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Optos 200tx User Manual

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Table of Contents

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Optos 200tx Specifications

General IconGeneral
Imaging ModalityOptical Coherence Tomography (OCT)
Field of View200 degrees
Light SourceLaser
Laser Wavelengths532 nm (green) and 633 nm (red)
Image Acquisition Time<0.25 seconds
Pupil DilationNot required
ApplicationsRetinal imaging, diabetic retinopathy, macular degeneration
Lens TypeWide-field lens
CompatibilityDICOM compatible
TypeUltra-widefield retinal imaging system

Summary

What's New

Reference Materials

Lists related topics and resources for further information.

Introduction

About the device

Overview of the scanning laser ophthalmoscope and its capabilities.

Indications for use

Details the intended medical applications of the ophthalmoscope.

About images

Explains how images are captured and their clinical utility.

Image types

Describes various image capture procedures like optomap, optomap plus, and optomap fa.

Getting to know the device

Understanding the equipment

Provides a system overview including scan head, image server, and viewing PCs.

Scan Head Module

Details components of the scan head and its functions.

About the head rest

Describes the head rest assembly and its adjustment for patient comfort.

Attaching and detaching the Patient Arm Support

Instructions for installing and removing the patient arm support.

Attaching and detaching the Head Rest

Procedures for removing and attaching the head rest for cleaning.

About the detector settings

Factors influencing detector settings, including patient iris category.

Detector gains

Explains how detector gains are set based on iris category for optimal image quality.

How to use the hand control

Details the functions and operation of the hand control for patient positioning and capture.

About the software applications

Getting Help

Information on how to access help resources within the system.

Admin application features

Outlines features for system configuration, user management, and security.

Capture application features

Describes the functionality for image capture and quality checking.

Review application features

Details tools for image analysis, annotation, and exporting.

Setting User Preferences

How to customize application settings for individual users.

Storage application features

Explains archiving capabilities and database management.

Scheduler application features

Functionality for managing patient records and appointments.

About software updates

Information on how software updates are delivered and installed.

About capturing an image

Working with patient records

Procedures for managing patient data before and during image capture.

How to add or edit a patient's record

Step-by-step guide for creating and modifying patient entries.

Cleaning before each patient

Guidelines for cleaning the device between patient examinations.

Patient instructions

How to prepare and inform patients about the imaging procedure.

Capturing images

General steps and considerations for capturing high-quality images.

How to position the patient manually

Detailed guide on manually aligning the patient's eye for capture.

Capture Single Eye Image

Procedure for capturing a standard single eye image.

Single Image Preliminary checks

Essential checks before performing single image capture.

Capturing Stereo Images

Process for capturing stereo image pairs.

How to capture angiography images

Steps for capturing angiography images, including injection timing.

How to discard images

Method for removing unwanted captured images.

How to do eye steering

Guide for capturing images with directed gaze.

Minimizing lids and lashes in images

Techniques to reduce obstruction by eyelids and lashes.

About the Patient History view

Session list

Displays captured sessions identified by date.

Left and right thumbnail image lists

Visual representation of captured images for selection.

Image list

Chronological listing of all captured images for a patient.

Using the Patient History window

Overview of tasks performable within the patient history interface.

Opening images

Methods for accessing and viewing patient images.

How to open images in an image stack

Process for viewing multiple linked images together.

How to open the selected images

Options for opening selected images in stacks or linked windows.

How to print the selected images

Steps for printing selected images from the history view.

How to view an FA Slideshow

Guidance on reviewing fluorescein angiography images in a slideshow format.

Opening images using alternative methods

Provides alternative ways to open and access images.

How to open recent images

Accessing images that were recently viewed.

How to switch between linked and unlinked modes

Controls for linking or unlinking multiple image windows.

How to open a Set of Linked Images

Process for opening and linking multiple images together.

How to link selected open windows

Options for linking specific open windows and choosing layout.

Selecting images from the Image Series view

How to select images from a sequence for viewing.

