Icare Home Användarmanual

EN INSTRUCTION MANUAL FOR HEALTH CARE PROFESSIONALS

DE BEDIENUNGSANLEITUNG FÜR MEDIZINISCHES

FACHPERSONAL

ES MANUAL DE INSTRUCCIONES PARA PROFESIONALES

SANITARIOS

IT MANUALE DI ISTRUZIONI PER PROFESSIONISTI SANITARI

SV ANVÄNDARHANDBOK FÖR VÅRDPERSONAL

FI KÄYTTÖOHJE TERVEYDENHUOLLON AMMATTILAISELLE

NO BRUKSANVISNING FOR HELSEPERSONELL

PL INSTRUKCJA OBSŁUGI DLA PRACOWNIKÓW OPIEKI

ZDROWOTNEJ

DA BRUGERMANUAL FOR SUNDHEDSPERSONALE

PT MANUAL DE INSTRUÇÕES PARA PROFISSIONAIS DA SAÚDE

NL GEBRUIKSAANWIJZING VOOR MEDISCH PERSONEEL

FR MODE D’EMPLOI À L’ATTENTION DES PROFESSIONNELS

DESSOINS DE SANTÉ

TA022-088-1.0

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Icare HOME tonometer Instruction manual for health care professionals

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English

Icare HOME tonometer Instruction manual for health care professionals

ENGLISH

1. Safety instructions............................................................................................1

2. Indications for use............................................................................................2

3. Contraindications .............................................................................................2

4. Warning .............................................................................................................2

5. Precaution .........................................................................................................3

6. Introduction ......................................................................................................3

7. Package contents .............................................................................................3

8. Before you start ................................................................................................3

9. Setting up the tonometer ................................................................................4

9.1 Installing or changing the battery ........................................................4

9.2 Turning the tonometer on ...................................................................4

9.3 Loading the probe ..................................................................................4

10. Using the tonometer ........................................................................................5

10.1 Choosing the measurement mode ......................................................5

10.2 Adjusting the measurement position ..................................................5

10.3 Automatic eye recognition ....................................................................5

10.4 Taking the measurements ....................................................................5

11. Reading the measurement data .....................................................................6

12. Troubleshooting ...............................................................................................6

13. Replacing the probe base................................................................................7

14. Cleaning the probe base .................................................................................8

15. Cleaning and disinfection ................................................................................8

16. Accessories ........................................................................................................8

17. Lifetime ..............................................................................................................8

18. Technical and performance data ...................................................................8

19. Symbols .............................................................................................................9

20. Electromagnetic declaration ........................................................................ 10

21. Training ........................................................................................................... 12

1

English

Icare Finland Oy

Äyritie 22, 01510 Vantaa

Tel. +358 9 8775 1150, Fax +358 9 728 6670

www.icaretonometer.com, info@icarenland.com

1. SAFETY INSTRUCTIONS

WARNING!

Do not push the tonometer into the eye (the tip of the probe should be 4-8mm, or

5/32-5/16”, from the eye).

WARNING!

Keep the tonometer out of the reach of children, because the probe base, battery

compartment cover and probes are so small that a child could swallow them.

WARNING!

The probe tips are for single-use only, and are packaged sterile.

WARNING!

To prevent contamination, do not touch the bare probe, do not use a probe if it

touches a non-sterile surface like a table or a oor.

WARNING!

Health care professionals must inform patients not to modify or discontinue their

treatment plan without receiving instructions from the health care professional.

WARNING!

For cybersecurity do not connect to the USB port except when uploading

patient measurement data. Also the tonometer does not allow you to take any

measurements when the USB is connected. All other traditional cybersecurity

controls (anti-virus software, malware software, separate network for the device,

etc.) do not apply since the device is stand alone, is not networked, and does not

contain operating system software.

WARNING!

Do not change the batteries or probe base when the USB cable is connected.

WARNING!

No modication of this equipment is allowed.

WARNING!

Use only the original and certied probes made by the manufacturer. The probes

are for single-use (single pair of measurement sequences) only. Use probes taken

only from the intact, original packaging. The manufacturer cannot guarantee

sterility of the probe once the seal is compromised. Re-sterilization or re-use

of the probe could result in incorrect measurement values, in the breakdown

of the probe, cross-contamination of bacteria or viruses, and infection of the

eye. Re-sterilization or re-use will void all responsibilities and liabilities of the

manufacturer concerning the safety and eectiveness of the tonometer.

WARNING!

Use of accessories, transducers and cables other than those specied or provided

by the manufacturer of this equipment could result in increased electromagnetic

emissions or decreased electromagnetic immunity of this equipment and result in

improper operation.

ENGLISH

Icare

®

HOME (Model: TA022) INSTRUCTION MANUAL

The information in this document is subject to change without prior notice.

In a conflict situation the English version prevails.

This device complies with: Medical Device Directive 93/42/EEC

Canadian Medical Device Regulations

RoHS Directive 2011/65/EU

Made in Finland

0598

2

Icare HOME tonometer Instruction manual for health care professionals

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.

