Operation Manual

CR-DGi
Non-Myd
riatic Refin
al Camera

Before using the instrument, be sure to read this manual thoroughly.

Keep the manual where it is easily accessible.
PLEASE NOTE

1. The user is responsible for the use and maintenance of the product.
We suggest that a member of the user’s staff be designated as being in charge of mainte-
nance so as to ensure that the product is kept in a safe and good condition.
Also, medical products must be used only by a qualified person.

2. In no event will Canon be liable for direct or indirect consequential damage arising out of
the use of this product.

3. This product may malfunction due to electromagnetic waves caused by portable personal
telephones, transceivers, radio-controlled toys, etc. Be sure to avoid having objects such
as these, which affect this product, brought near the product.

4. The CR-DGi system has been approved by UL with the EOS D series digital camera
powered by a battery. If you wish to instead use AC power to operate the digital camera,
be sure to use insulation transformer conforming to the IEC 60601-1 Medical Electrical
Equipment Standard.

5. Any equipment connected to the CR-DGi must conform with the IEC 60601-1 Medical
Electrical Equipment Standard. If it does not do so, it must be used with an insulation
transformer conforming to the IEC 60601-1 Medical Electrical Equipment Standard.

6. Canon reserves the right to change the specifications, configuration and appearance of
the product without prior notice.

© CANON INC. 2004

All rights reserved.

Under copyright laws, this manual may not be copied, in whole or in part, without the written
consent of Canon.
 Safety Information

Regulations

For U.S.A.
CAUTION: Federal law restricts this device to sale by or on order of a physician, ophthalmolo-
gist and optometrist.

Do not make any changes or modifications to the equipment unless otherwise specified in the
manual.
If such changes or modifications should be made, you could be required to stop operation of
the equipment.

NOTE: This equipment has been tested and found to comply with the limits for a Class A dig-
ital device, pursuant to Part 15 of the FCC rules.
These limits are designed to provide reasonable protection against harmful interfer-
ence when the equipment is operated in a commercial environment.
This equipment generates, uses, and can radiate radio frequency energy and, if not
installed ad used in accordance with the instruction manual, may cause harmful inter-
ference to radio communications.
Operation of this equipment in a residential area is likely to cause harmful interfer-
ence in which case the user will be required to correct the interference at his own
expense.

Use of shielded cable is required to comply with class A limits in Subpart B of Part 15 of FCC
rules.

For Canada
This equipment complies with the Canadian ICES-003 class A specifications.

(1)
Safety Information

General Safety Information

Follow the safety instructions in this manual and all warnings and cautions printed on the warning
labels. Ignoring such cautions or warnings while handling the product may result in injury or accident.
Be sure to read and fully understand the manual before using this product.
Keep this manual for future reference.

Meaning of Caution Signs

This indicates a potentially hazardous situation which, if not heeded, could
! WARNING result in death or serious injury to you or others.

This indicates hazardous situation which, if not heeded, may result in minor or
! CAUTION moderate injury to you or others, or may result in machine damage.

This is used to emphasize essential information.

NOTE Be sure to read this information to avoid incorrect operation.

Environment of Use and Storage

Do not use or store the instrument near any flammable chemicals such as
alcohol, thinner, benzine, etc. If chemicals are spilled or evaporate, it may
! WARNING result in fire or electric shock through contact with electric parts inside the
instruments. Also, some disinfectants are flammable.
Be sure to take care when using them.

Do not use or store the instrument in a location with the conditions listed
below. Otherwise, it may result in failure or malfunction, fall or cause fire or
injury.
- Close to facilities where water is used.
- Where it will be exposed to direct sunlight.
- Close to air-conditioner or ventilation equipment.
! CAUTION - Close to heat source such as a heater.
- Prone to vibration.
- Insecure place.
- Dusty environment.
- Saline or sulfurous environment.
- High temperature or humidity.
- Freezing or condensation.

Place the instrument on a firm table

! CAUTION Do not place it extremely near the edge of the table in order to avoid damage
or injury due to falling.

Do not cover the vent holes on the cover.

! CAUTION Otherwise, the temperature in the instrument may rise and cause fire.

(2)
 Safety Information

Installation Operation
Do not connect the instrument with anything other than specified.
Otherwise, it may result in fire or electric shock.
Also, when other equipment is going to be connected to the instrument using
! WARNING the connector for interface, be sure to check after connection that leakage cur-
rent is within the tolerable value.
For details, please contact Canon representative or distributor.

Power Supply
Only operate the instrument with the type of power supply indicated on the rat-
! WARNING ing label. Otherwise, it may result in fire or electric shock.

Be sure to turn OFF the power before connecting or disconnecting the cables.
! WARNING Also, do not handle them with wet hands. Otherwise, you may get an electric
shock that may result in death or serious injury.

Securely plug in the power cable into the AC outlet.

! WARNING If contact failure occurs, or if dust or metal object comes in contact with the
exposed metal prong of the plug, fire or electric shock may result.

Be sure to hold the plug or connector to disconnect the cable.

! WARNING If you pull the cable, the core wire may be damaged, resulting in fire or electric
shock.

Do not cut or process the cables. Also, do not place anything heavy, including
the instrument on it, step on it, pull it, bend it, or bundle it.
! WARNING Otherwise, the cable may be damaged, which may result in fire or electric
shock.

Do not get the power for more than one instrument from the same AC outlet.
! WARNING Otherwise, if may result in fire or electric shock.

The instrument is shipped with a grounding type (three-core) power cable.

! CAUTION To reduce the risk of electric shock, always plug the cable into a grounded
power outlet.

