Essilor Instruments Vision-R 800 User Manual
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Essilor Instruments Vision-R 800 User Manual

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Erin
February 27, 2025

Can we use our existing acuity systems (Canela Mac & PC versions) with the digital phoropter? Will it integrate with Epic? What ability is there for our stationary auto refractor to feed the results to the digital phoropter? Thanks!

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Summary of Contents for Essilor Instruments Vision-R 800

  • Page 1 User manual www.essilor-instruments.com...

  • Page 2: Table Of Contents

    > C SER MANUAL ONTENTS ONTENTS I. I NTRODUCTION 1. Main features of the refraction head 2. Instrument classification 3. Symbols used 4. Copyright 5. Confidentiality of patient data II. I NSTRUMENT 1. Instrument inspection 2. Checking the accessories 3. Installation and connection a.
  • Page 3 > C SER MANUAL ONTENTS c. Import/Export data d. Backups and memory VI. B REAKDOWN SERVICE VII. T ECHNICAL DATA VIII. G ENERAL WARNINGS 1. Exclusion of liability clause 2. Warning a. Power supply. b. Computer network c. Disposal 3. Electromagnetic compatibility 4.

  • Page 4: Introduction

    I. I NTRODUCTION...

  • Page 5: Main Features Of The Refraction Head

    For a safer, more effective use, however, follow the instructions outlines in this handbook. This instrument is intended for medical use and can only be used with the instruction of visual health expert authorized by the laws in force in the country concerned. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...

  • Page 6: Symbols Used

    Compliant with FCC standards Waste disposal symbol in accordance with Directives 2012/19/EU and 2011/65/EU ON = Turned-on (power supply connected to the mains) OFF = Turned-off (power supply disconnected from the mains) Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...

  • Page 7: Copyright

    The instrument is a system that can save, store and share relative information with the patient such as refraction measurements, name or photo. It is the device user’s responsibility to comply with patient data confidentiality regulations, applicable on their site. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...

  • Page 8: Instrument

    II. I NSTRUMENT...

  • Page 9: Instrument Inspection

    • Printer • Printer paper (x5) • C-Plug Vision-R 800 is entirely compatible and designed to work with the CSPOLA600 and the CBOX test presentation screens (with an Ethernet adaptor). Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...

  • Page 10: Installation And Connection

    Position the mounting arm to the phoropter head and attach it using the fixing screw (6-sided key). To prevent the phoropter head from falling, fasten it with the screw located below the arm of the head. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...

  • Page 11: Connection

    Place the arm in the same orientation as the phoropter head. Place the instrument in far vision (convergence to 0). Loosen the M5 screw (safety screw) then the M6 screw (attachment screw). Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...

  • Page 12: Identification And Locating Of The Elements

    Call up the tests display on the screen. Forehead rest adjustment knob Used to adjust the vertex distance by advancing or moving back the forehead rest. User-side observation windows Patient eyes observation side. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...

  • Page 13: Console

    360° rotation movement, during the handling of the instrument. c. Console Touch screen Touch [Clear] Used for: ◦ Resetting the current session (quick press). ◦ Turning the instrument on or off (long press). Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...
  • Page 14 Navigating through the acuity charts (changing the size of the letters, charts, lines or columns) and saving the answers. ◦ Navigating in the answers of the dissociated tests ◦ Confirming the answers of the dissociated tests with the middle button Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...

  • Page 15: Power Supply Box

    Used for the connection to the console On/off switch Network isolation switch. Power cable socket To avoid any risk of electrocution, do not open the cover. Consult your dealer for all repairs. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...

  • Page 16: Main Screen

    Used to visualize, personalize the test in progress and to include the answers of the patient. Management of the patient data and user help display Allows you to: ◦ Manage the patient data. ◦ Display and call up memorized data. ◦ Display the contextual assistance. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...

  • Page 17: Iii. B Asic Settings For Performing An Examination

    III. B ASIC SETTINGS FOR PERFORMING AN EXAMINATION...

  • Page 18: Adjustments Before The Examination

    At the end of each examination, it is possible to set the instrument data to zero. The expert can then start a new session with a new patient. Restoring the instrument data can be carried out: • On the console keyboard, by quickly pressing on the key [Clear]. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...
  • Page 19 Passing from manual mode to automatic mode can be carried out on the touch screen by pressing on: • > • (displayed by default). Once the mode is chosen, the display of the upper strip changes: • for manual mode. • for automatic mode. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...
  • Page 20 On the console keyboard, by pressing on the [Import] or [Export] keys. • On the touch screen, by pressing on > Once import or export has been selected, the corresponding windows open: Import Export Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...