PRECAUTION!

• When you have opened the package, check for any external damage or faults,

particularly for damage to the case. If you suspect that there is something wrong

with the tonometer, contact the dealer who sold the tonometer to you.

• Use the tonometer only for measuring intraocular pressure. Any other use

is improper and the manufacturer is not liable for any damage arising from

improper use, or for the consequences of such use.

• Never open the casing of the tonometer, except for the battery compartment.

• Never allow the tonometer to get wet.

• Do not use the tonometer near ammable substances, including ammable

anesthetic agents.

• Certain microbiological agents (for example, bacteria) can be transmitted from

the forehead or cheek support. To prevent this, clean the forehead and cheek

support for each new patient with disinfectant. See the chapter ‘Cleaning and

disinfection’.

• The tonometer conforms to EMC requirements (IEC 60601-1-2), but interference

may occur within the tonometer if used near (<1m) a device causing high

intensity electromagnetic emissions, such as a cellular phone. Although the

tonometer’s own electromagnetic emissions are well below the levels permitted

by the relevant standards, they may cause interference in other, nearby devices,

for example sensitive sensors.

• If you do not use the tonometer for a long time, remove the batteries, as they

may leak.

• Be sure to dispose of the single-use probes properly (for example, in a bin for

metal waste).

• Batteries, packaging materials and probe bases must be disposed of according

to local regulations.

• Make sure you use batteries with built-in PTC protection, for example Energizer

Lithium Photo 123 3V CR123A.

• Do not cover the eye recognition transmitters or sensor during the

measurement, for example with your ngers. Keep your hand, hair etc. and

objects such as pillows away from the temple side of your eye, as they produce

an infrared reection that causes an error.

• The tonometer turns o automatically after 3 minutes if you do not use it.

• Update the tonometer’s time to your local time. It is done automatically by

performing the steps 1 and 2 under section 11. Reading the measurement data.

2. INDICATIONS FOR USE

The Icare HOME tonometer is a prescription device intended for monitoring of

intraocular pressure (IOP) of the human eye. It is indicated for use by patients

or their caregivers under supervision of an eye care professional.

3. CONTRAINDICATIONS

Patients with any of the following conditions should not be prescribed the

HOME tonometer:

1. Active ocular infection including infectious conjunctivitis

2. Recent ocular trauma including corneal laceration or corneal/scleral

perforation

3. Disabling arthritis or limited motor coordination aecting self-handling

of the Icare tonometer

4. Blepharospasm

5. Nystagmus

4. WARNING

Patients with the following conditions are generally not eligible for use of the

HOME tonometer as they have the potential to introduce unsafe conditions

during use or to impair measurement acquisition:

1. Uncorrected near visual acuity of 20/200 or worse

2. Only one functional eye

3. Poor or eccentric xation

4. Hearing impairment to the extent that the individual cannot hear and

converse with others without an assistive aid and/or sign language

3

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5. Contact lens use

6. Dry eyes

7. Keratoconus

8. Microphthalmos

9. Buphthalmos

10. Cataract extraction within last 2 months

5. PRECAUTION

The safety and eectiveness of the Icare HOME tonometer has not been

evaluated for patients with:

1. High corneal astigmatism >3d

2. History of prior incisional glaucoma surgery or corneal surgery including

corneal laser surgery

3. Corneal scarring

4. Central corneal thickness greater than 0.60mm or less than 0.50mm

5. Known history of diculty in obtaining Goldmann IOP measurements

or any factors that might contribute to inaccurate Goldmann IOP

measurements (e.g. lid squeezing or tremor)

6. INTRODUCTION

The Icare HOME tonometer is a hand-held device for self-use. The great

advantage is that a topical anesthetic is not needed.

The tonometer uses the rebound method. A small and light single-use

probe makes contact with the eye very briey. The tonometer measures the

deceleration of the probe and the rebound time, and calculates the IOP from

these parameters.

A measurement sequence includes six measurements. The probe moves

to the cornea and back during every measurement. As a result, after the

six measurements the tonometer calculates the nal IOP and stores it with

other information in the tonometer’s memory, including date, time, eye

identication (right or left) and measurement quality.

The Icare HOME tonometer can record over one thousand measurement

results. You can copy the recorded measurement information to a PC through

a USB cable for management of your glaucoma patients.

7. PACKAGE CONTENTS

The package contains:

• Icare HOME tonometer

• 10 sterilized single-use probes

• 2 batteries

• USB memory stick including the instruction manual for health care

professionals and the Icare LINK software

• USB cable for connecting the Icare HOME tonometer to a PC with Icare LINK

software

• Instructions for downloading the Icare LINK software and registration of

thetonometer

• Patient guide

• Support position tags

• Warranty card

• Carrying case

• Wrist strap

• Probe base cleaning container

8. BEFORE YOU START

Find the main parts, buttons and indicator lights of the tonometer. The gures are

located at the beginning of this document.