To make it easy to disconnect the plug at any time, avoid putting any obstacles
! CAUTION near the outlet.

Handling
Never disassemble or modify the product as it may result in fire or electric
shock. Also, since the instrument incorporates high-voltage parts that may
! WARNING cause electric shocks and other hazardous parts, touching them may cause
death or serious injury.

(3)
Safety Information

Handling
Do not place anything on top of the instrument. Otherwise, the object may fall
and cause injury.
! WARNING Also, if metal objects such as needle or clip falls into the instrument, or if liquid
is spilled, it may result in fire or electric shock.

When the instrument is going to be moved, be sure to turn OFF the power,
unplug the power cable from the AC outlet, and disconnect other cables.
Otherwise, cable may be damaged, which may result in fire or electric shock.
! WARNING Also, when the instrument is going to be carried, be sure to support the bot-
tom of the instrument and hold it horizontally.
Otherwise, you may drop the instrument and it may result in injury.

Do not hit or drop the instrument. The instrument may be damaged if it

! WARNING receives a strong jolt, which may result in fire or electric shock if the instru-
ment is used without it being repaired.

Wipe the forehead rest with ethanol or glutaraldehyde solution to disinfect it

! CAUTION each time a different examinee uses it, in order to prevent infection.
Please consult a specialist for the procedure for disinfection.

Change the chin rest paper each time the examinee changes in order to keep
! CAUTION the chin rest clean.

Do not place your hand or fingers between the stage and base. Also, ensure
! CAUTION that the examinee does not place his/her hand or fingers there either. Other-
wise, fingers may be hurt.

When the instrument is not going to be used, turn OFF the power.
! CAUTION Also, unplug the power cable from the AC outlet when it is not going to be
used for a long time.

This instrument incorporates a lithium battery, which may pollute the environ-
ment if the instrument is abandoned.
! CAUTION Please ask a professional waste disposal company to handle disposal, or con-
tact Canon representative or distributor before disposing of the instrument.

When Problem Occurs

Should any of the following occur, immediately turn OFF the power of each
instrument, unplug the power cable from the AC outlet, and contact Canon
representative or distributor.
! WARNING - When there is smoke, odd smell or abnormal sound.
- When liquid has been spilled into the instrument or a metal object has
entered through an opening.
- When the instrument has been dropped and it is damaged.

Maintenance and Inspection

For safety reasons, be sure to turn OFF the power when the inspections indi-
! WARNING cated in this manual are going to be performed. Otherwise, it may result in
electric shock.

(4)
 Safety Information

Maintenance and Inspection

When the instrument is going to be cleaned, be sure to turn OFF the power,
and unplug the power cable from the AC outlet.
! WARNING Never use benzine, thinner or any other flammable cleaning agents.
Otherwise, fire or electric shock may result.

Clean the plug of the power cable periodically by unplugging it from the AC
outlet and removing dust or dirt from the plug, its periphery and AC outlet with
! WARNING a dry cloth. If the cable is kept plugged in for a long time in a dusty, humid or
sooty place, dust around the plug will attract moisture, and this could cause
insulation failure which could result in a fire.

When the fuse is going to be replaced, be sure to turn OFF the power switch
and unplug the power cable from the AC outlet before replacing it. Be sure to
! WARNING replace the fuse with the specified type only. Otherwise, fire or electric shock
may result.

The instrument must be repaired by a qualified engineer only.

! WARNING If it is not repaired properly, it may cause fire, electric shock, or accident.

! CAUTION For safety reasons, be sure to inspect the instrument before using it.

(5)
Safety Information

Labels on the Instrument

The CR-DGi has a few labels on it.

Content of them and positions where they are attached are indicated below.

CR-DGi
Non-Mydriatic Refinal
Camera

IP FILTER
IIN

SP
ON
OFF

POWER 1 2 5 V / TA
4x2
AC IN
O F I X TA R
I GET

OFF
ON

SERIAL

CAUTION –– Risk of electric shock,

do not remove cover. Refer ser-
vicing to qualified service personnel.
Caution Plate
(under the instrument)

Rating Label

(6)
 Contents

Safety Information ................................................................................................ (1)

1. Overview ........................................................................................................ 1

2. Notes for Using the Instrument ...................................................................... 2

3. Description ..................................................................................................... 4

4. Photography ................................................................................................... 7
4.1 Preparation .................................................................................................................. 7
4.2 Positioning and Focusing ............................................................................................. 10
4.3 Photography ................................................................................................................ 17

5. Settings in SET Mode .................................................................................... 18

6. Daily Inspection and Maintenance ................................................................. 21

6.1 Inspection .................................................................................................................... 21
6.2 Before Calling a Service Person .................................................................................. 24
6.3 Cleaning and Disinfection ............................................................................................ 27
6.4 Replacement ................................................................................................................ 30
6.5 Expendable Parts List .................................................................................................. 31

7. Installation ...................................................................................................... 32
7.1 Installation .................................................................................................................... 32
7.2 Precautions when Moving the Instrument .................................................................... 33

8. Service Information ........................................................................................ 34

9. Specifications ................................................................................................. 35

10. Components ................................................................................................. 36

1. Overview

The Canon Non-Mydriatic Retinal Camera CR-DGi takes digital images in a wide field angle
(45°) without using mydriatics.

Retinal images can also be viewed on a PC by installing an image viewer such as the accessory
CR-DGi Image Viewer.

–1–
2. Notes for Using the Instrument

Before Use
(1) Check and clean the objective lens before taking an image, as any stains or scratches on it
will appear as white spots.
(2) Sudden heating of the room in cold areas will cause condensation to form on the lenses.
In this case, wait until condensation disappears before performing photography.

