Topcon SP-1P User manual

USER MANUAL
SPECULAR MICROSCOPE
SP-1P

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INTRODUCTION
Thank you for purchasing the TOPCON Specular Microscope SP-1P.
INTENDED USE / INDICATIONS FOR USE
The Topcon Specular Microscope SP-1P is a non-contact ophthalmic microscope, optical
pachymeter, and camera intended for examination of the corneal endothelium and for mea-
surement of the thickness of the cornea.
FEATURES
This instrument features the following:
• The position of the touch panel can be adjusted to accommodate the operator's preferred
position.
• Photography of the corneal endothelium and the measurement of the corneal thickness can
be performed.
• The auto-alignment function ensures quick and easy measurement and photography.
• The cell analysis enables the user to easily get the value of the cell density.
PURPOSE OF THIS MANUAL
This User Manual provides an overview of the basic operation, troubleshooting, checking,
maintenance and cleaning of the TOPCON Specular Microscope SP-1P.
To get the best use of the instrument, read Safety Displays and Safety Cautions.
Keep this Manual at hand for future reference.
• Since this product is a precision instrument, always use and keep it in a normally controlled
living environment, within a temperature range of 10-40°C, humidity levels between 30-90%
and an atmospheric pressure range of 700hPa-1,060hPa.
• The instrument should also be placed away from direct sunlight.
• To ensure smooth operation, install the instrument on a level floor free of vibrations. Also, do
not place anything on the instrument.
• Connect all cables properly before using.
• Use the power at a rated voltage.
• When not in use, switch off the power source and apply the rubber cap and dust cover.
• For accurate Photographing image, take care to keep the Photographing window clean and
free of fingerprints, spots and dust.
[CAUTION] Federal laws restricts this device to the sale by or on the order of a physician.

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Since this product partly uses a program derived from IPA Font, using the product is regarded as
consent to the IPA Font License Agreement v1.0.
For the IPA Font License Agreement v1.0, the following URL.
http://ipafont.ipa.go.jp/ipa_font_license_v1.html
1. No part of this manual may be copied or reprinted, in whole or in part, without prior written permission.
2. The contents of this manual are subject to change without prior notice and without legal obligation.
3. The contents of this manual are correct to the best of our knowledge. Please inform us of any ambiguous or
erroneous descriptions, missing information, etc.
4. Original Instructions
This manual was originally written in English.
©2013 TOPCON CORPORATION
ALL RIGHTS RESERVED

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CONTENTS
INTRODUCTION .....................................................................................................................1
GENERAL SAFETY INFORMATION.......................................................................................6
HOW TO READ THIS MANUAL ..............................................................................................8
GENERAL MAINTENANCE INFORMATION ..........................................................................8
USER MAINTENANCE............................................................................................................8
CLEANING OF PHOTOGRAPHING WINDOW..............................................................8
DISCLAIMERS.........................................................................................................................8
DISPLAYS AND SYMBOLS FOR SAFE USE .........................................................................9
DISPLAYS ......................................................................................................................9
SYMBOLS................................................................................................................................9
POSITIONS OF WARNING AND CAUTION INDICATIONS .................................................10
COMPONENTS
COMPONENT NAMES..........................................................................................................11
COMPOSITION OF PARTS WHICH CONTACT THE HUMAN BODY .................................11
OPERATION METHOD OF CONTROL PANEL....................................................................12
CONTROL PANEL COMPONENTS......................................................................................13
PATIENT SCREEN (DICOM WORK LIST) ..................................................................13
PATIENT SCREEN (ID INPUT)....................................................................................14
HOW TO INPUT A PATIENT ID...................................................................................15
PHOTOGRAPHY SETTING SCREEN .........................................................................17
PHOTOGRAPHING POSITION (SHOWING POSITION OF FFIXATION TARGET)
SELECTING SCREEN .................................................................................................18
CAPUTER SCREEN.....................................................................................................19
PHOTOGRAPHING RESULT SCREEN.......................................................................20
MANUAL EDITING SCREEN .......................................................................................21
THE CHECKING SCREEN IN THE MIDDLE OF PANORAMA PHOTOGRAPHY.......22
RESULT SCREEN FOR PANORAMA PHOTOGRAPHY ............................................22
LIST OF PRINTING ITEMS SCREEN..........................................................................24
PRINTER OUTPUT ...............................................................................................................25
STANDARD ACCESSORIES ................................................................................................27
PREPARATIONS
INSTALLATION .....................................................................................................................28
CONNECTING POWER CABLE ...........................................................................................28
CONNECTING EXTERNAL I/O TERMINALS .......................................................................29
DATA OUTPUT ............................................................................................................29
IMAGEnet .....................................................................................................................30
DATA INPUT ................................................................................................................30
PRINTER PAPER SETTING .................................................................................................31
RECOVERY FROM POWER SAVE STATUS.......................................................................33
ADJUSTING THE CONTROL PANEL POSITION.................................................................33
BASIC OPERATIONS
OPERATION FLOW CHART .................................................................................................34
PREPARATION BEFORE PHOTOGRAPHING (SEQUENCE COURSE) ............................35
TURN THE POWER ON. SET PATIENT ID.................................................................35
SELECT PHOTOGRAPHY POINT AND PATIENT'S EYE...........................................36
PREPARATION OF PATIENT......................................................................................37
PHOTOGRAPHY AND ANALYSIS RESULT DISPLAY ........................................................39
ALIGNMENT AND PHOTOGRAPHY ...........................................................................39
IN MANUAL ALIGNMENT ............................................................................................42