FRONT PARTS (Figure 1)

6. Probe base incorporating indicator light

7. Eye recognition transmitter

8. Eye recognition sensor

9. Cheek support

10. Forehead support

4

Icare HOME tonometer Instruction manual for health care professionals

TOP PARTS (Figure 2)

11. Measurement button

12. Forehead support position indicator

SIDE PARTS (Figure 3)

13. Forehead support adjustment wheel

14. Cheek support adjustment wheel

BOTTOM PARTS (Figure 4)

15. Battery cover

16. Silicone lid (USB cover)

17. Type label

BACK PANEL (Figure 5)

18. Measurement button

19. LOAD light

20. MEASURE light

21. REPEAT light

22. DONE light

23. SERVICE light

24. BATTERY light

25. POWER button

9. SETTING UP THE TONOMETER

Setting up your Icare HOME tonometer is easy, with few steps. The following

subchapters describe how you get started.

9.1 INSTALLING OR CHANGING THE BATTERY

Lift the silicone lid that protects the USB port and keeps the battery

compartment cover in place. Open the battery compartment cover by

pressing the silicone lid slightly and sliding the battery compartment cover

asshown in the Figure 6.

1. Silicone lid

2. Battery cover

Insert two CR123A lithium batteries in the correct order: (+) end upwards as

shown in the gure left. Close the cover rmly and press the silicone lid in

place to cover the USB port.

9.2 TURNING THE TONOMETER ON

Press the power button (20) to turn the tonometer on. The lights (14-19) are

turned on briey. Following a brief pause, the Load light ashes on the back

panel to remind the user to load the single-use probe into the tonometer prior

to measurement.

9.3 LOADING THE PROBE

The Icare HOME tonometer uses single-use probes that are packed in a plastic

tube and wrapped in blister packs as shown in the Figures 8 and 9.

To load the probe:

1. Unwrap the probe (Figure 10).

2. Remove the lid of the probe container as shown in the Figure 11. Point

the tonometer upward.

3. Drop the probe into the probe base by turning the probe container

upside down as shown in the Figure 12.

4. Press the measurement button briey (1 second) to activate the probe

(Figure 13).

5. The probe moves rapidly back and forth (Figure 14).

6. If the green Measure light ashes, the probe is loaded correctly and ready

for measurement (Figure 15).

5

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10. USING THE TONOMETER

10.1 CHOOSING THE MEASUREMENT MODE

The tonometer can operate in two modes:

Series mode

The series mode is especially useful in self-tonometry. In the series mode,

keeping the button pressed down (see Figure 16) initiates the measurement

function, and the tonometer takes six rapid measurements one after the

other to obtain the nal IOP reading. The button must be pressed for at least

3 seconds.

Single mode

You can use the single mode to take individual measurements one at a time.

The single mode is especially useful for those patients who tend to blink

heavily. Here you press the measurement button briey (1 second) for each of

the six measurements to obtain the nal IOP reading (Figure 17).

10.2 ADJUSTING THE MEASUREMENT POSITION

The tonometer has two adjustable supports (see points 4 and 5 in Figure 1), one for

the forehead and one for the cheek, as shown in Figure 18. The supports are for

ensuring accurate measurement distance and alignment.

To adjust the measurement position for your patient:

1. Adjust the supports using the adjustment wheels as shown in Figure 18.

2. Keep the probe horizontal and pointing perpendicularly to the center of

the cornea.

3. Set the distance between the tip of the probe and the center of the

cornea to be 4-8mm (5/32-5/16”) as shown in Figure 19.

4. Read the distance setting (forehead A•1, A•2, etc., cheek B•1, B•2, etc.)

between the arrows on the scale (see point 7 in Figure 2) of the supports

(see Figure 20), and write it down on a support position tag for the

patient.

5. Do the same for the other eye as well unless only one eye needs

monitoring.

6. Verify that the support positions are correct each and every time the

patient comes in for a clinic visit.

10.3 AUTOMATIC EYE RECOGNITION

The tonometer includes an automatic eye recognition system that identies

which eye, right or left, you are measuring. The system has two infrared LED

transmitters just below the probe base and one infrared LED sensor above

the probe base, as in Figure 21. The right-hand transmitter sends invisible

infrared light to the right and the left-hand transmitter to the left. The infrared

light reects from your nose to the sensor. The sensor knows from which

transmitter the reected infrared light came, and thus which eye you are

measuring. The resulting eye indication is included in the data that you can

transfer to a PC, as described in the section 11.

EYE RECOGNITION COMPONENTS (Figure 21)

1. Left and right infrared transmitter.

2. Infrared sensor.

10.4 TAKING THE MEASUREMENTS

The probe will make a gentle and brief contact with the eye when you take the

measurement. No topical anesthetic is needed. The recommended frequency

of measurements is 3-4 daily with a maximum of 5-6.

To measure intraocular pressure:

1. Check that the Measure light still ashes on the back panel.

2. If the Measure light does not ash, press the power button and wait

until the Measure light illuminates again.