During Use
(1) Be careful that the examinee’s eye does not become contracted by the light of the monitor
reflected from the white gown of the examiner.
(2) Do no use the built-in strobe tube flashing function of the digital camera.

After Use
(1) Turn OFF the power of the instrument.
(2) Place the cap over the objective lens, and place the dust cover over the instrument.
You cannot take a good image when the objective lens is dusty.
(3) Be sure to attach the dust caps on the mounts of retinal camera and digital camera when the
digital camera is detached from the retinal camera.

During Cleaning and Disinfection

(1) If the surface of the objective lens and imaging lens is wiped when dust or dirt is on it, it will
be scratched. Also, do not wipe the lenses with ethyl alcohol or with cleaning paper contain-
ing silicone. Otherwise, the surface will be corroded, or will be stained.
(2) Do not use alcohol, benzine or thinner for cleaning the cover of the instrument.
Also, never wipe the cover with ethanol or glutaraldehyde solution. Otherwise, coating will
be corroded.

Environment of Use
(1) Do not install, store or leave the instrument in a location where temperature or humidity is
high. Otherwise, it may result in failure or malfunction of the instrument. Refer to “Environ-
ment of Use and Storage” on page (2) for points on which care must be taken regarding the
environment of use.
(2) Dust in the air will not only attach to the objective lens, but will also attach onto the optical
parts inside the instrument. You cannot take a good image when dust is on them.
Please keep the room clean.

–2–
 2. Notes for Using the Instrument

During Installation
(1) Handle the instrument carefully, as preadjustment may be altered if the instrument receives a
strong jolt.
(2) Blow off the dust in the connectors of the cables with a blower before connecting them.
Otherwise, connection failure may occur.
(3) Check and clean the imaging lens on the mount of the retinal camera, as any stains, scratches
or dust on the lens will appear as white spots on the image.
(4) When the instrument is going to be transported, it must be protected against vibration and
shocks. Contact Canon representative or distributor for advice on the procedure for packing
it.

–3–
3. Description

Focus knob
Used for focusing on exam-
inee’s eye.

Digital camera mount

Mount for attaching the digital
Monitor camera.
Eye front image, retinal image
and displays for settings will CR-DGi
Non-Mydriat
Imaging lens
ic Refina
l Camera

appear on the monitor.

Digital camera cable con-
nector
Connector for cable of camera
cable unit.
Setting buttons
Used for selecting functions.
Shutter release button
Press this button to take an
image.

Monitor adjusting knob cover Operation lever

Behind the cover, there are knobs Used for positioning the retinal
for adjusting the display on moni- camera in relation to the exam-
tor. inee’s eye.
V. HOLD knob: Knob for verti-
cal synchronization.
H. HOLD knob: Knob for hori-
zontal synchronization.
BRIGHT knob: Knob for adjust-
ing the brightness. Height adjustment ring
CONT. knob: Knob for adjusting Used for adjusting the height of
the contrast. the retinal camera.

Power lamp
Lights when the power is turned
ON, and blinks while the power
saving system is working.

Fixation target control button ALIGNMENT switch

Used for moving the eye fixation Switch for changing the display on
target during observation of retina. the monitor from eye front image
to retinal image.

Stage holding knob

Used for holding the stage.

–4–
 3. Description

Objective lens
This is the main lens for Forehead rest
photography. Place the examinee’s forehead
Diopter compensation slider
To be pulled when diopter of against this rest.
examinee’s eye exceeds –12D to
+15D.
Height adjustment mark
Align the height of the
examinee’s eye with this
S.P (Small Pupil) knob CR-DGi mark by adjusting the height
Set it to ON when photograph- Non-Mydriatic Refinal
Camera

of chin rest.
ing eye smaller than the diame-
ter required (4.0 mm).
Chin rest
Place the examinee’s chin on
IR. (Infrared Ray) FILTER this rest.
knob
Must be set to “IN” for pho-
tography, and out for cleaning IP FILTER
IIN

the objective lens. SP

ON
OFF

Chin rest height adjustment

LAMP knob ring
Used for adjusting the bright- Used for adjusting height of
ness for observation. chin rest.
Brightness in “3” is approxi-
mately 25% of brightness
when knob is turned to
“MAX”, while “4” is approxi- POWER 1 2 5 V / TA
4x2

mately 40%, “5” is approxi-

AC IN
O F I X TA R
I GET

OFF
ON

SERIAL

mately 55%, and “7” is

approximately 80%.

Connector panel Rating label

See the next page. Name of the product, rated voltage,
body number, etc. are indicated on
this label.

–5–
3. Description

Connector Panel

AC IN (Power) connector FIX TARGET terminal

Connector for power cable. Terminal for the optional exter-
nal eye fixation lamp.
POWER switch
Used for turning power ON and
OFF.

1 2 5 V / TA 4 x 2 F I X TA R G E T
POWER AC IN

O I
SERIAL
OFF ON

Fuse holders
There are two holders and each SERIAL connector
contains a 125V, 4A fuse. RS422 connector used for sending
data to an external equipment.
Connect only an external equipment
complying with IEC60601-1 standard.

–6–
4. Photography

Should any of the following occur, immediately turn OFF the power, unplug
the power cable from the AC outlet, and contact Canon representative or dis-
tributor.
! WARNING - When there is smoke, odd smell or abnormal sound.
- When liquid has been spilled into the instrument or a metal object has
entered through an opening.
- When the product has been dropped and it is damaged.

Power-saving system
When any operation has been interrupted for more than 10 minutes with the power turned ON,
power-saving system of the instrument operates.
Lamps inside the instrument turn off and power lamp blinks while the system is operating.
Press shutter release button in order to restore the function.