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PRINT-OUT OF PHOTOGRAPHING DATA..........................................................................44
DATA OUTPUT......................................................................................................................44
OPERATION OF AFTER USE...............................................................................................45
OPTIONAL OPERATIONS
FREE STYLE COURSE PHOTOGRAPHY............................................................................46
PANORAMA PHOTOGRAPHY .............................................................................................48
DISPLAYING THE PATIENT ID (PATIENT No.) OR OPERATOR ID ...................................50
FOR DICOM WORK LIST ............................................................................................50
FOR ID INPUT..............................................................................................................50
CELL ANALYSIS IN EDITING MODE ...................................................................................51
OUTPUT TO IMAGEnet SYSTEM.........................................................................................53
INPUT USING USB ...............................................................................................................54
OUTPUT USING LAN............................................................................................................54
SETTING FUNCTIONS ON SETUP SCREEN
OPERATING THE SETUP SCREEN.....................................................................................55
PREPARATONS FOR SETTING .................................................................................55
OUTLINE OF SETUP SCREEN OPERATIONS...........................................................56
RETURNING TO THE MEASUREMENT SCREEN .....................................................58
LIST OF SETUP ITEMS ........................................................................................................59
INITIAL SETTINGS.......................................................................................................59
INTERNAL PRINTER ...................................................................................................60
EXTERNAL PRINTER..................................................................................................61
NETWORK SETTINGS ................................................................................................61
OPERATOR SETTINGS...............................................................................................63
TROUBLESHOOTING
TROUBLE-SHOOTING OPERATIONS .................................................................................64
MESSAGE LIST ...........................................................................................................64
TROUBLE-SHOOTING OPERATIONS........................................................................66
SPECIFICATIONS AND PERFORMANCE
SPECIFICATIONS AND PERFORMANCE ...........................................................................67
GENERAL INFORMATION ON USAGE AND MAINTENANCE
INTENDED PATIENT POPULATION ....................................................................................68
INTENDED USER PROFILE .................................................................................................68
ENVIRONMENTAL CONDITIONS OF USE ..........................................................................68
STORAGE, USAGE PERIOD ................................................................................................68
ENVIRONMENTAL CONDITIONS FOR PACKAGING IN STORAGE ..................................68
ENVIRONMENTAL CONDITIONS FOR PACKAGING IN TRANSPORTATION...................69
ELECTRIC RATING...............................................................................................................69
SAFETY DESIGNATIONS PER IEC 60601-1 STANDARD ..................................................69
DIMENSIONS AND WEIGHT ................................................................................................69
OPERATION PRINCIPLE.....................................................................................................70
CHECKPOINTS FOR MAINTENANCE .................................................................................71
DISPOSAL .............................................................................................................................71
ELECTROMAGNETIC COMPATIBILITY...............................................................................72
REQUIREMENTS FOR THE EXTERNAL DEVICE...............................................................75
PATIENT'S ENVIRONMENT .................................................................................................76
REFERENCE
OPTIONAL ACCESSORIES..................................................................................................77
SHAPE OF PLUG ..................................................................................................................77
MAINTENANCE
MAINTAINING ACCURACY ..................................................................................................78
PHOTOGRAPHING WINDOW.....................................................................................78
BRIGHTNESS ADJUSTMENT OF CONTROL PANEL................................................78

