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Topcon Maestro2 - User Manual

Topcon Maestro2
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Topcon Medical Systems | Topcon Healthcare Solutions | topconmedical.com | topconhealth.com
Quick Guide
Maestro2
Register/Capture Procedure:
1. Register new patient or select your patient from the IMAGEnet6 main screen / press
2. Select preferred scan on Maestro2 Touch Panel / Align Patient / Capture Scan
3. Export report(s) and Review Scans using IMAGEnet6
1
3
2
Open IMAGEnet
from Maestro Desktop /
ADD a new patient or Select Existing Patient
To add New Patient from Basic tab on PC, enter Patient ID,
press Enter. If Patient ID is already in the system, patients
data will appear; select patient then press
. If patient is
NOT already in system, press New Patient, enter First/Last
Name, Birthday and Patient ID, then press Register, then
press
.
Select your preferred scan from the Default Tab on
Maestro Touch Screen
OU (R/L) is the default setting. Maestro scans right eye first
OD (R), and then left eye OS(L) automatically.
STEP 1: Adjust patient chin rest up or down to place the
pupil in between the dotted blue lines.
STEP 2: Touch centre of the pupil to centre in blue box.
STEP 3: Press Capture Start. Instruct patient to look at
centre of green
, have a blink and stare wide.
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Summary

Register and Capture Procedure

Add New Patient or Select Existing Patient

Register new patient or select existing patient via Maestro Desktop.

Select Preferred Scan on Maestro Touch Screen

Choose scan mode and eyes on Maestro touch screen for preferred capture.

Scan Alignment and Capture

Manual Pupil Alignment and Capture

Manually align pupils and initiate scan capture when auto-alignment fails.

Post-Capture Actions and Review

Review scan quality, handle errors, and proceed to next eye or export.

Summary

Register and Capture Procedure

Add New Patient or Select Existing Patient

Register new patient or select existing patient via Maestro Desktop.

Select Preferred Scan on Maestro Touch Screen

Choose scan mode and eyes on Maestro touch screen for preferred capture.

Scan Alignment and Capture

Manual Pupil Alignment and Capture

Manually align pupils and initiate scan capture when auto-alignment fails.

Post-Capture Actions and Review

Review scan quality, handle errors, and proceed to next eye or export.

Overview

This document outlines the procedure for registering patients and capturing scans using the Maestro2 device, integrated with IMAGEnet6 software. It covers the workflow from patient registration to scan acquisition and review, providing step-by-step instructions for both new and existing patients.

Function Description

The Maestro2 is an ophthalmic imaging device designed for capturing high-resolution scans of the eye, primarily for diagnostic purposes related to conditions like glaucoma and macular diseases. It integrates with IMAGEnet6, a software platform that manages patient data, scan acquisition, and image review. The device supports various scan modes, including 3D Wide, and offers both automatic and manual alignment capabilities to ensure optimal image capture.

Usage Features

Patient Registration and Selection: The process begins by either registering a new patient or selecting an existing one from the IMAGEnet6 main screen. To register a new patient, users navigate to the "Basic" tab on the PC, enter the Patient ID, and press Enter. If the Patient ID is new to the system, users will be prompted to enter the patient's first name, last name, birthday, and Patient ID before pressing "Register." For existing patients, after entering the Patient ID, their data will appear, and users can select the patient to proceed.

Scan Selection and Alignment: Once a patient is selected, the next step involves choosing the preferred scan type from the "Default" tab on the Maestro Touch Screen. The default setting is "OU (R/L)," which means the device will scan the right eye (OD (R)) first, followed by the left eye (OS (L)) automatically.

Patient Positioning and Centering: Accurate patient positioning is crucial for successful image capture. The first step involves adjusting the patient's chin rest up or down to ensure the pupil is positioned between the dotted blue lines displayed on the screen. Following this, the user touches the center of the pupil on the screen to center it within a blue box.

Initiating Capture: After proper alignment, the "Capture Start" button is pressed. At this point, the patient is instructed to look at the center of a green target, blink, and then stare wide. The device automatically aligns the pupil.

Special Considerations for 3D Wide Scans: When performing a "3D Wide" scan, the green fixation target will appear on the opposite side of the eye being scanned. For instance, for the right eye (OD (R)), the green target will be slightly to the patient's left, and for the left eye (OS (L)), it will be slightly to the patient's right.

Manual Alignment (if needed): If the pupils do not automatically align, users can press "Manual Mode" on the touch screen. They then tap on both pupils displayed on the screen to manually align them before pressing "Capture Start."

During Scan Acquisition: Once "Capture Start" is initiated, a countdown appears at the bottom of the screen. The patient is again instructed to blink, look at the center of the green target, and stare wide. Around the 1-second mark of the countdown, they are reminded to hold their eyes open and continue looking at the green target. A clicking sound and a flash will indicate the completion of the scan.

Reviewing and Managing Scans: After the scan is completed, if both the scan and photo are of good quality, the user presses "OK" to proceed with scanning the other eye. If there were issues such as a blink (indicated by black lines through the OCT grey image on the left of the touch panel) or a fixation error, the "Eraser" button is used to delete the scan and repeat the process.

Post-Capture Processing: Upon successful completion of a scan, a blue "P" thumbnail icon will appear at the bottom of the computer screen. This signifies that the data has been processed and is ready for viewing in IMAGEnet6.

Exporting and Reviewing Reports: Finally, users can export reports and review the captured scans using the IMAGEnet6 software.

Maintenance Features

The provided document does not explicitly detail maintenance features for the Maestro2 device. However, based on the nature of medical imaging equipment, general maintenance practices would typically include:

  • Regular Cleaning: Wiping down external surfaces with appropriate disinfectants to maintain hygiene, especially for patient contact areas like the chin rest.
  • Software Updates: Ensuring the IMAGEnet6 software and Maestro2 firmware are kept up-to-date to benefit from the latest features, bug fixes, and security enhancements.
  • Calibration Checks: Periodic calibration to ensure the accuracy and reliability of the imaging system.
  • Troubleshooting: The document implicitly suggests troubleshooting through features like manual alignment and the option to delete and repeat scans in case of errors, indicating a user-level ability to address minor issues.
  • Professional Servicing: Regular preventative maintenance by qualified service technicians to inspect internal components, verify system performance, and address any potential wear and tear.
  • Data Backup: While not a device maintenance feature, regular backup of patient data within IMAGEnet6 is crucial for data integrity and recovery.

The document focuses primarily on operational procedures, implying that detailed maintenance instructions would be found in a separate, comprehensive user manual or service guide.

Topcon Maestro2 Specifications

General IconGeneral
ManufacturerTopcon
ModelMaestro2
SoftwareIMAGEnet 6
OCT TechnologySpectral Domain OCT
OCT Axial Resolution5 μm (in tissue)
Lateral Resolution20 μm
Scan Depth2.3 mm (in tissue)
Fundus Image Resolution12 Megapixels
Pupil Diameter (Minimum)3 mm
Fixation TargetInternal
ApplicationsGlaucoma
Power Requirements100-240V AC, 50/60Hz
ConnectivityUSB

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