Sperian Titmus V4 Operator's manual

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Titmus V4 / Titmus V2
User Instruction Manual

Titmus V4 / Titmus V2
Preface
This Instruction Manual was prepared by Sperian Protection Optical, Inc. for both first-time and experienced users of the
Titmus V4 / Titmus V2 models of the vision screener. To ensure the safe operation of the Titmus V4/ Titmus V2 Vision
Screener, the user should read the entire instruction manual before operation of the unit. Keep this manual for future
reference.
Patent Nos.
US 7,390,091
US 6,505,937
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Titmus V4 / Titmus V2
Table of Contents
Warnings and Symbols.......................................................................................................................................4
Warranty, Standards & Technical Data ................................................................................................................5
Introduction ......................................................................................................................................................6
Titmus VSeries Model Comparison ......................................................................................................................6
Standard & Optional Accessories ........................................................................................................................7
Unpacking the Instrument ..................................................................................................................................8
Titmus V4 External Features ...............................................................................................................................9
Titmus V2 External Features ............................................................................................................................. 10
Operation of the Vision Screener ...................................................................................................................... 11
Unlock/Lock the instrument for height adjustment ...........................................................................................................11
Height Adjustment .......................................................................................................................................................... 11
Operating the Far/Near Lever ..........................................................................................................................................12
Intermediate Vision Testing & Using Plus Lens.................................................................................................................12
Operating the Titmus V4 using the Control Panel .............................................................................................................13
Operating the Titmus V2.................................................................................................................................................. 14
Testing using the Vision Screener ..................................................................................................................... 15
Preparation for Testing ...................................................................................................................................................15
Patient Positioning..........................................................................................................................................................15
Peripheral Vision Testing ................................................................................................................................................15
Testing & Interpretation of the Test results....................................................................................................................... 16
Recording the Test results ...............................................................................................................................................16
Instrument Transport ....................................................................................................................................... 17
Cleaning / Storing the Instrument..................................................................................................................... 18
Maintenance of the Vision Screener .................................................................................................................. 18
Recommended Service Schedule ..................................................................................................................................... 18
Replacing Light Module...................................................................................................................................................18
Changing Slides.............................................................................................................................................................. 19
Replacing the Fuse..........................................................................................................................................................20
Electromagnetic Environment - Guidance.......................................................................................................... 21
Glossary of Eye Care Terms .............................................................................................................................. 24
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Titmus V4 / Titmus V2
Warnings and Symbols
Important Safety Instructions
This manual contains important safety symbols and instructions. Read all instructions before
using this instrument. Save these instructions for future reference.
CAUTION
•If the instrument tends to drift downwards towards the base, or does not stay in the upright position,
the height adjustment mechanism may need to be checked. Please contact a Service Center. This is to
prevent any accidental closing of the instrument on an operator’s or patient’s hand.
•Ensure that there are no hands towards the base of the instrument when closing the unit to prevent
accidental pinching.
•Ensure that the instrument is handled and transported safely to prevent accidental dropping of the
instrument on a foot or toe. See Section Instrument Transport.
•Do not contact patient or anyone else while touching the cable connections or metal plate surrounding
the control panel cable connector on the instrument or control panel.
•Do not operate the instrument with the cover removed as this may expose the operator to moving
parts.
Symbols
This symbol is to advise the user of the presence of important operating or maintenance instructions in the
documents accompanying the instrument.
This instrument is classified as a Type B Equipment Electrical Hazard.
Prior to any maintenance being performed on this instrument (to include removing any screws), the instrument
must be turned off, and the power cord MUST be disconnected.
This symbol indicates that product should not be disposed as general unsorted waste. Product should be sorted
separately for collection as electrical and electronic equipment waste.
This symbol identifies the location of the protective earth (ground connection).
For the Record
Please record Serial Number and Purchase Date in space provided. Refer to the SERIAL NUMBER LABEL (located at rear of
instrument near On/Off switch) ALWAYS HAVE THIS INFORMATION WHEN CONTACTING SPERIAN ABOUT THE INSTRUMENT.
Serial Number ____________________ Date of Purchase __________________
Distributor___________________________________________________________________
Phone________________________________________________________________________
Questions
Please contact Sperian Protection Optical at 800-446-1802 / [phone] or your local distributor.