3. The patient should look straight ahead at a specic point while keeping

eyes wide open as shown in Figure 22.

6

Icare HOME tonometer Instruction manual for health care professionals

4. Bring the tonometer near the eye, the probe pointing perpendicular to

the center of the cornea without a vertical or horizontal tilt. The position

is correct when the probe base light is green and appears symmetrically

in the center of the patient’s view. See Figure 23 and 24.

• Correct alignment of the tonometer (see Figure 25).

• Incorrect alignment of the tonometer (see Figure 26).

• Incorrect alignment of the tonometer. Readjust so that you see only

the front of the tonometer and the green light symmetrically in the

center of your view (see Figure 27).

5. Press the measurement button:

Single mode:

Press the button briey (1 second) and you hear a short beep, repeat it

to take one measurement at a time till you hear a long beep and see the

Done light (17) illuminated on the back panel (Figure 28).

Series mode:

Keep the measurement button down to obtain the sequence of

six measurements till you hear a long beep and see the Done light

illuminated on the back panel. The button must be pressed for at least

3seconds (Figure 29).

6. If both eyes are measured repeat steps 1-5 using your other eye.

7. If an error occurs, press the Measure button briey (1 second) and

continue the measurement. See also section 12 Trouble shooting.

8. Press the power button for three seconds to turn the tonometer o.

Theprobe slides out of the probe base.

9. Remove and discard the used probe properly.

11. READING THE MEASUREMENT DATA

The tonometer stores information on every complete measurement sequence

of six measurements. The stored information includes the calculated nal eye

pressure reading in mmHg, time and date of the measurement, identication

of the eye (right or left) and the quality level of the measurement. Uploading

is easy:

1. Start Icare LINK software in your PC (Figure 30).

2. Connect the tonometer to the PC using the USB cable. The Load and

Measure lights will ash. If no lights ash or the Service and Battery

lights ash, reconnect the USB cable.

3. The internal clock of the tonometer is automatically updated to the PC’s

time by the Icare LINK software at this point (Figure 31).

4. Copy the data to a selected patient in the Icare LINK software (Figure 32).

More information about Icare LINK software

http://www.icaretonometer.com/products/icare-link/

12. TROUBLESHOOTING

The tonometer automatically monitors and controls the measurement

position and speed of the probe during the measurements, and indicates

errors with sounds and lights. The following table instructs you in error

situations and explains what the dierent lights and sounds mean.

Theindicator lights are also presented in the gure below the table.

Error light Error

sound

Reason Action

Battery

(Figure33).

No. Battery is soon

empty.

Prepare to change batteries.

Battery light is

ashing.

No. Battery is

empty.

Change batteries.

Probe base

light is solid red

(Figure34).

No. Too much

vertical tilt.

Press the measurement

button again to clear the error

message.

Position the tonometer

horizontally so that the probe

base light is green.

7

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Error light Error

sound

Reason Action

Probe base light

is ashing red

and Measure

light turns o

(Figure35).

Two

long

beeps.

a) Probe is too

far from or too

near the eye.

b) Probe

movement

was not

perpendicular

to the cornea.

Press the measurement

button again to clear the error

message.

a) Set the correct distance

4-8mm (5/32-5/16”) between

the probe tip and the center of

the cornea.

b) Set the probe perpendicular

to the center of the cornea.

Repeat light is

ashing and

Probe base light

is ashing red

(Figure 36).

Two

long

error

beeps.

a) Too much

IOP deviation

during the

measurement,

because the

user did not

keep the

tonometer

stable.

b) Eye was not

recognized.

Press the measurement

button again to clear the error

message.

a) Repeat the measurement.

b) Do not move the tonometer

during the measurements,

remove your hand or ngers

from the infrared transmitters

and sensor, move the patient’s

hair away from his/her temple

side of the eye.

Service light is

ashing and

Probe base is

ashing red

(Figure 37).

Two

long

beeps.

Incorrect or

dirty probe or

probe base.

Change the probe, clean or

change the probe base or

contact the seller to arrange

sending the device for service.

OFF (Figure 38)

1. Lights o

INTIALIZE (Figure 39)

2. LOAD (green icon)

3. MEASURE (green icon)

4. REPEAT (yellow icon)

5. DONE (green icon)

6. SERVICE (red icon)

7. BATTERY (red icon)

LOAD PROBE (Figure 40)

8. LOAD (green icon)

MEASURE (Figure 41)

9. MEASURE (green icon)

REPEAT (Figure 42)

10. REPEAT (yellow icon)

DONE (Figure 43)

11. DONE (green icon)

SERVICE (Figure 44)

12. SERVICE (red icon)

LOW BATTERY (Figure 45)

13. BATTERY (red icon)

EMPTY BATTERY (Figure 46)

14. BATTERY (red icon)

13. REPLACING THE PROBE BASE

Replace the probe base every twelve months. Change the probe, replace or

clean the probe base if the Service light ashes.

Instructions for replacing the probe base:

• Turn o the tonometer.