4.1 Preparation

Turn ON the power

1
Turn ON the power in order of digital camera and then the retinal camera.
The display as shown below will appear on the monitor.

“R”: Right side eye

“L”: Left side eye
R

SET <F-9>

Flash intensity

You are now in the eye front observation mode.

–7–
4.1 Preparation

Adjust the flash intensity of retinal camera

2
Adjust the flash intensity as required using
the buttons under “–” and “+” signs.
R

SET <F-9>

Flash intensity can be changed in 14 steps (F-1 through F-14).

Set the digital camera

3
With the retinal camera in eye front observation mode, set the digital camera as indicated
in the separate “Digital Camera Installation Manual”.

Loosen the stage holding knob

4
Turn the stage holding knob in counter-
clockwise direction.

LO CK

–8–
 4.1 Preparation

Adjust the unit’s height

5
Adjust the height so the height guide mark
is in the center of the height range marks by
turning the height adjustment ring.

Height guide mark

Height range marks

Darken the room

6
Darken the room to a level where a newspaper can barely be read (= about 5 luxes).

–9–
4.2 Positioning and Focusing

4.2 Positioning and Focusing

Adjust the height of the examinee’s eye

1
Wipe the forehead rest with ethanol or glutaraldehyde solution to
disinfect it each time a different examinee uses it, in order to pre-
vent infection.
! CAUTION Please consult a specialist for the procedure for disinfection.
If you are using disinfectant other than those specified above, or if
you are mixing another disinfectant with ethanol, please also con-
sult a specialist because they may harm the forehead rest.

Change the chin rest paper each time the examinee changes in
! CAUTION order to keep the chin rest clean.

NOTE: Confirm that the examinee is not wearing spectacles or contact lenses.

(1) Have the examinee sit and place his/her face against the chin rest and forehead rest.

(2) Adjust the height of the chin rest by

turning the chin rest height adjustment
ring so that the eye of the examinee is
aligned with the height adjustment
mark on the face rest pole.

Height adjustment mark

Slide the operation lever to the side of the eye to be photo-

2 graphed

– 10 –
 4.2 Positioning and Focusing

Position the pupil

3
Do not place your hand or fingers between the stage and base.
Also, ensure that the examinee does not place his/her hand or fin-
! CAUTION gers there either.
Otherwise, fingers may be hurt.

(1) Looking at the monitor, turn the height

adjustment ring and incline the opera-
tion lever right or left so that the eye
front image is displayed almost at the
center of the monitor.

Adjust the height of the chin rest by turning the chin rest height adjustment ring as
required.
Hold the operation lever and slide the stage if you need to move the unit more.

(2) Have the examinee stare at the internal eye fixation lamp.

(3) Incline the operation lever back and forth until the split images of the pupil are
aligned.

• If the pupil is smaller than the inner alignment ring:

→ Darken the room more in order to hasten the dilation.
→ If pupil is still smaller, use the “S.P function”. See the next page.

– 11 –
4.2 Positioning and Focusing

S.P (Small Pupil) Function

If the pupil is smaller than the inner alignment ring even after waiting for a while in a dark
room, use the S.P function.
Even an eye whose pupil as small as 3.7 mm in diameter will be able to be photographed.
NOTE: Do not use this function for taking an image of a fully dilated eye.
Otherwise, you will not be able to take an image of proper density due to excessive
exposure.

(1) Set the S.P knob to “ON”.

NOTE: Unless “I” mark on the knob is
SP

properly aligned with “ON” or IR

FIL
TE
R

I IN
OF
F
ON

“OFF” mark on the instru-

ment, darkness of image may
become uneven.

(2) Press ALIGNMENT switch.

Area that will be photographed will be
indicated by dotted circle.
NOTE: Flare may appear outside the
dotted circle.

S.P. range mark R

<F-9>

(3) Follow the same steps as from step 5 below.

– 12 –
 4.2 Positioning and Focusing

Display the retinal image

4
Press ALIGNMENT switch.

If the stage is slid to the opposite side when

the retinal image is displayed, the display
will change to eye front image.

R
Split bars
Eye fixation taget

Working distance dots

<F-9>

• If split bars or working distance dots cannot be seen:

See chapter 5 and section 6.2.1.

Adjust the brightness for observation

5
Looking at the monitor, adjust the bright-
ness by turning the LAMP knob.

LAMP

3
2
1
MIN

Adjust the brightness and contrast of the

monitor by using the monitor adjusting
knobs as required.

NOTE: It will be difficult to see the working distance dots and split bars during observa-
tion of retinal image if the brightness is set too high.

– 13 –
4.2 Positioning and Focusing

Have the examinee place his/her face firmly against the fore-
6 head rest and chin rest

Determine the area to be photographed

7
(1) Have the examinee stare at the eye fixation target.

(2) Incline the fixation target control but-

ton to move the eye fixation target to
the position where you wish to induce
the examinee’s eye, as required.

• If there is flare or if working distance dots cannot be seen:

See section 6.2.1.

Align the split bars

8
Align the split bars by turning the focus
knob.

– 14 –
 4.2 Positioning and Focusing

Focusing is correct when the split bars are

aligned.

• If split bars cannot be seen:

See section 6.2.1.

• If split bars do not align:

Diopter of the examinee’s eye is out of the range from –12D to +15D.
In this case, pull out the diopter compen-
sation slider.
If it is pulled out one step, – (minus) lens
will be set, and if it is pulled out two
steps, + (plus) lens will be set.
Whenever it is pulled, split bars will dis-
appear. Turn the focus knob and focus
on the retinal image.