  • Page 21: Setting Up The Patient

    Of an eye corresponds to monocular half PD, • Of the two eyes corresponds to the total binocular distance. By default the step is 1 mm for the total distance. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...
  • Page 22 LEDs are lit up, the adjustment is correct. • when only one of the LEDs flickers or if a LED is not lit up, it is necessary to adjust the horizontality by using the adjustment knob. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...
  • Page 23 Going from far-vision mode to near-vision mode Going from far-vision mode to near-vision mode can be performed: • On the console keyboard, by pressing on the key [NV/FV]. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...
  • Page 24 • for near-vision mode. Far vision Near vision Switching to near vision mode modifies, the inter-pupillary distances, the convergence of the refraction head and the lighting up of the LEDs. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...

  • Page 25: Basic Functions For Performing A Refraction Examination

    When you select a test, the controlled settings as well as the applied filters are automatically modified. If you wish to deactivate this function, go into manual mode on the touch screen by pressing on: • > • (displayed by default). Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...
  • Page 26 ASIC SETTINGS FOR PERFORMING AN EXAMINATION Red/Green test example Acuity test example Start an existing test program Press on the icon of the test program > The list of available test programs is displayed. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...

  • Page 27: Checking The Optical Module

    ◦ on the settings (S, C, A, ADD, Hor., Ver.) for the simultaneous inspection of both eyes. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...
  • Page 28 On the touch screen, by pressing on the setting that you wish to check (on the value of the right eye or the left eye or on the setting). • On the console keyboard, by pressing on the central button. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...
  • Page 29 > In this case a numeric keypad is displayed. Enter the desired value and confirm Once input is complete, do not forget to save the initial prescription in the memory of your choice. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...
  • Page 30 The unit and the step value depend on this setting. The modification of the incrementation step can be carried out: • On the touch screen, by selecting the desired step value. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...
  • Page 31 The value locking function is useful if you wish to lock in different values. To do this, press on the lock icon. The icon of a closed lock is displayed, the values are grayed and cannot be modified any more. To unlock the values, press on the lock icon again. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...

  • Page 32: Mask An Eye And Check The Filters

    Check and modify the filters To personalize the filters to be applied in front of the eyes of the patient, press and hold on one of the two eyes. A window opens: Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...
  • Page 33 Press on [Occlusion type] and select the desired type of occlusion from the list: The action is manual. If a type of occlusion is applied, the adjustment is temporary up to the start of a new session. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...

  • Page 34: Manage The Patient Data

    > The patient folder creation page is displayed: Fill in the required fields: Reminders • : male • : female Once the folder in filled in, press on: • to confirm. • to cancel. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...

  • Page 35: Access With Contextual Assistance

    If you wish to display more information on the test, press on [More help] An additional help page is displayed: Press on to close the page. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...

  • Page 36: Iv. P Erformance Of Specific Tests During A Refraction Examination

    IV. P ERFORMANCE OF SPECIFIC TESTS DURING A REFRACTION EXAMINATION...

  • Page 37: Patient Refraction Data Input

    The patient refraction data importing from Essibox.com can be done: • On the touch screen, by pressing on > • On the console keyboard, by pressing on the [Import] key Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...

  • Page 38: Manual Entry

    Press on the setting which you wish to enter. • Sphere (S), • Cylinder (C) • Axis (A). The selection can be done independently for the right eye, the left eye or in binocular. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...
  • Page 39 > The data is displayed on the screen and is applied in front of the eye or the eyes of the patient. Then press on other settings if necessary. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...
  • Page 40 Press on the central button on the keyboard to change the setting if necessary. Do not forget to save the data entered in one of the available memories. 3 - Data memorization Press: > The list of the available memories is displayed. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...
  • Page 41 > IV. P SER MANUAL ERFORMANCE OF SPECIFIC TESTS DURING A REFRACTION EXAMINATION Choose the desired memory. > The saved data is displayed on the right part of the screen. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...