• Unscrew the probe base collar and put it in a safe place.

• Remove the probe base by tilting the tonometer downwards and use your

ngers to pull the probe base out of the tonometer.

• Insert a new probe base into the tonometer.

• Screw the collar in, to lock the probe base.

8

Icare HOME tonometer Instruction manual for health care professionals

14. CLEANING THE PROBE BASE

You can reuse the probe base after careful cleaning. Clean the probe base

every six months. Change the probe, clean or replace the probe base if the

Service light ashes.

Instructions for cleaning the probe base:

• Fill the probe base cleaning container or other clean container with 70-100%

isopropyl alcohol.

• Turn the power o.

• Unscrew the probe base collar.

• Invert the probe base over the container, drop in the probe base into the

container and let soak for 5-30 minutes.

• Remove the probe base from alcohol.

• Dry the probe base by blowing clean canned or compressed air into the

hole in the probe base. This will additionally remove possible residual dirt.

• Insert the probe base into the tonometer.

• Screw the collar in, to lock the probe base.

15. CLEANING AND DISINFECTION

You must clean the forehead and cheek supports for each new patient. Use

awipe dampened with a 70-100% isopropyl alcohol solution. Do not immerse

the tonometer in water or other liquid. The tonometer must not be immersed

or cleaned using too much water.

16. ACCESSORIES

Part number Product Description Weight Dimensions

540 Probe base 4g 7 mm x 38 mm

TA022-001 Probe base collar 2g 20 mm x 15 mm

560 Wrist strap 3g 270 mm x 10 mm x 10 mm

TA022-044 Carrying case 210g 270 mm x 135 mm x 60 mm

7179 Battery cover 3g 26 mm x 23 mm x 7 mm

TA022-035 Patient guide 33g 210 mm x 90 mm x 2 mm

571 Battery 3 V, CR123A 17g 17 mm x 35 mm

TA022-037 Support position tags 40g 70 mm x 41 mm x 13 mm

575 USB cable 23g 1m

113 Probe box 55,14g 8,2 x 19,5 x 3,5 cm

543 Probe base cleaning

container

3g 5,6 cm x 2 cm

17. LIFETIME

The expected service life of the device is 5 years. The maintenance described

in the chapters 12-15 is required during the the expected service life. The shelf

life of the probes in their intact original packaging is 3 years. We recommend

that you inspect the device for mechanical and functional damage and the safety

labels for legibility annually/every 12 months.

Applicable in Germany only: Messtechnische Kontrolle nach MPG

(Medizinproduktegesetz) alle 24 Monate.

18. TECHNICAL AND PERFORMANCE DATA

Type: TA022

Dimensions: approximately 11cm x 8cm x 3cm.

Weight: approximately 150g.

Power supply: 2 x CR123 non-rechargeable batteries (make sure you use

batteries with built-in PTC protection, for example Energizer Lithium Photo

123 3V CR123A).

9

English

Measurement range: 5-50 mmHg.

Accuracy (95% tolerance interval relatively to manometry): ±1,2mmHg

(≤20mmHg) and ±2.2 mmHg (>20 mmHg).

Repeatability (coecient of variation): < 8%.

The serial number is located on the inside of the battery compartment cover.

The lot number of the probes is on the side of the probe box and the blister

packing.

There are no electrical connections from the tonometer to the patient.

The tonometer has BF-type electric shock protection.

Operation environment:

Temperature: +10 °C to +35 °C

Relative humidity: 30% to 90%

Atmospheric pressure: 800hPa – 1060hPa

Storage environment:

Temperature: -10 °C to +55 °C

Relative humidity: 10% to 95%

Atmospheric pressure: 700hPa – 1060hPa

Transport environment:

Temperature: -40 °C to +70 °C

Relative humidity: 10% to 95%

Atmospheric pressure: 500hPa – 1060hPa

Environmental restrictions for professional use include:

• Medivac vehicles or similar where vibration or noise levels are so high that

the user cannot hear error signals.

Environmental restrictions for lay operators (patients):

• Environments where noise is so high that the user cannot hear the error

signals.

Mode of operation: continuous

19. SYMBOLS

Caution

See operating instructions for

more information

BF-type device

Single-use disposable

SN

Serial number

Use by <date>

Manufacturer

Protected against insertion of ngers

and will not be damaged or become

unsafe during a specied test in

which it is exposed to vertically or

nearly vertically dripping water.

This product meets the power

requirements for a Class 1 LED

product to IEC/EN 60825-1 (2001)

under normal operating conditions

and those of single fault failure.

Keep dry

Manufacturing date

LOT

Lot number

STERILE R

Sterilized using irradiation

Stand by

Do not discard this product

with other household-type waste.

Send to appropriate facility for

recovery and recycling. EU WEEE

(European Union Directive for

Waste of Electronic and Electrical

Equipment)

10

Icare HOME tonometer Instruction manual for health care professionals

Storage environment

Transport environment

Temperature

limits

Humidity

limits

Atmospheric

pressure limits

20. ELECTROMAGNETIC DECLARATION

Icare HOME is class B equipment and needs special precautions regarding

EMC and needs to be installed and put into service according to EMC

information provided below.