– 15 –
4.2 Positioning and Focusing

Precisely adjust the position of retinal image

9
Incline the operation lever forward and
backward so that both working distance
dots are displayed the smallest.
Also, precisely adjust the position of the
working dots so they are equally positioned
from top and bottom, and from right and
left.

NOTE: Unless the retinal image is positioned properly, flare will appear in the periphery
of the retinal image when the image is taken.

– 16 –
 4.3 Photography

4.3 Photography

Press shutter release button

1
After image is taken, eye front image will
be displayed.

• If image is not good:

See section 6.2.1.

NOTES:1. Be sure to view the recorded image with an image viewer such as the CR-DGi
Image Viewer, available as an accessory.
2. The image displayed on the LCD monitor of the digital camera comprises data
still in the process of forming an image. Thus, the image is inverted 180°, and
there may be flaring on its periphery.
Use the image on the LCD monitor only for checking if the examinee has
blinked or not.
3. Image must be printed from an image viewer. Do not print the image directly
from the digital camera, as that is not the final image.

If you are taking an image of the other eye

2
Eye will be contracted after an image is taken.
Wait until the eye is sufficiently dilated. Then, take an image.

– 17 –
5. Settings in SET Mode

Settings concerning split bars and position of internal eye fixation target can be made in SET
mode.

Press the button under SET in eye front image

screen.
R

SET <F-9>

SET mode screen will appear.

SET SN XXXXXX Serial number of the

instrument

Vxxxxxx Version of the software

<FIXATION TARGET>

SPLIT POSITION RESET

RTN ON RESET ON

Press the button under RTN after all the settings are completed.
Settings will be saved, and the display will return to eye front image screen.

– 18 –
 5. Settings in SET Mode

• Selecting Whether to Display Split Bars

Select whether to display the split bars which are used for focusing on the monitor.
ON: Split bars appear on the monitor. However, they will automatically disappear when diopter
compensation slider is pulled.
OFF: Split bars are not displayed.

Press the button under SPLIT to change the set-

ting.
SET SN XXXXXX

Vxxxxxx

<FIXATION TARGET>

SPLIT POSITION RESET

RTN ON RESET ON

• Resetting the Position of Eye Fixation Target

You can reset the eye fixation target when you cannot find the initial position when RESET is set
to OFF.

Press the button under POSITION RESET.

The target returns to the initial position and the
display will return to eye front image screen. SET SN XXXXXX

Vxxxxxx

<FIXATION TARGET>

SPLIT POSITION RESET

RTN ON RESET ON

– 19 –
5. Settings in SET Mode

• Selecting Whether to Reset the Position of Eye Fixation Target

Select whether to have the eye fixation target return to the standard position after each photo-
graph.
ON: Eye fixation target returns to the standard position after each photograph.
OFF: Eye fixation target does not move even after a photograph.

Press the button under RESET to change the set-

ting.
SET SN XXXXXX

Vxxxxxx

<FIXATION TARGET>

SPLIT POSITION RESET

RTN ON RESET ON

– 20 –
6. Daily Inspection and Maintenance

! CAUTION For safety reasons, be sure to inspect the instrument daily before using it.

6.1 Inspection

In order to ensure that the instrument is used safely and normally, please be sure to inspect the
instrument before use.
If any problem is found during the inspection, please take measures indicated in this chapter.
If problem still cannot be corrected, please contact Canon representative or distributor.

The instrument must be repaired by a qualified engineer only.

! WARNING If it is not repaired properly, it may cause fire, electric shock, or acci-
dent.

6.1.1 Before Turning ON the Power

For safety reasons, be sure to turn OFF the power when the following
! WARNING inspections are going to be performed.
Otherwise, it may result in electric shock.

Clean the plug of the power cable periodically by unplugging it from the
AC outlet and removing dust or dirt from the plug, its periphery and AC
outlet with a dry cloth.
! WARNING If the cable is kept plugged in for a long time in a dusty, humid or sooty
place, dust around the plug will attract moisture, and this could cause
insulation failure which could result in a fire.

It is recommended that a record of the inspection be kept by copying the next page, or making a
separate check list.

– 21 –
6.1 Inspection

Result
Inspection Remedy
Date Date Date
/ / /
Check that cable is not damaged Good/ Good/ Good/ Contact Canon or distributor if
or cover of cable is not torn. Bad Bad Bad there is any problem.
Cable

Check that the power cable is

inserted fully into the connector Good/ Good/ Good/
Fully insert the cable.
on the instrument and into the Bad Bad Bad
AC receptacle.

Check that the cover or parts are Good/ Good/ Good/ Contact Canon or distributor if
not damaged and not loose. Bad Bad Bad there is any problem.

Check the following movement:

– Stage must slide smoothly
when operation lever is pushed
or pulled back and forth, to left
and right.
Good/ Good/ Good/ Contact Canon or distributor if
– Main unit must move up and
Bad Bad Bad there is any problem.
Retinal Camera

down smoothly when height

adjustment ring is turned.
– Chin rest must move up and
down smoothly when chin height
adjustment ring is turned.

Good/ Good/ Good/

Disinfect the forehead rest. See section 6.3.4.
Bad Bad Bad

Check that there are enough

Good/ Good/ Good/ Obtain paper if not enough.
sheets of chin rest paper on the
Bad Bad Bad See section 6.4.
chin rest.

Good/ Good/ Good/ Clean the monitor.

Check that the monitor is clean.
Bad Bad Bad See section 6.3.3.
Digital Camera

Check that the digital camera is

Good/ Good/ Good/ See the separate “Digital Cam-
firmly attached to the retinal
Bad Bad Bad era Installation Manual”.
camera.