NOTE: Due to continual product innovation, specifications in this manual are subject to change without prior notification.
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Titmus V4 / Titmus V2
Warranty, Standards & Technical Data
Warranty
Sperian Protection Optical, Inc. warrants the Titmus VSeries against defects in materials and workmanship for a
period of two (2) years from the date of purchase. Warranty includes the light module. Sperian will, as its option,
repair or replace the instrument during the warranty period within a reasonable time after receipt of written
notice from the buyer. To receive consideration for warranty repair or replacement procedures, product must be
returned in its original packaging. If original packaging is not available, this can be obtained from Sperian at a
nominal cost. It is necessary to obtain Return Authorization Number from Sperian prior to shipment.
This warranty does not cover accessories or damages sustained in transit, or as a result of the buyer’s misuse,
neglect or carelessness, or by events beyond the control of Sperian. All correspondence must include the
instrument serial number. Failure to return the completed registration card will void the warranty. Warranty
valid only when purchase or repair is made from Sperian or an authorized Sperian Distributor.
Standards
The TITMUS™ Vision Screener conforms to the following UL, CSA and CE Standards.
USA: AAMI ES 60601-1
Canada: CSA-C22.2, No. 601.1-M90, Category 245
Device Type per the Canadian Medical Device Regulations
Class I Device
CB Scheme: IEC 60601-1
Europe: EN 60601-1, IEC 60601-1, Third edition
Emissions: Group 1, Class A
Applicable Directive
Annex VII, Medical Device Directive 93/42/EEC
Classification
Class I, Annex IX of MDD 93/42/EEC
Non-sterile, Non-measuring device
The CE mark on this device indicates it has been tested to and conforms to the provisions noted
within the 93/42/EEC Medical Device Directive
Technical Data
Power Supply: 110-240 VAC, 0.4A-0.2A, 50/60 Hz
Fuse Rating: 2 A, 250 V, Type – T (time delay)
Cords: 1. Power cord, length 3 meters
Note: Customer must contact TITMUS to obtain replacement cords or alternate voltage cords (240V).
2. Titmus V4 only: Control panel cord, IEEE 1394 FireWire connector, length 1.00 meter
Illumination: As per ISO 8596 and ANSI Z80.21 Standards
Dimensions: W X L X H units
11.00 X 17.00 X 7.75 inches (closed condition)
28 X 43 X 19 cm (closed condition)
Weight: 13 lbs / 6 kg
Temperature: +50°F to +104°F (+10°C to +40°C)
Humidity: 30% to 75% (non-condensing)
Pressure: 80-106 kPa
Altitude: 1000 ft below sea level to 6000 ft above sea level
Sperian Protection Optical, Inc. Sperian Protection Deutschland GmbH & Co KG
690 HP Way, Christofsstrasse 5,
Chester, VA 23836, USA D55116 Mainz, Germany
Tel: [phone] Tel: [phone]
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Titmus V4 / Titmus V2
Introduction
The Importance of Vision Screening
The eyes are a person’s windows to the world. Without good vision, one can experience a sense of helplessness and may
even suffer in other skills necessary for a full and functional lifestyle. Utilizing the Titmus VSeries vision screeners, you will
quickly be capable of assessing whether a person’s vision is within the normal parameters. Visual abnormalities will be
revealed, often motivating action for a referral for further visual examination and possibly a much-needed visual
correction. Consequently, that person’s quality of life can be enhanced. The vision screener is capable of testing functions
not determined by the typical “wall” or “eye” chart. Binocularity, muscle balance, color perception, acuity at near and far,
color deficiency, depth perception, and a myriad of other visual functions can be screened. The wall chart screens for
acuity only, leaving many visual abnormalities unidentified.
About the “TITMUS”
Sperian is the new name of Titmus. Titmus Optical set the standard for vision screening instruments in 1959 with the
introduction of the OV7 model vision screener. Often referred to as the “TITMUS,” the older OV7 model as well as the later-
generation TITMUS Model 2, are still in use in many industrial locations, optical practices, as well as schools nationwide.
The screeners are known for their durability.
As the market leader, TITMUS has developed the new Titmus VSeries of vision screeners. Designed to meet the unique
needs of the 21st century, the Titmus VSeries will be a welcome tool because of its convenience, accuracy, and versatility.