Guidance and manufacturer’s declaration–Electromagnetic emissions

Icare HOME (TA022) is intended for use and should be used in the

electromagnetic environment specied below.

RF emissions CISPR 11 Group 1 Icare HOME (TA022) is battery

operated and uses RF energy only

for its internal function. Therefore,

its RF emissions are low and are not

likely to cause any interference in

nearby equipment.

RF emissions CISPR 11 Class B Icare HOME (TA022) is suitable for

use in all establishments, including

domestic establishments and

those directly connected to public

low-voltage power supply network

that supplies buildings used for

domestic purposes

Harmonic emissions

IEC 61000-3-2

NOT

APPLICABLE

Power level of Icare HOME (TA022)

is below standard requirement,

batteries are not rechargeable

Voltage uctuations

ickering emissions

IEC 61000-3-3

NOT

APPLICABLE

Icare HOME (TA022) batteries are

not rechargeable

11

English

Guidance and manufacturer’s declaration–Electromagnetic immunity

Icare HOME (TA022) is intended for use and should be used in the

electromagnetic environment specied below.

Immunity test IEC 60601 Test

level

Compliance

level

Electromagnetic

environment-

Guidance

Electrostatic

discharge (ESD)IEC

61000-4-2

± 8 kV contact

± 2kV, ±4kV, ±8kV,

±15 kV air

± 8 kV contact

± 15 kV air

Floors should be

wood, concrete or

ceramic tile. If oors

are covered with

synthetic material,

the relative humidity

should be at least

30%

Electrical fast

Transients/burst

IEC 61000-4-4

± 2 kV 100 kHz

repetition frequency

NOT

APPLICABLE

Icare HOME (TA022)

tonometer is not

operational when

connected to an

external computer,

Icare HOME (TA022)

batteries are not

rechargeable

Surge

IEC 61000-4-5

±1 kV for line(s) to

line(s)

±2 kV for line(s) to

earth

NOT

APPLICABLE

Icare HOME (TA022)

tonometer is not

operational when

connected to an

external computer,

Icare HOME (TA022)

batteries are not

rechargeable

Voltage dips, short

interruption and

voltage variations

on power supply

lines

IEC 61000-4-11

0 % UT for 0.5 cycle

(1phase)

0 % UT for 1 cycle

70 % UT for 25/30

cycles (50/60 Hz)

0 % UT for 250/300

cycles (50/60 Hz)

NOT

APPLICABLE

Icare HOME (TA022)

tonometer is not

operational when

connected to an

external computer,

Icare HOME (TA022)

batteries are not

rechargeable

Power frequency

(50/60 Hz) magnetic

eld

IEC 61000-4-8

30 A/m 30 A/m Power frequency

magnetic elds

should be at levels

characteristic of a

typical location in a

typical commercial or

hospital environment.

WARNING:

Sources of power

frequency magnetic

eld should be used

no closer than 15cm

(6 inches) to any

part of Icare HOME

(TA022), including

cables specied by

the manufacturer.

Otherwise,

degradation of the

performance could

result.

12

Icare HOME tonometer Instruction manual for health care professionals

Guidance and manufacturer’s declaration – Electromagnetic immunity

Icare HOME (TA022) is intended for use and should be used in the

electromagnetic environment specied below.

Immunity test IEC 60601

Test level

Compliance

level

Electromagnetic

environment-

Guidance

Conducted RF

IEC 61000-4-6

3 V 0,15 MHz –

80 MHz

3 V

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 the Icare

HOME (TA022),

including cables

specied by the

manufacturer.

Otherwise,

degradation of the

performance of this

equipment could

result.

6 V in ISM and

amateur radio

bands between

0,15MHz and

80MHz 80 % AM

at 1 kHz

6 V

Radiated RF

IEC 61000-4-3

10 V/m 80MHz –

2,7GHz 80% AM

at 1 kHz

10 V/m

Proximity elds

from RF wireless

communications

equipment

IEC 61000-4-3

380 - 390 MHz

27 V/ m; PM

50%; 18 Hz

27 V/m

430 - 470 MHz

28 V/m; (FM

±5kHz, 1 kHz

sine) PM; 18Hz

28 V/m

704 - 787 MHz

9 V/m; PM 50%;

217 Hz

9 V/m

800 - 960 MHz

28 V/m; PM 50%;

18 Hz

28 V/m

1700 - 1990MHz

28V/m; PM 50%;

217 Hz

28 V/m

Interference may

occur in the vicinity of

equipment marked

with the following

symbol:

2400 - 2570MHz

28V/m; PM 50%;

217 Hz

28 V/m

5100 - 5800MHz

9V/ m; PM 50%;

217 Hz

9 V/m

21. TRAINING

All health care professionals, patients and caregivers should practice the

use of the tonometer with this instruction manual or the patient guide and

a training video, or receive training from a trained professional prior to

performing tonometry.