– 22 –
 6.1 Inspection

6.1.2 After Turning ON the Power

Result
Inspection Remedy
Date Date Date
/ / /

Turn the IR. FILTER knob in

Retinal Camera

Clean the objective lens if it is

counterclockwise direction.
dirty.
Check that there is no dust or Good/ Good/ Good/
See section 6.3.1.
dirt on objective lens. Bad Bad Bad
Contact Canon or distributor if it
After the inspection, set the IR.
is scratched.
FILTER knob to IN.

Press ALIGNMENT switch to Contact Canon representative or

Good/ Good/ Good/
check that the display on moni- distributor if display does not
Bad Bad Bad
tor changes. change.

Have someone act as an exam-

Image

inee to check that the retinal If retinal image cannot be seen

image, split bars, fixation target although eye front image can, or
Good/ Good/ Good/
mark and working distance dots if split bars cannot be seen
Bad Bad Bad
are displayed properly. although positioning is proper,
Also, turn focus knob to check contact Canon or distributor.
that split bars can be aligned.

– 23 –
6.2 Before Calling a Service Person

6.2 Before Calling a Service Person

Whenever a problem occurs or message appears on the monitor, take the countermeasures indi-
cated below according to the cause.
If function is still not restored, contact Canon representative or distributor.

6.2.1 If Problems Such as Following Occur

Problem Cause Remedy

Turn OFF the power and connect
Plug is disconnected.
the cable properly again.

Remove the cause of turning OFF

Indoor breaker is OFF. the breaker. Then turn the breaker
Power lamp does not light even ON.
when power is turned ON.
Replace the fuse.
Fuse has blown.
See section 6.4.2.

Turn OFF the power and contact

Cable is cut.
Canon representative or distributor.

Retinal image cannot be seen

Contact Canon representative or
even when amount of light is Lamp for observation is burned out.
distributor.
increased with LAMP knob.

Working distance dots are diffi- Amount of light for observation is Reduce brightness using LAMP
cult to see. too high. knob.

Position properly with operation

Working distance dots cannot be
Positioning is improper. lever.
seen.
See section 4.2.

Position properly with operation

Flare can be seen. Positioning is improper. lever.
See section 4.2.

Amount of light for observation is Reduce brightness using LAMP

Split bars are difficult to see.
too high. knob.

Dilate the pupil by making the room

darker. If the pupil is still small, set
Dilation is insufficient.
the S.P knob to ON.
See section 4.2.

Position properly with operation

Positioning is improper. lever.
See section 4.2.
Split bars cannot be seen at all.
Eyebrow or eyelashes are covering Instruct the examinee to open his/
the pupil. her eye wider.

Set it to ON.
SPLIT is set to OFF in SET mode.
See section 4.2.

Diopter compensation slider has

Push the slider in.
been pulled out.

– 24 –
 6.2 Before Calling a Service Person

Problem Cause Remedy

Contact Canon representative or
Split bars cannot be seen at all. Split lamp is burned out.
distributor.

Although photography is per-

Mount the digital camera and take
formed, retinal image cannot be Digital camera is not mounted.
an image again.
taken.

Turn ON the power of the digital

The power of the digital camera was camera and take an image again.
turned OFF while image was Do not turn OFF the power while the
Image cannot be recorded. recorded onto the CF card. access lamp on the digital camera is
blinking.

CF card is not inserted in the digital Insert the CF card and take an
camera. image again.

Dilate the pupil by making the room

darker. If pupil is still small, set S.P
Dilation of pupil is insufficient.
knob to ON.
See section 4.2.

Properly position the examinee’s

Positioning is improper. eye and the retinal camera.
See section 4.2.

Focus on retinal image properly.

Focusing is improper.
See section 4.2.

Eyebrow or eyelashes are covering Instruct the examinee to open his/

the pupil. her eye wider.

Examinee’s eye is opaque. You cannot take a good image.

Image is not good.
The examinee blinked at the same
time as the shutter release button Take an image again.
was pressed.

Settings (flash intensity compensa-

tion, diopter compensation slider, Check and set correctly.
S.P knob) are incorrect.

Check and set correctly by referring

Settings of the digital camera are
to the separate “Digital Camera
incorrect.
Installation Manual”.

Clean it.
Objective lens is dirty.
See section 6.3.1.

Examinee is wearing contact lens. Have him/her take it off.

– 25 –
6.2 Before Calling a Service Person

6.2.2 If Message such as Following Appears on the Monitor

Contact Canon representative or distributor if message does not disappear even after taking the
remedy. In this case, please let us know the message that is displayed.

Message Cause Remedy

Press the button under NEXT to
restore the function for a mean
ERROR
Backup battery in the instrument is while. However, data saved in the
DATA BACKUP FAILURE
weak. instrument may have to be set
<PRESS NEXT BUTON>
again. Ask for replacement of bat-
tery and setting immediately.

ERROR
Turn OFF the power and turn it ON
SYSTEM ERROR [xx] Problem inside the instrument.
again after about 10 seconds.
Please restart the power

Press the button under CLEAR and

Photography was performed with
turn ON the power of the digital
the power of the digital camera OFF.
camera.

Battery of the digital camera is Recharge the battery, or replace it

exhausted. with a charged battery.

Photography was performed when Press the button under CLEAR and
there was not enough space on the replace the CF card which has
CF card. enough space.
WARNING
CHECK CAMERA Photography was performed when Press the button under CLEAR and
digital camera was busy. wait a few seconds.

Photography was performed with

Press the button under CLEAR and
the signal cables between the reti-
disconnect the cables and recon-
nal camera and digital camera not
nect them properly.
connected properly.