Titmus VSeries Model Comparison
Titmus VSeries
The Titmus VSeries vision screeners are ergonomically-designed, precision-built stereoscopic instruments providing
precise and prompt measurement of visual performance. The screeners are engineered for accuracy, validity, and
reliability of the test results, with emphasis on convenience and ease of administration.
The Titmus VSeries consists of a variety of models. This manual covers the following models — Titmus V4, Titmus V2.
Model Titmus V4 Titmus V3 Titmus V2
Control Panel • •
Built-In Membrane Switches •
Electronic Pointing System •
Ergonomics (Height Adjustment) • • •
New Fluorescent Light Source • • •
Portability • • •
Soft Foam Headrest • • •
Head Positioning Sensor • •
Peripheral Vision Testing • •
Test Slide Advance/Reverse Control Panel Control Panel Manual
Night Vision Testing •
Carrying Case Optional Standard Optional
Standard Accessories • • •
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Titmus V4 / Titmus V2
Standard & Optional Accessories
Standard Accessories
The following accessories are supplied with your Titmus VSeries vision screener:
•Power cord
•Control Panel cord (only with Titmus V4)
•Vision Screener User Instruction Manual
•Slide Information Brochure (based on slide set purchased by you)
•Record Forms – 1 pad of 100 forms to record test results
•Eight (8) Test Slides (mounted on a drum inside the vision screener)
•Accessory Case with –
•10 Lens Cleaning Wipes
•3 Fog Eliminator Cloths
•1 Dust Cover for instrument storage
•Other standard accessories based on Slide Set:
•Occupational Job Standards Book
•Aeromedical 32” Lens, 2 Prism Lenses
•Professional +1.75 Lens, Training Cards
•Pediatric +1.75 Lens, Training Cards
•School +1.75 Lens, Training Cards
•Preschool +1.75 Lens, Training Cards
Optional Accessories
•Carrying Case – soft-sided with wheels, for easy transport of vision screener
•Intermediate Lens to test vision at following distances: 19, 22, 26, 32 and 40 inches (50, 57, 67, 80 and 100 cm)
•Plus Lens for testing children’s vision: +1.00, +1.50, +1.75 and +2.25
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Titmus V4 / Titmus V2
Unpacking the Instrument
Your Titmus™ vision screener may be supplied in a cardboard box or with an optional soft-sided carrying case. If supplied
in a box, remove top foam and lift instrument out of the box by holding the sides. If supplied in a carrying case, unzip the
case to remove the instrument.
Step1 Step2
Step 3: Titmus V4 accessories (includes control panel). Step 3: Titmus V2 accessories (NO control panel).
Step4 Step5
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Titmus V4 / Titmus V2
Titmus V4 External Features
Front / Side/ Rear View
A Removable cover for access to slides and light source
B Lever for far/near lenses
C Vision screening at far (20’) and near (14”)
D Peripheral vision test lights
E Head sensor to detect correct positioning
F Comfortable foam headrest
G Slots for intermediate/plus lens
H Base of instrument
I Base unlock clip to move unit into open position
J Plug-in for power cord
K On/off switch
L Fuse holder
M Plug-in for control panel cord
Control Panel
N Light source condition
O Test distance - near, intermediate or far
P Peripheral vision screening
Q Day or night illumination condition
R Test Slide position
S Test Slide advance/reverse
T Reset control panel
U Occlude each eye, light ON indicates eye being tested
V Head position indicator/sensor deactivate
ABCDE
F G H
H
I
J K L M
N O
P
Q
R
S
T
U
V

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Titmus V4 / Titmus V2
Titmus V2 External Features
Front / Side/ Rear View
A Removable cover for access to slides and light source
B Lever for far/near lenses
C Vision screening at far (20’) and near (14”)
D Peripheral vision test lights
E Comfortable foam headrest
F Slots for intermediate/plus lens
G Wheel to advance/reverse test slides
H Base of instrument
I Membrane switches
J Base unlock clip to move unit into open position
K Plug-in for power cord
L On/off switch
M Fuse holder
Membrane Switches
N Occlude each eye, light ON indicates eye being tested
O Peripheral vision screening
NOTE: THE TITMUS V2 DOES NOT HAVE A CONTROL PANEL.