How to browse all the images from thumbnails

Opening images directly from network locations without patient context.

How to search images by criteria

Finding images based on specific search criteria like date or status.

How to open images from the hard disk

Accessing images stored locally on the computer.

Discarding unwanted images

Procedures for removing images from the patient history.

How to discard an image from the Patient History view

Steps to remove a specific image thumbnail.

How to discard an open image

Method for deleting an image currently being viewed.

How to discard an Image Everyone session

Procedure for deleting entire imaging sessions.

Using the viewing options

Color Channels

Explains how different laser colors reveal retinal layers.

Review Tools

Overview of tools available for reviewing captured images.

Comparison Overlay

Tool for comparing two images side-by-side with adjustable transparency.

False Color views

Displays grayscale views with alternative color palettes for subtle feature enhancement.

Automated view

Navigates through image areas in different color views automatically.

optomap® fa Slideshow

Presents fluorescein angiography images as a timed sequence.

3D Wrap

Displays images on a 3D model eye for patient education.

Stereo Imaging

Reviews pairs of images captured from slightly different angles.

Magnifier

Inspects localized image areas at high magnification.

Simulated BIO view

Simulates the view seen through a Binocular Indirect Ophthalmoscope.

Recommended reading protocol

A suggested workflow for reviewing individual patient images.

Using the Automated view

How to control and use the automated image viewing feature.

Using the Magnifier

Steps to activate and use the image magnifier tool.

Using the 3D Wrap view

Instructions for using the 3D model eye visualization tool.

How to email or export the 3D Wrap graphics

Distributing 3D Wrap views as images or movie files.

How to print the 3D Wrap View

Printing the 3D Wrap view as a patient takeaway.

Using the Comparison Overlay

Detailed steps for using the comparison overlay feature.

Simulating a Binocular Indirect Ophthalmoscope (BIO) view

Guide to using the simulated BIO view for examination.

Using False Color views

Steps for applying and selecting false color palettes.

Viewing stereo images

How to review stereo image pairs using different techniques.

Comparing with sample disease images

Comparing patient images with reference disease images.

Using the Adjustment and Information panels

How to show/hide panels for image adjustment and information.

To hide/show the Adjustment panel

Specific steps to toggle the visibility of the adjustment panel.

To hide/show the Information panel

Specific steps to toggle the visibility of the information panel.

Documenting your review

Annotations

Graphical mark-ups on images for highlighting areas of interest.

Review notes

Textual notes saved with images for additional information.

Diagnostic (pathology) codes and procedure codes

Assigning codes for pathology and reimbursement purposes.

Image registration

Automatically aligns features for comparing multiple images.

About annotations, retinal drawings and measurements

Details graphical mark-ups for specific information and measurements.

Using annotations

How to add, edit, and control the display of annotations.

How to add an annotation

Step-by-step guide for adding annotations to open images.

How to edit an annotation

Process for modifying annotations during the current session.

How to delete an annotation

Methods for removing individual or all annotations.

How to show/hide annotations

Controlling the visibility of annotations on displayed images.

How to print annotations

Printing images with currently displayed annotations.

Using retinal drawings

Special annotations for indicating specific retinal information.

How to add a retinal drawing

Steps for adding specific retinal drawings to images.

How to mark pathology annotations

Using tools to mark specific pathology findings on images.

How to count and compare pathology annotations

Comparing pathology annotations between images.

Using measurements

Adding, removing, and editing measurements on images.

How to measure an area

Procedures for measuring specific areas within an image.

How to measure distance

Steps for measuring distances between points on an image.

How to measure the Cup to Disk Ratio

Guide for calculating the Cup to Disk Ratio from optic disk images.

How to measure the ISNT Rule

Procedure for measuring the ISNT rule for optic disk rim analysis.

About review notes, diagnostic (pathology) codes and procedure codes

Storing text, pathology, and procedure codes with images.

Using procedure codes

Assigning procedure codes for reimbursement purposes.