Built-in flash of the digital camera Press the button under CLEAR and
flashed during photography set the digital camera so the built-in
because it had been set to be used. flash does not operate.

– 26 –
 6.3 Cleaning and Disinfection

6.3 Cleaning and Disinfection

6.3.1 Objective Lens

Clean the objective lens by the following procedure when it is dirty.

(1) Turn ON the power.

(2) Turn the IR. FILTER knob in counterclock-

wise direction until it stops.
SP
R

(3) Look into the objective lens to find any dust IR

FIL
TE

I IN
OF
F
ON

or stains.

(4) Remove the brush from the blower. Blow off

the dust from the objective lens with the
blower.

NOTE: Do not wipe the objective lens when dust or dirt is on the lens. Otherwise, the lens
will be scratched.

(5) When the lens is stained by fingerprints or

grease, wipe the surface lightly with sterile
gauze or non treated lens paper, on which you
can put some lens cleaner.
Please consult Canon representative or dis-
tributor about lens cleaners that can be used.

NOTE: Do not wipe the objective lens with disinfecting alcohol, lens cleaner for glasses, or
cleaning paper containing silicone as the surface may be damaged or stained. Also,
if the lens is soaked excessively with cleaner, the surface will be stained.

(6) Change the paper and wipe the lens several times until there is no cleaner left on the surface.

(7) After cleaning is completed, set the IR. FILTER knob to “IN”, and turn OFF the power.

– 27 –
6.3 Cleaning and Disinfection

6.3.2 Imaging Lens

Clean the imaging lens of the mount on the retinal camera by the following procedure when it is
dirty.

(1) Remove the brush from the blower. Blow off

the dust from the imaging lens with the
blower.

NOTE: Do not wipe the imaging lens when

dust or dirt is on the lens. Otherwise,
the lens will be scratched.

(2) When the lens is stained by fingerprints or

grease, wipe the surface lightly with sterile
gauze or non treated lens paper, on which you
can put some lens cleaner.
Please consult Canon representative or dis-
tributor about lens cleaners that can be used.

NOTE: Do not wipe the imaging lens with disinfecting alcohol, lens cleaner for glasses, or
cleaning paper containing silicone as the surface may be damaged or stained. Also,
if the lens is soaked excessively with cleaner, the surface will be stained.

(3) Change the paper and wipe the lens several times until there is no cleaner left on the surface.

– 28 –
 6.3 Cleaning and Disinfection

6.3.3 Cover and Monitor

Clean the cover and monitor by the following procedure if they are dirty.

When the instrument is going to be cleaned, be sure to turn OFF the

power and unplug the power cable from the AC outlet.
! WARNING Never use alcohol, benzine, thinner or any other flammable cleaning
agents. Otherwise, fire or electric shock may result.

(1) Turn OFF the power and unplug the power cable from the AC outlet.

(2) Wipe the cover and monitor with a piece of cloth soaked in neutral detergent diluted in water
and wrung dry.

(3) Wipe the cover with a piece of cloth soaked in water and wrung dry whenever neutral deter-
gent has been used.

6.3.4 Forehead Rest

Wipe the forehead rest with ethanol or glutaraldehyde solution to disin-

fect it each time a different examinee uses it, in order to prevent infec-
tion.
! WARNING Please consult a specialist for the procedure for disinfection.
If you are using disinfectant other than those specified above, or if you
are mixing another disinfectant with ethanol, please also consult a spe-
cialist, because they may harm the forehead rest.

– 29 –
6.4 Replacement

6.4 Replacement
6.4.1 Chin Rest Paper

Please refer to “6.5 Expendable Parts List” for ordering the chin rest paper.

NOTE: When chin rest paper is not going to be used, disinfect the chin rest in the same way as
disinfecting the forehead rest each time the examinee changes.

(1) Pull out the two pins on the chin rest.

(2) Insert the pins into the holes on the chin rest
paper. Maximum of 100 sheets of paper can
be attached.

(3) Replace them in the chin rest.

NOTE: Insert the pins straight into the holes.

6.4.2 Fuse

Replace the fuse when it is blown.

Be sure to use 125V, 4A fuse (slow blow type).

When the fuse is going to be replaced, be sure to turn OFF the power,
! WARNING unplug the power cable from the AC outlet before replacing it.
Otherwise, fire or electric shock may result.

NOTE: If the fuse blows again immediately after replacement, contact Canon representative or
distributor.

(1) Turn OFF the power and unplug the power cable from AC outlet.

(2) Loosen the cap of fuse holder by using a

IN
minus screwdriver. AC
2
A4x
V/T
125

R
WE
PO
I
O

ON
OFF

– 30 –
 6.5 Expendable Parts List

(3) Pull the cap.

IN
Cap will be removed with the fuse. 2
AC
A4x
V/T
125

R
WE
PO
I
O

ON
OFF

(4) Remove the old fuse and replace with a new

AC IN
one. 125V
/TA4
x2

ER
POW

(5) Insert the cap with the new fuse into the O
I

holder. Turn the cap fully in clockwise direc- ON

OFF
tion while pressing it with the screwdriver.

6.5 Expendable Parts List

Please contact Canon representative or distributor for purchasing the following parts:

Name Reference Number Note

Slow blow type

Fuse VD7-004-4001
Rating: 125V, 4A

Chin rest paper BA3-0151 500 sheets / set

– 31 –
7. Installation

Please also refer to the separate “Digital Camera Installation Manual”.

7.1 Installation
Only operate the instrument with the type of power supply indicated on
! WARNING the rating label. Otherwise, it may result in fire or electric shock.

