Icare HOME Instruction Manual - Providers (Hcp)
www.icaretonometer.com
34
APPENDIX 1. ICARE HOME TONOMETER TRAINING
PROCEDURES FOR CERTIFICATION OF HEALTH CARE
PROVIDERS (HCP)
All health care providers must receive training from a certified trainer and be
certified prior to performing tonometry or training others to perform self-
measurement tonometry with the Icare HOME tonometer.
STEP 1 – The system components
1. Open the case and identify the system components by explaining what they
are for (tonometer, single-use probes, case, batteries, Icare LINK software, user
documentation)
.
2. Install batteries to the tonometer as instructed in the Icare HOME user
documentation.
3. Install Icare LINK software to your PC as instructed in the Icare LINK user
documentation.
STEP 2 – Instruct the HCP
1. Show and explain the tonometer’s user interface, including icons and status
indicators:
• Off: no lights, no signals.
• Press power button: all indicator lights illuminate after a short time,
and you hear a long beep.
• Load probe: when the green Load light flashes on the back panel.
• Measure: when the green Measure light flashes on the back panel,
you are meant to take a measurement. At the same time, the
probe base light is green if the tonometer’s position is horizontal
enough, otherwise it is red. Explain that if there is an error in your
measurement, the probe base light flashes red and you hear two long
error beeps.
• Repeat: when the yellow Repeat light flashes on the back panel,
you need to repeat the measurement. At the same time, the probe
base light flashes red and you hear two short beeps. The reason is
either too much deviation in your measurement or the automatic
eye recognition system could not recognize the eye because of the
incorrect position of the tonometer.
• Done: when the green Done light illuminates on the back panel,
and you hear a long beep and the probe base light goes out, the
measurement is completed.
• Service: when the Service light and the probe base light flash red on
the back panel and you hear two long error beeps, the tonometer
needs service. At the same time the probe base light flashes red.
• Low battery: when the red Battery light illuminates on the back panel,
the battery charge is low and you should soon change the batteries.
• Empty battery: when the red Battery light flashes on the back panel,
the battery is empty and you must ask for a battery change.
English
Icare HOME tonometer Instruction manual for health care professionals
Icare HOME
www.icaretonometer.com
35
Icare HOME
2. Turning the tonometer on:
• Press the power button. All indicator lights on the back panel will flash
once and you will hear a short beep.
• The Load light will flash alone when the tonometer is ready to load the
probe.
• The tonometer turns off automatically after 3 minutes if you do not
use it.
3. Loading the probe:
• Unwrap the probe.
• Remove the lid of the probe container.
• By holding the probe container drop the probe into the probe base
without touching the probe.
• Press the measurement (play) button briefly (1 second) to activate the
probe.
4. Adjusting the measurement distance:
• Carefully, without touching the patient’s eye, set the distance between
the tip of the probe and the center of the cornea for the patient at
4-8mm (5/32-5/16”) by turning knobs to adjust forehead and cheek
support positioning as needed.
• Write the settings down on a support position tag for the patient.
• Repeat for the patient’s other eye.
5. Explain and show illustrations for how to position the tonometer (use a
separate illustration sheet from the labeling for this):
• Sit or stand in front of a mirror and hold the tonometer sideways in
front of your face.
• Align probe tip with center of cornea and rotate the tonometer until
probe tip points straight at cornea.
• Make sure probe base light is green. If probe base light is red, make
sure you are facing straight ahead (i.e., head held at a 90° angle) and
tilt tonometer until probe base light turns green.
• The probe base light does not turn red in response to horizontal
deviations. For this reason make sure the probe is centered in sight to
ensure the probe contacts the center of cornea during measurement
even if the probe base light is green. If the probe is not centered
in your sight, repeat 5 and 6. This is very important because the
tonometer with the probe must not be tilted more than 10 degrees
away from the center of the cornea and without visualizing the probe
base light it is difficult to judge the horizontal angle of the device.
6. Explain how to take the measurement:
• Explain that the Measure light will flash when the tonometer is ready
to measure.
• Explain that the user must take six individual measurements for the
IOP result and that the results are stored in the tonometer.
• Explain that the measurement button must be depressed to obtain the
sequence of 6 measurements until a long beep is heard and the green
“Done” light is illuminated on the back panel. The probe base light
turns off at the same time.
English
Icare HOME tonometer Instruction manual for health care professionals
Icare HOME tonometer Instruction manual for health care professionals
ENGLISH
34
www.icare-usa.com