How to add procedure codes

Steps for assigning procedure codes to images.

How to change or remove a procedure code

Methods for modifying or deleting assigned procedure codes.

How to identify images where procedure codes have been applied

Visual indicators for images with assigned procedure codes.

Using review notes

Adding, editing, and managing textual review notes.

How to add a review note

Steps for creating new review notes for an image.

How to delete a review note

Procedures for removing existing review notes.

How to view review notes without opening the image

Checking review status and notes externally.

Using diagnostic codes

Assigning pathology codes to images for diagnostic purposes.

How to add diagnostic codes

Steps for selecting and assigning diagnostic codes.

How to search for a diagnostic code

Finding specific diagnostic codes using search criteria.

How to delete a diagnostic code

Methods for removing assigned diagnostic codes.

Distributing images

Emailing images

Sending captured images via email.

Exporting images

Saving images to files in various formats for external use.

Importing an image to a patient’s record

Adding external images into the patient's record.

Printing images

Functions for printing single or multiple images.

How to print the current image as displayed

Printing the image with current view settings.

How to print a set of images

Printing multiple images with layout adjustments.

How to print the Patient Takeaway

Printing images for patients to take away.

How to customize the Patient Takeaway print layout

Modifying the layout and content of patient takeaway prints.

Changing eye images from Right to Left (and Left to Right)

Reassigning eye laterality for captured images.

How to swap right and left eyes

Steps to change image laterality by dragging.

Assigning an image to another patient’s record

Moving images between different patient records.

Using the Image Library

How to browse the Image Library

Accessing and viewing pre-captured example images.

How to compare images with the Image Library

Linking patient images with library examples for comparison.

How to add an image to your Custom Image Library

Creating a personal library of captured images.

How to browse the Custom Image Library

Accessing and viewing images stored in the custom library.

About archiving

When to Archive

Explains the importance and timing of archiving data.

How to access archive task settings

Steps to open the task settings for configuring archiving.

How to set where files are archived

Defining storage locations for archived primary and secondary images.

How to set when archived files are cleaned up

Setting age limits for automatic deletion of archived files.

How to set the disk parameters

Configuring settings for CD/DVD writers used in archiving.

Archiving to disk

Process and considerations for archiving to CDs or DVDs.

How to run a startup task

Performing routine tasks at the start of the Storage application.

How to run an archive task

Steps for initiating the archiving process.

How to run an unattended archive

Setting up archive tasks to run overnight.

How to create disk space

Using the cleanup task to remove old archived files.

How to stop an archive task

Procedures for interrupting an active archiving process.

How to select the correct CD or DVD type

Guidance on choosing appropriate media for archiving.

Archiving to a network

Setting up archiving to network locations or NAS devices.

Scheduling storage tasks

Configuring automated storage tasks at specific times.

How to add or change a scheduled storage task

Steps for setting up or modifying scheduled archiving jobs.

How to remove a scheduled storage task

Process for disabling scheduled archiving tasks.

Getting help

Accessing help from the device

Using the [F1] key for context-sensitive help.

Accessing help from the applications

Ways to access the full application help system.

Pressing [F1] for Help with Your Current Task

Direct access to help topics relevant to the current screen.

Help from the Help Menu

Accessing the help file via the application's menu system.

How to display the hierarchy of all help topics

Navigating the help file's table of contents.

How to search for help

Finding specific information within the help system using keywords.

How to navigate topics

Using back/forward buttons and breadcrumbs within the help system.

How to print help topics

Printing specific help articles for reference.

Optos on the Web

Accessing resources and information on the Optos website.

How to access additional documentation on the web

Finding further documentation and materials online.

Where to find features

Capture application user reference

Overview of controls and indicators in the Capture application.

Patient List Indicators

Symbols indicating patient status in the list.

System controls

Controls for accessing system, patient, and settings functions.

Image types

Descriptions of various image capture buttons and their functions.