CD
E F
AB
HG
I H
J
KL M
N
O

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Titmus V4 / Titmus V2
Operation of the Vision Screener
Unlock/Lock the instrument for height adjustment
Locate the lock at the side of the instrument. Follow the steps as shown in the images.
Steps 1-4:
•Push down on the FRONT of the unit with one hand as shown by the arrow.
•Using the other hand, pull and twist the latch to unlock, as shown in the images.
LOCK:
•ENSURE UNIT IS IN CLOSED POSTION AS ABOVE.
•Turn the lock until it clicks into place. A clicking sound can be heard when locked.
•After locking, turn the lock slightly to ensure that it does not rotate.
•The instrument now CANNOT be raised for height adjustment and will remain in a closed position for transport.
ALWAYS CHECK THE LOCK BEFORE LIFTING INSTRUMENT FOR TRANSPORT.
Height Adjustment
The height adjustment is designed for patient comfort. The Titmus VSeries can be adjusted to fit children and adults of
varying heights in a standing or seated position. This is essential for accurate testing.
The instrument height can be adjusted by the operator or the patient.
To adjust the height, refer to the image.
1
234
1

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Titmus V4 / Titmus V2
Operation of the Vision Screener (continued)
Operating the Far/Near Lever
1. Operator is seated on the right side of the instrument.
2. To move the lever from FAR to NEAR and back, move the lever as shown.
FAR VISION TESTING (20 feet) NEAR VISION TESTING (14”)
For Near Vision Testing:
This applies especially for patients who wear bifocals, multifocals or progressive lenses.
1. Ask the patient to place hands on the instrument as shown.
2. Ask patient to use thumbs to raise glasses until he/she is viewing the slide through the
proper part of his/her lens for reading.
3. Ensure that the patient is comfortable.
Intermediate Vision Testing & Using Plus Lens
•Ensure lever is in FAR position. Place lens in the
holder.
•The lens must be inserted in the slot with the label
facing the front of the instrument.
•Perform test.
•REMOVE lens upon completion of test.
CAUTION: Do not turn the FAR/NEAR lever while
the lens is in the instrument. This may damage
the instrument.
Using Plus Lens:
The plus lens must be inserted in the slot with the label
facing the front of the instrument.
•The Plus Lens, +1.75, is used with the Acuity Test
for children. Other plus lenses are also available as
optional accessories.
•Standard testing procedure requires that acuity test is administered first. If child demonstrates poor visual acuity
(20/40), it is unnecessary to administer the Plus Lens Test. If the child demonstrates 20/30 or 20/20, administer
the Plus Lens Test.
•Children with normal vision will be unable to read the 20/20 line through the Plus Lens. If a child can read the
20/20 line through the Plus Lens, then result is FAIL. Blurred vision through Plus Lens is normal, clear distance
vision is abnormal and can indicate excessive farsightedness. This test is very important for school age children.

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Titmus V4 / Titmus V2
N O
P
Q
R
S
T
U
V
Operation of the Vision Screener (continued)
Operating the Titmus V4 using the Control Panel
Connect the panel to the vision screener using the cord shown.
Control Panel Operating switches
N
Light source condition
Normally in a steady state.
Note: On start-up, this indicator flashes for approximately 1 minute then
becomes steady – this indicates that minimum illumination level is reached in
order to start testing.
If this indicator keeps flashing continuously, light module needs to be replaced.
O
Test distance - near, intermediate or far
Indicates the test distance,
Book: NEAR at 14”
Computer: Intermediate (based on the lens used,
between 19”-40”)
Mountain: FAR at 20 feet
P
Peripheral vision screening (horizontal only)
Use the button with arrows to select left or right eye to be
tested.
Use the buttons with numbers - 85, 70, 55 and N to
operate the lights at 85°,70°,55° and Nasal (45°) for
peripheral vision testing.
Q
Day or night illumination condition
Press button with the image of the sun for daylight vision
testing. This is the default illumination level.
Press button with the image of the moon for night vision
testing.
R
Test Slide position
Number indicates the Test Number. Refer to your Slide Information Brochure for tests at each position.
S
Test Slide advance/reverse
Select “+” to advance to next test, “-” to go back to previous test.
T
Reset control panel
This will reset the instrument and all buttons on the control panel to the initial start-up condition of the
instrument. Test Slide drum will reset to Test No. 1.