  • Page 42: Standard Tests

    Measure the visual acuity of the patient with and/or without correction in: • Far vision, • Monocular vision condition: ◦ right eye OD, ◦ left eye OG, • Binocular vision condition (RLE i.e. RE and LE simultaneously). Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...
  • Page 43 Snellen acuity in meters (6/x) ◦ Snellen acuity in feet (20/x) The table of optotypes allows you to: • Display the value of corresponding acuity, • Display the unit of acuity. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...
  • Page 44 Display zone at the bottom of the screen letters numbers Rational progression C of Landolt scale E of Snellen stylized figures letters numbers Logarithmic progression scale C of Landolt E of Snellen Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...
  • Page 45 The acuity values are displayed below the table with the visual acuity value(s) currently being presented highlighted in blue. You can change the visual acuity values on the console keyboard by pressing on the vertical keys: Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...
  • Page 46 Only available for rational progression scales (letters, figures, C of Landolt, E of Snellen, stylized figures). Display types Display in zone at the bottom of the screen Table Column Line Isolated optotype Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...
  • Page 47 Select the right eye, the left eye or both eyes by using the keys [R, L or BINO] on the console keyboard. Scroll through the acuity tests using the vertical arrows on the console keyboard. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...
  • Page 48 The value of the visual acuity of patient (OD, OG or BINO) changes into blue and is saved in the section “Patient Data”, in the memory “Visual Acuity”. > It appears in the dial on the right of the screen. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...
  • Page 49 The Red/Green test is displayed in the display area in the bottom of the touch screen of the console. > The corresponding table of optotypes is displayed on the test presentation screen. To perform this test in the best conditions, a soft atmosphere is advised. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...
  • Page 50 > - darker on the green background add +0.25 R* to the value of the sphere. Either: • On the console keyboard, by pressing on the key “+”. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...
  • Page 51 (or negative) sphere value. This information corresponds to the phoropter default settings: • The variation step of the sphere is by default 025 R, but it can be adjusted in the settings. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...
  • Page 52 This cylinder is automatically generated by the optical module through combination with the patient’s correction. It is not an additional lens added in front of the correction of the patient. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...
  • Page 53 > - clearer horizontal lines add +0.25 R* to the value of the sphere. Either: • On the console keyboard, by pressing on the key “+”. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...
  • Page 54 This information corresponds to the phoropter default settings: • The variation step of the sphere is by default 025 R, but it can be adjusted in the settings. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...

  • Page 55: Smart Tests

    > The test view window in the bottom of the touch screen of the console allows you to choose under which conditions the test will be performed (OD, OG, ODG). Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...
  • Page 56 It is no longer possible to modify the values of controlled settings, the masks, the filters or the adjustments of the instrument. > The corresponding table of optotypes is displayed on the test presentation screen. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...
  • Page 57 - darker on the red background. Select the answer by either: • Pressing on the corresponding answer on the touch screen. • On the console keyboard, by pressing on the key " - ". Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...
  • Page 58 The response window also allows for: Return to the beginning of the test Visualize the progress of the test Three status indications on the progression bar are available. Cancel the last answer Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...
  • Page 59 In the case of a test program, moving to the following test is done: • On the touch screen by pressing on [Next]. • On the console keyboard, by pressing on the central button. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...
  • Page 60 And this, until the right value is found. For each test, a contextual “in situation” help is available by pressing on User is prompted to refer to this. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...

  • Page 61: Instrument Settings

    V. I NSTRUMENT SETTINGS...

  • Page 62: Description Of The Settings Menus

    It is possible to modify the default settings of the instrument by pressing on > > The instrument settings page is displayed. 1. D ESCRIPTION OF THE SETTINGS MENUS a. General information The general information menu has two pages: 1. “General” 2. Devices Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...
  • Page 63 Access to the remote maintenance Access to the statistics and the log files Access to the adjustments Recording on SIS Deletion of recording Connection refreshing After-sales service Restoration of the default settings Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...
  • Page 64 2 - Page “Devices” Information concerning the various components of the instrument Carry out autotests Removal of the component Once the adjustments are made, pres on: • to confirm. • to cancel. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...
  • Page 65 Test of LEDs in near-vision mode LED panel test for horizontal adjustment Launch cancellation Launch confirmation Choose the self-test which you wish to perform and press on > The self-test starts. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...

  • Page 66: Measurement Data

    Allows user to combine or separate the addition of the near vision from/to the far-vision sphere. Prism format Template type The choice of the type of mask during a test in monocular vision. PD type Define the type of monocular or binocular pupillary distance. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...
  • Page 67 > The values indicated correspond to a default setting in cm. Vertex Distance (in mm) Sets the lens-eye distance by default taken into account for the conversion of the refraction value of a standard reference distance. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...
  • Page 68 Cross Cylinder Lens Sets the default value of the cross cylinder, used for finding the cylinder in manual mode. Once the adjustments are made, pres on: • to confirm. • to cancel. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...