Icare HOME-Tonometer Bedienungsanleitung für medizinisches Fachpersonal

DEUTSCH

1. Sicherheitsvorschriften ....................................................................................1

2. Verwendungszweck .........................................................................................2

3. Kontraindikationen ..........................................................................................2

4. Warnung ............................................................................................................3

5. Vorsicht ..............................................................................................................3

6. Einleitung...........................................................................................................3

7. Lieferumfang ....................................................................................................3

8. Vor dem Beginn ................................................................................................4

9. Einrichten des Tonometers .............................................................................4

9.1 Einsetzen oder Auswechseln der Batterie ..........................................4

9.2 Einschalten des Tonometers ...............................................................4

9.3 Einsetzen des Messgebers ....................................................................5

10. Nutzung des Tonometers ................................................................................5

10.1 Auswahl des Messmodus ......................................................................5

10.2 Einstellen der Messposition ..................................................................5

10.3 Automatische Augenerkennung ...........................................................5

10.4 Durchführung der Messung: ................................................................6

11. Ablesen der Messdaten ...................................................................................6

12. Fehlersuche .......................................................................................................7

13. Messgebereinsatz austauschen .....................................................................8

14. Reinigung des Messgebereinsatzes ...............................................................8

15. Reinigung und Desinfektion ............................................................................8

16. Zubehör .............................................................................................................9

17. Laufzeit ..............................................................................................................9

18. Technische und Leistungsdaten .....................................................................9

19. Symbole .......................................................................................................... 10

20. Elektromagnetische Angaben ...................................................................... 10

21. Schulung ......................................................................................................... 13

1

Deutsch

Icare Finland Oy

Äyritie 22, 01510 Vantaa

Tel. +358 9 8775 1150, Fax +358 9 728 6670

www.icaretonometer.com, info@icarenland.com

1. SICHERHEITSVORSCHRIFTEN

WARNUNG!

Drücken Sie das Tonometer nicht in das Auge (der Messkopf sollte 4-8 mm oder

5/32-5/16 vom Auge entfernt sein).

WARNUNG!

Bewahren Sie das Tonometer außerhalb der Reichweite von Kindern auf, da der

Messgebereinsatz, der Batteriefachdeckel und die Messgeber so klein sind, dass

einKind sie verschlucken könnte.

WARNUNG!

Die Messköpfe sind steril verpackt und nur zur einmaligen Verwendung

vorgesehen.

WARNUNG!

Berühren Sie den ungeschützten Messgeber nicht und verwenden Sie keine

Messgeber, die in Kontakt mit einer nicht sterilen Oberäche wie einem Tisch oder

dem Boden gekommen sind, um eine Kontamination zu vermeiden.

WARNUNG!

Medizinische Fachkräfte müssen ihre Patienten darüber informieren, dass die

Behandlung nicht ohne ärztliche Beratung abgebrochen oder verändert werden

darf.

WARNUNG!

Aus Gründen der Cybersicherheit ist eine Verbindung mit dem USB-Port nur

dann zum empfehlen, wenn die Patientenmessdaten hochgeladen werden.

DasTonometer wird es Ihnen auch nicht erlauben, Messungen vorzunehmen,

während das USB-Kabel angeschlossen ist. Alle anderen traditionellen

Cybersicherheit-Kontrollen (Antivirus-Software, Malware-Software, getrenntes

Netzwerk für das Gerät usw.) gelten nicht, da es sich um ein Einzelgerät handelt,

welches nicht vernetzt ist und keine Betriebssystemsoftware enthält.

WARNUNG!

Solange das USB-Kabel angeschlossen ist, dürfen weder die Batterien noch

derMessgebereinsatz ausgetauscht werden.

WARNUNG!

An dem Gerät dürfen keinerlei Modikationen vorgenommen werden.

WARNUNG!

Verwenden Sie nur die vom Hersteller produzierten und zertizierten

Original-Messgeber. Die Messgeber dürfen nur einmal (für ein einzelnes

Paar Messsequenzen) verwendet werden. Verwenden Sie nur Messgeber aus

unversehrten Originalverpackungen. Bei Beschädigung der Verpackung kann

dieSterilität des Messgebers nicht gewährleistet werden. Erneute Sterilisierung

oder Wiederverwendung des Messgebers kann zu falschen Messergebnissen,

Defekt des Messgebers, Kreuzkontamination durch Bakterien oder Viren

und zu einer Infektion des Auges führen. Bei erneuter Sterilisierung oder

DEUTSCH

Icare

®

HOME (Modell: TA022) BEDIENUNGSANLEITUNG

Die in diesem Dokument enthaltenen Informationen können ohne

Vorankündigung geändert werden.

Bei Widersprüchen zwischen den Sprachversionen ist die englische Fassung

maßgeblich.