U
Occlude each eye, light ON indicates eye being tested
These buttons activate Occlude Shutters that occlude each eye (clicking sound).
Indicator light ON indicates that the eye is being tested.
If indicator light is OFF, eye is occluded.
Left button is for Left Eye, Right button is for the Right Eye.
V
Head position indicator/sensor deactivate
Indicates if the head of patient is correctly positioned. If no indication, head is not correctly positioned.
Note: To override the head sensor, press the button, light on indicator will start flashing. This indicates that the
head sensor has been deactivated. Use ONLY if patient tends to move head causing the test slide illumination to
go ON/OFF. Override may be used with younger children who tend to squirm when testing.

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Titmus V4 / Titmus V2
N
O
Operation of the Vision Screener (continued)
Operating the Titmus V2
G
Wheel to advance/reverse test slides
Indicates test slide position
Correct Position of wheel Incorrect Position of wheel
I
Membrane switches
N
Occlude each eye, light ON indicates eye being tested
These buttons activate Occlude Shutters that occlude each eye
(clicking sound).
Indicator light ON indicates that the eye is being tested.
If indicator light is OFF, eye is occluded.
Left button is for Left Eye, Right button is for the Right Eye.
O
Peripheral vision screening (horizontal only)
Use the button with arrows to select left or right eye to be
tested.
Use the buttons with numbers - 85, 70, 55 and N to operate
the lights at 85°,70°,55° and Nasal (45°) for peripheral
vision testing.
G
I

Titmus V4 / Titmus V2
Testing using the Vision Screener
Preparation for Testing
1. Place the instrument on a table of conventional height with sufficient top area to permit test administrator to
manipulate controls and record results.
2. Unlock height adjustment lock. See section Unlock/Lock the instrument for height adjustment.
3. Titmus V4: Connect panel to instrument using panel cord.
No connection needed for the Titmus V2.
4. Connect power cord to instrument and turn switch ON.
5. Test all control switches to ensure proper operation.
6. Check lenses to ensure they are clean. Use cleaning towlettes or fog cloths (if lens are fogging).
7. Place record forms and other accessories near the instrument, ready for use.
8. Avoid positioning the instrument where strong glaring light will shine directly into the instrument or into the
subject’s face.
9. Clean the headrest foam and the front of the instrument.
CAUTION: Ensure that the headrest foam and instrument front is cleaned prior to testing another
patient. This is to prevent the spread of diseases or infections.
10. The patient should be seated comfortably. See section Patient Positioning.
11. Raise the instrument for comfortable viewing, based on patient height. Move instrument up/down. See section
Height Adjustment.
12. Ensure lever is in FAR position.
13. Follow the Slide Information Brochure and Record Form provided with specific models for test sequencing and
recording.
Patient Positioning
•Patient must be comfortably seated or standing.
•Ensure forehead is placed on headrest.
•Ensure that back is straight and neck is not tilted backwards.
•Do not let patient continue looking at slide after test is finished.
•Proceed to next test.
Peripheral Vision Testing
Refer to the sections Titmus V4 Control Panel and the Titmus V2 Membrane Switches, for location of peripheral vision
testing control switches.
1. When the instrument is switched ON, the LEFT EYE light will come on first. On the button with arrows, light next
to LEFT arrow will be lit.
2. The LEFT EYE can now be tested for Horizontal Peripheral Vision.
3. Press 85, 70, 55 to operate the lights at 850, 700, 550 in the Temporal field.
4. Press N to operate the light at 450 in the Nasal field.
5. Press the button with arrows to test RIGHT EYE for Horizontal Peripheral Vision test. The light next to RIGHT arrow
will be lit, light next to LEFT arrow will go off.
6. Repeat the process with the 85, 70, 55 and N for the RIGHT EYE.
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Titmus V4 / Titmus V2
Testing & Interpretation of the Test results
Please refer to the “Slide Information Brochure” supplied with your instrument for the various tests.
The Slide Information Brochure has information about how to perform each test, recording the test results and
interpretation of the test results. See samples below.
Recording the Test results
Please refer to the Slide Information Brochure & Record Forms supplied with your instrument. Sample forms are shown
below.
Top section Fill with appropriate information about the patient
Pass/Fail tests Insert a check in the appropriate columns
Acuity tests Insert a check in the appropriate box OR
Circle the appropriate acuity level OR
Write in the appropriate box as “20/20”
Other tests (depth perception, color, muscle balance etc.)