  • Page 69: Import/Export Data

    Describe the type of export: ◦ Manual ◦ Automatic Export Defines the way data is processed during export: ◦ Sent to the printer ◦ Sent to the Essibox ◦ Both Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...
  • Page 70 > V. I SER MANUAL NSTRUMENT SETTINGS 2 - Page "Memory" List of available memories It is possible to rename the memories (long press on name). Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...

  • Page 71: Backups And Memory

    Export of refraction head data to an USB key Export of all the instrument data Settings export Export of the technician data Export of tests, favorites and test programs Calibrations export Not available Statistics exportation Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...
  • Page 72 Importing of data from an USB key to the refraction head Settings importing Importing a memory update. Importing new tests, favorites and test programs Importing new calibrations Not available Statistics importing Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...

  • Page 73: Breakdown Service

    VI. B REAKDOWN SERVICE...
  • Page 74 Check that the console cable is plugged into the power supply Rainbow on the screen block If the problem has not been resolved after taking the measures listed above, contact your local distributor immediately. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...

  • Page 75: Technical Data

    VII. T ECHNICAL DATA...
  • Page 76 Power block: L = 16.3 cm, l = 12.5 cm, P = 5.8 cm, weight = 1.0 kg. ◦ AC input: 100 V-240 V, 50/60 Hz ◦ DC output: 24V ◦ Power output: 48VA Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...
  • Page 77 ◦ Chromaticity CCT: 2700 K ◦ Flow: 7 lm ◦ Category: NC • Infra-red LED: ◦ Color: IR   ◦ Wavelength: 850 nm ◦ Energy intensity: 35mW/Sr ◦ Category: NC Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...

  • Page 78: General Warnings

    VIII. G ENERAL WARNINGS...

  • Page 79: Exclusion Of Liability Clause

    • If any abnormalities occur (noise, smoke, etc.), unplug the plug from the outlet and consult your dealer. Continued use may result in fire or personal injury. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...

  • Page 80: Power Supply

    ◦ updating the equipment connected to the computer network; ◦ upgrading the equipment connected to the computer network. • Please contact your distributor for detailed information on this instrument. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...

  • Page 81: Disposal

    Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...
  • Page 82 Class A domestic sites and those that are directly connected IEC 61000-3-2 to the public low-voltage power supply network that Voltage fluctuations/Flicker supplies private residential buildings. Complies emissions IEC 61000-3-3 Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...
  • Page 83 25/30 cycles 25/30 cycles uninterruptible power supply or 0% U for 250/300 0% U for 250/300 battery. cycles cycles NOTE: U is the AC mains voltage before applying the test level. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...
  • Page 84 If abnormal performance is observed, additional measures may be necessary, for example the reorientation or movement of the instrument. On the frequency range ranging between 150 KHz and 80 MHZ, field strengths must be less than 3 V/m. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...

  • Page 85: Device's Registration Plate

    NOTE 2: These indications may not apply to all the situations. Electromagnetic propagation is affected by absorption and reflections of structures, objects and people. 4. D EVICE S REGISTRATION PLATE Device’s registration plate Power block registration plate Console’s registration plate Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...

  • Page 86: Maintenance

    • The touch screen • The keyboard Do not squirt liquids of any kind on the touch screen or on the console keyboard, to prevent damage to the electronic boards. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...

  • Page 87: Qr C

    IX. QR C...
  • Page 88 Täydellinen käyttöohje one käytettävissä verkossa. Avaa käyttöohje skannaamalla QR- koodi asianmukaisella sovelluksella. Το πλήρες εγχειρίδιο χρήσης διατίθεται σε έναν ιστοχώρο. Για να μεταβείτε σε αυτόν, σαρώστε τον παρακάτω κωδικό QR μέσω μιας ειδικής εφαρμογής. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...
  • Page 89 QR of May jos Cu ajutorul unei aplicații dedicate. Полное руководство пользователя доступно на сайте. Чтобы получить к нему доступ, сканируйте QR-код ниже с помощью специального приложения. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...
  • Page 90 Câm nang hương dân s dung hoan chinh hiên có trên không gian Web. Đ truy câp, vui long quet m, QR Ben dươi s dung ưng dung chuyên dung. Vision-R 800 - Essilor automatic phoropter > V1 - 12-2018...
  • Page 91 Essilor International 147, rue de Paris – 94220 Charenton-le-Pont France www.essilor.com...

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