Also the Optic Nerve Head is clearly visible when green laser light is used
for autofluorescence imaging.
Reference Materials
About the device 3
Checking the quality of captured images 30
How to capture Autofluorescence images 27
Selecting images from the Image Series view 38
Using the Automated view 45
Using the Magnifier 45
Using the 3D Wrap view 46
Using the Comparison Overlay 47
Using False Color views 48
Comparing with sample disease images 49
Using measurements 54
Using the Image Library 67
Scheduling storage tasks 74
Capture application user reference 77
Review application user reference 81
Scheduler application user reference 92
Storage application user reference 91
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Chapter 1