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DAILY CHECKUPS................................................................................................................78
DAILY MAINTENANCE ................................................................................................78
ORDERING CONSUMABLE ITEMS ............................................................................78
USER MAINTENANCE ITEM .......................................................................................79
MANUFACTURER MAINTENANCE ITEMS ................................................................79
PRINTER PAPER JAM.................................................................................................80
SUPPLYING THE CHINREST TISSUE........................................................................81
MAINTENANCE.....................................................................................................................82
CLEANING THE INSTRUMENT...................................................................................82
CLEANING THE PHOTOGRAPHING WINDOW GLASS ............................................82
CLEANING THE COVER .............................................................................................83
CLEANING THE CONTROL PANEL............................................................................83
CLEANING THE FOREHEAD REST AND CHIN REST...............................................83
SP-1P SOFTWARE LICENSE TERMS ....................................................................................84

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GENERAL SAFETY INFORMATION
WARNINGS
Ensuring the Safety of Patients and Operators
When operating the instrument, do not touch the patient's eye or nose.
Handling the cord on this product or cords associated with accessories sold with this product, will expose you to
lead, a chemical known to the State of California to cause birth detects or other reproductive harm. Wash hands
after handling.
Preventing Electric Shocks and Fires
To avoid fire and electric shock, install the instrument in a dry place free of water and other liquids.
To avoid fire and electric shock, do not put cups or other containers with liquids near the instrument.
To avoid electric shocks, do not insert metal objects into the instrument body through the vent holes or gaps.
To avoid fire in the event of an instrument malfunction, immediately turn OFF the power switch " " and discon-
nect the power plug from the outlet if you see smoke coming from the instrument, etc. Don't install the instrument
where it is difficult to disconnect the power plug from the outlet. Ask your dealer for service.

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CAUTIONS
Ensuring the Safety of Patients and Operators
To avoid injury when operating the up/down button for the chinrest, be careful not to catch the patient's fingers.
The light emitted from this instrument involves potential risk; the longer the irradiation time, the more risk of dam-
age to the eye.
When the instrument operates with the maximum light volume, exposure for more than 2 hours will exceed the
safety guideline.
If a symptom of photosensitive epilepsy appears in a patient during photography, please stop photography imme-
diately.
Preventing Electric Shocks and Fires
To avoid injury by electric shock, do not open the cover. For repair, call your service engineer.
Electromagnetic Compatibility (EMC)
This instrument has been tested (with 100/120/230V) and found to comply with IEC60601-1-2:Ed.3.0:2007. This
instrument radiates radio frequency energy within standard and may affect other devices in the vicinity. If you
have discovered that turning on/off the instrument affects other devices, we recommend you change its position,
keep a proper distance from other devices, or plug it into a different outlet. Please consult your authorized dealer
if you have any additional questions.

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HOW TO READ THIS MANUAL
• Read the instructions on pages 1 to 10 before using the machine.
• Regarding connection to various devices, see "CONNECTING EXTERNAL I/O TERMINALS" on
page 29.
• If you would like an overview of the system, begin by reading "BASIC OPERATIONS"(page 34).
• For setting various functions, see "SETTING FUNCTIONS ON SETUP SCREEN" on page 55.
GENERAL MAINTENANCE INFORMATION
USER MAINTENANCE
To maintain the safety and performance of the equipment, never attempt to repair or perform maintenance.
These tasks should be performed by an authorized service representative.
Maintenance tasks that can be performed by the user are as follows; for details, follow the manual’s instruc-
tions.
CLEANING OF PHOTOGRAPHING WINDOW
For details, See "CLEANING THE PHOTOGRAPHING WINDOW GLASS" on page 82.
DISCLAIMERS
• TOPCON is not responsible for damage due to fire, earthquakes, actions or inactions of third persons or other
accidents, or damage due to negligence and misuse by the user and any use under unusual conditions.
• TOPCON is not responsible for damage derived from inability to properly use this equipment, such as loss of
business profits and suspension of business.
• TOPCON is not responsible for damage caused by operations other than those described in this User Manual.
• The device does not provide a diagnosis of any condition or lack thereof or any recommendations for appropri-
ate treatment. The relevant healthcare provider is fully responsible for all diagnosis and treatment decisions
and recommendations.