Image Capture Controls

Buttons and settings related to the image capture process.

Eye Steering

Controls for steering the patient's gaze during image capture.

ResMax

Option for capturing enhanced images, typically of the Central Pole.

RESET POSITION

Button to re-center the green fixation ball during positioning.

Image Quality Controls

Buttons and sliders for adjusting image display quality.

Review application user reference

Overview of controls and indicators within the Review application.

Image Indicators

Symbols indicating patient status and image properties in reviews.

Review Tools Controls

Buttons for common review actions like opening, exporting, and printing.

Image View Controls

Buttons for switching between different image display modes.

Select View button

Controls for zooming and selecting different image viewing areas.

Zoom In button

Increases the magnification of the displayed image.

Zoom Out button

Decreases the magnification of the displayed image.

Set Zoom Percent button

Allows setting a specific zoom percentage for image viewing.

3DWrap View button

Activates the 3D model eye visualization for images.

Mouse Move Mode button

Enables dragging the image view for detailed inspection.

Mouse Zoom Mode button

Selects areas for quick zooming in or out.

Show Magnifier button

Displays a tool for localized, magnified image inspection.

Show ComparisonOverlay button

Activates the tool for comparing two images side-by-side.

Show/Hide Image Adjustment Pane button

Toggles the visibility of image adjustment controls.

Show/Hide Image Information button

Toggles the visibility of image comments and annotations.

Link/unlink windows modes and view ports button

Controls linking and unlinking of multiple image windows.

Page buttons

Navigates through pages in image stacks or series.

Review Notes button

Accesses tools for adding notes, codes, and diagnostics.

Image Adjustment Controls

Tools for adjusting contrast, brightness, gamma, and color balance.

Contrast control

Adjusts the contrast of the displayed image.

Brightness control

Adjusts the brightness of the displayed image.

Gamma control

Modifies image brightness and contrast, especially in dark/bright areas.

Equalization control

Balances brightness between different image areas.

Optimize button

Automatically sets optimal red and green contrast settings.

Restore button

Resets image settings to the original captured state.

Green Balance control

Adjusts the green color balance relative to the red channel.

Image Playback Controls

Controls for automated views and slideshows.

Image Comparison Methods

Various methods for viewing and comparing multiple images.

Annotations, retinal drawings and measurements

Details on graphical mark-ups and measurement tools.

About Review Notes

Symbols indicating review status and comments.

Storage application user reference

Details on buttons and functions within the Storage application.

Scheduler application user reference

Overview of buttons and views in the Scheduler application.

Contact us

Global Headquarters

Contact details for Optos' main office.

Regional Offices

Information on locating regional Optos offices worldwide.

United States and Canada

Contact information for Optos North America.

Germany

Contact details for Optos GmbH Germany.

Switzerland

Contact information for Optos in Switzerland.

United Kingdom and the rest of Europe

Contact details for Optos UK and European operations.

Spain

Contact information for Optos in Spain.

Norway

Contact details for Optos in Norway.

Sweden

Contact information for Optos in Sweden.

Training Checklist

Safety Guidelines, see Introductory Handbook (installed on PCs)

Checklist items for safety guidelines and warnings.

About the system

Training points covering system overviews and components.

System Navigation

Training on navigating the system and its procedures.

Help sources

Training on accessing help and documentation.

Patient Details

Training on managing patient information.

Patient Alignment Procedure - Theory

Theoretical aspects of patient positioning and alignment.

Patient Positioning & Capture - Practical

Practical training on patient positioning and image capture.

Image Acquisition Adjustments

Training on adjusting image quality parameters.

Saving and discarding Images

Training on managing captured images, saving, and discarding.

Hands-on Practice

Practical training sessions covering core imaging procedures.

Reviewing Images

Training on image review tools and techniques.

Reviewing optomap® fa Images

Specific training on reviewing optomap fa image series.

Data Management

Training on archiving procedures and data handling.

System Shut Down

Training on proper procedures for shutting down the system.

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