Draw a diagonal line through the final response OR circle the final response
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Titmus V4 / Titmus V2
Instrument Transport
Disconnect the power cord.
For Titmus V4: Disconnect control panel.
Refer to the Section ‘Unlock/Lock the instrument for height adjustment’.
CAUTION: Ensure the height adjustment lock is engaged prior to
lifting the instrument. This will prevent the instrument from
swinging open when carrying.
Instrument can be carried using the back pocket as shown.
Instrument can be put into the carrying case for transport.
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Titmus V4 / Titmus V2
Cleaning / Storing the Instrument
•See accessory case provided with the instrument.
•Lens cleaning towlettes are supplied for cleaning the viewing lenses. Fog cloths are supplied to prevent the
viewing lenses from fogging.
CAUTION: DO NOT PUT FINGERS IN EYES OR MOUTH AFTER USING THE CLEANING TOWLETTE OR FOG CLOTH.
Eye Contact: wash eyes with cold water, get fresh air
Skin Contact: wash with water
Ingestion: Gastric irritation and vomiting. Do not induce vomiting, give plenty of water and consult a physician.
Prevent aspiration of vomited material induced by ingestion of product.
After first aid, get appropriate in-plant, paramedic, or community medical support.
Refer to MSDS sheets for both products for detail information. MSDS sheets are available upon request.
•Soft foam headrest may be repeatedly cleaned using a
disinfectant solution. This practice is recommended
between the testing of each subject.
•The exterior of the instrument may be easily cleaned
with a soft cloth dampened in a mild solution of soap
and water.
•Test Slides are in a completely enclosed module, hence
cleaning is rarely required. If required, slides may be
cleaned utilizing a household-type glass cleaner.
Remove slides before cleaning. Do not use abrasives as
they will damage the slide.
•Do not immerse slide in cleaning solution. Dampen soft
cloth with solution and gently wipe clean. Dry the slides
with a soft cloth or tissue.
Dust Cover: Use dust cover to protect the instrument and prevent dust accumulation when not in use.
Maintenance of the Vision Screener
Recommended Service Schedule
•Clean/disinfect the headrest foam: AFTER EACH PATIENT OR AS REQUIRED
•Clean the front surface of the unit: AFTER EACH PATIENT OR AS REQUIRED
•Inspect Instrument: DAILY
•Clean front test lens: DAILY
•Clean outside of instrument: WEEKLY
•Clean test slides: MONTHLY
•Replace Light Module: AS INDICATED BY THE CONTROL PANEL OR IF TESTS SEEM VERY DIMLY LIT
Replacing Light Module
Please contact a Service Center for replacing the light module. To find out your nearest Service Center, please call 1-800—
446-1802 or [phone].
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Titmus V4 / Titmus V2
Maintenance of the Vision Screener (continued)
Changing Slides
CAUTION: FIRST UNPLUG THE INSTRUMENT.
1. Remove top cover by unlatching tabs at the back. To do this, reach into the back pocket and press on the tabs
inside. The top cover will pop open towards the back as shown in the image. Remove the top cover.
2. The slide drum will now be visible.
3. Roll the rubber ring at the center of the drum to the side.
4. Pull on the tab towards the gear side of the drum. This will cause the slide to pop up from one side.
5. Remove and replace with new slide.
6. Insert new slide with the arrow pointing in the direction of the other slides in the drum. Securely place into
slide frame, slide will snap into place.
7. Ensure that the rubber ring is at the center of the drum.
8. Put top cover in place ensuring that the tabs at the front of the unit are correctly positioned.
9. Snap top cover in place by pressing on the top. Ensure that the back of the top cover is correctly closed.
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Titmus V4 / Titmus V2
Replacing the Fuse
Tool required: Flat head screwdriver.
CAUTION: FIRST UNPLUG THE INSTRUMENT.
A safety feature on the fuse holder will disconnect the power if instrument is inadvertently left plugged in. Follow
the steps in reverse to assemble.
Steps:
1. Use screwdriver to snap open the tab on the power module.
2. Use screwdriver to remove the fuse assembly by pulling it outwards.
3. Replace both fuses.
4. Follow steps in reverse to reassemble.
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