Dieses Gerät entspricht: Richtlinie 93/42/EWG für medizinische Geräte

Canadian Medical Device Regulations

RoHS Directive 2011/65/EU

Hergestellt in Finnland

0598

2

Icare HOME-Tonometer Bedienungsanleitung für medizinisches Fachpersonal

Wiederverwendung verfällt die Verantwortung und Haftung des Herstellers

bezüglich der Sicherheit und Wirksamkeit des Tonometers.

WARNUNG!

Die Verwendung von Zubehör, Signalgebern und Kabeln, die nicht speziziert

oder vom Hersteller dieses Geräts zur Verfügung gestellt wurden, könnte zu

erhöhter elektromagnetischer Strahlung oder zu verminderter elektromagnetischer

Immunität dieses Geräts und zu unsachgemäßer Bedienung führen.

WARNUNG!

Die Verwendung dieses Geräts neben oder gestapelt auf anderen Geräten sollte

vermieden werden, da dies zu unsachgemäßer Bedienung führen kann. Sollte eine

derartige Verwendung notwendig sein, sind dieses Gerät und andere Geräte zu

beobachten, um deren normalen Betrieb zu überprüfen.

VORSICHT!

• Kontrollieren Sie das Gerät nach dem Önen der Verkaufspackung auf sichtbare

Schäden, insbesondere am Transportkoer. Wenden Sie sich bei Verdacht auf

Fehler am Tonometer an den Händler, der Ihnen das Tonometer verkauft hat.

• Verwenden Sie das Tonometer ausschließlich zur Messung des intraokularen

Drucks. Jegliche anderweitige Verwendung ist zweckwidrig. Der Hersteller

haftet nicht für Schäden, die aus dem unsachgemäßen Gebrauch des Geräts

resultieren, noch für die Folgen einer derartigen Nutzung.

• Önen Sie niemals das Gehäuse des Tonometers, außer des Batteriefachs.

• Lassen Sie das Tonometer nie nass werden.

• Verwenden Sie das Tonometer nicht in der Nähe brennbarer Stoe,

einschließlich brennbarer Betäubungsmittel.

• Die Stirn- oder Wangenstütze kann mikrobiologische Keime (z. B. Bakterien)

übertragen. Reinigen Sie die Stirn- und Wangenstütze für jeden neuen Patienten

mit Desinfektionsmittel, um dies zu verhindern. Siehe Kapitel "Reinigung und

Desinfektion".

• Das Tonometer entspricht den EMV-Anforderungen (IEC 60601-1-2).

Interferenzen in dem Tonometer sind jedoch möglich, falls es in unmittelbarer

Nähe (< 1 m) eines Geräts verwendet wird, das hochintensive elektromagnetische

Strahlung verursacht, z. B. Mobiltelefon. Obwohl die vom Tonometer

selbst ausgehende elektromagnetische Strahlung deutlich unter den in den

diesbezüglichen Normen zugelassenen Werten liegt, besteht die Möglichkeit von

Interferenzen mit in der Nähe bendlichen Geräten, wie z. B. empndlichen

Sensoren.

• Wenn Sie das Tonometer längere Zeit nicht benutzen, entfernen Sie die Batterien,

da sie auslaufen könnten.

• Die Einweg-Messgeber müssen nach dem Gebrauch sachgerecht entsorgt werden

(zum Beispiel in einem Metallabfallbehälter).

• Batterien, Verpackung und Messgeber müssen gemäß den örtlichen

Bestimmungen entsorgt werden.

• Verwenden Sie nur Batterien mit integriertem PTC-Schutz, zum Beispiel Energizer

Lithium Photo 123 3V CR123A.

• Decken Sie die Augenerkennungsfühler oder den Sensor während der Messung

nicht zu, zum Beispiel mit Ihren Fingern. Halten Sie Ihre Hand, Ihre Haare usw.

und Gegenstände wie Kissen von der Schläfenseite Ihres Auges fern, da sie eine

Infrarotreektion hervorrufen, die einen Fehler verursacht.

• Das Tonometer schaltet sich nach 3 Minuten automatisch ab, wenn Sie es nicht

verwenden.

• Stellen Sie die Zeit des Tonometers auf Ihre Ortszeit ein. Dies geschieht

automatisch, indem Sie die Schritte 1 und 2 in Abschnitt 11. Ablesen der

Messdaten ausführen.

2. VERWENDUNGSZWECK

Das Icare HOME-Tonometer ist ein verschreibungspichtiges Instrument

zurÜberwachung des intraokularen Drucks (IOP) im menschlichen Auge.

Es ist zur Nutzung durch Patienten oder ihre Betreuer unter der Aufsicht

eineraugenärztlichen Fachkraft indiziert.

3. KONTRAINDIKATIONEN

Patienten mit den folgenden Erkrankungen sollte das HOME-Tonometer nicht

verschrieben werden.

1. Aktive Augeninfektion einschließlich ansteckender Konjunktivitis

2. Kürzlich stattgehabtes okuläres Trauma einschließlich

Hornhautlazeration oder Hornhaut- / Skleralperforation

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