Be sure to turn OFF the power before connecting or disconnecting the

! WARNING cables. Also, do not handle the cables with wet hands. Otherwise, you
may get an electric shock that may result in death or serious injury.

Do not connect the instrument with anything other than specified.

Otherwise, it may result in fire or electric shock.
Also, when other equipment is going to be connected to the instrument
! WARNING using the connector for interface, be sure to check after connection that
leakage current is within the tolerable value.
For details, please contact Canon representative or distributor.

This instrument is shipped with a grounding type (three-core) power

cable.
! CAUTION To reduce the risk of electric shock, always plug the cable into a
grounded power outlet.

NOTES: 1. Do not install the instrument in a location with the conditions listed on page (2).
2. Install the retinal camera in a room that can be darkened to the point where a news-
paper can barely be read.
3. When any equipment such as personal computer is going to be connected to the CR-
DGi, be sure to use insulation transformer conforming to IEC 60601-1 Medical
Electrical Equipment Standard.

(1) Place the instrument on a firm desk or table.

(2) Turn OFF the power by pressing side “O” of the power switch.

(3) Attach and set the digital camera by referring to the separate “Digital Camera Installation
Manual”.

(4) Connect the power supply cable to the power

connector of the instrument.
POW
ER 125V
/ TA 4
(5) Ensure that the power of the instrument is O
I
x2

AC I
N
turned OFF, and connect the power supply OFF
ON
FIX
TA R
GET

cable to an AC outlet. SER

IAL

– 32 –
 7.2 Precautions when Moving the Instrument

7.2 Precautions when Moving the Instrument

This is a procedure for moving the instrument only for a short distance by carrying it.

When the instrument is going to be moved, be sure to turn OFF the

power, unplug the power cable from the AC outlet, and disconnect
other cables.
Otherwise, the cable may be damaged, which may result in fire or elec-
! WARNING tric shock.
Also, when the instrument is going to be carried, support the bottom of
the instrument and hold it horizontally.
Otherwise, you may drop the instrument and it may result in injury.

Do not hit or drop the instrument. The instrument may be damaged if it

! WARNING receives a strong jolt, which may result in fire or electric shock if the
instrument is used without being repaired.

NOTE: When the instrument is going to be transported by automobile, etc., it must be protected
against vibration and shocks. Contact Canon representative or distributor for advice on
the procedure for packing it.

(1) Turn OFF the power.

(2) Disconnect the power cable.

(3) Remove the digital camera by referring to the separate “Digital Camera Installation Man-
ual”.

(4) Carry the instrument by supporting the instrument by holding the sides at the base.

– 33 –
8. Service Information

Repair

If problem cannot be solved even after taking the measures indicated in sections 6.1 and 6.2, con-
tact Canon representative or distributor for repair.
Please refer to the rating plate and let us have the following information:

Name of the instrument: CR-DGi

Serial number of the instrument: 6-digit number indicated on the rating label
Phenomenon: In detail.

Limit for Supplying Performance Parts for Repair

Performance parts* of this product will be stocked for eight years after discontinuance of produc-
tion, to allow for repair.
* Parts required to maintain the functioning of the product.

Expendable Parts Replaced by Service Person

Following parts are apt to become worn out or to deteriorate due to the characteristics of the
material or structure.
These parts cannot be replaced by the user.
If these parts are found to be worn out or to have deteriorated during daily inspection or use, con-
tact Canon representative or distributor for repair.
– Battery for backing up data
– Strobe tube
– Lamp for observation
– Split lamp
– Cathode-ray tube in the monitor
– TV camera for observation

Disposal of the Instrument

This instrument incorporates a lithium battery, which may pollute the

environment if the instrument is abandoned.
! CAUTION Please ask a professional waste disposal company to handle disposal,
or contact Canon representative or distributor before disposing of the
instrument.

– 34 –
9. Specifications

Purpose Photography of human retina

Type Non-mydriatic type

Digital cameras Canon digital camera

Angle of view 45° (37° when S.P knob is turned ON)

Image magnification 1.4× (φ17)

Minimum diameter of pupil required 4 mm (3.7 mm when S.P knob is set to ON)

Working distance adjustment Performed by aligning split pupil image (during eye
front image observation) and by using working dis-
tance dots (during retinal image observation).

Examinee’s diopter compensation range

Without compensation lens: – 12D to +15D
With “–” compensation lens: –7D to –33D
With “+” compensation lens: +11D to +35D

Focusing Performed by aligning split bars.

Camera for observation and alignment CCD camera

Monitor 5-inch TV monitor

Environmental requirements Use:

Temperature: 10°C to 35°
Humidity: 30%RH to 80%RH

Storage and transportation:

Temperature: –30°C to 50°C
Humidity: 10%RH to 95%RH
Atmospheric pressure: 61.3 kPa to 101.3 kPa

Data transfer Uses RS422.

Power 110 VAC – 120VAC, 60 Hz, 2.7 A

Dimensions 324 (W) × 496 (L) × 570±20 (H) mm

Mass Approx. 23 kg

– 35 –
10. Components

CR-DGi main unit...............................................................1

Power supply cable .............................................................1

Camera cable unit ...............................................................1

Chin rest paper ....................................................................2

Caps (for objective lens and camera mount) ......................1 of each

Dust cover ...........................................................................1

CR-DGi Image Viewer .......................................................1

Digital Camera Installation Manual....................................1

CR-DGi Operation Manual (this manual) ..........................1

Optional Accessories
External eye fixation lamp

Chin rest paper (500 sheets)

Motorized table CO-MT

– 36 –
CANON INC. Medical Equipment Group
20-2 Kiyohara-Kogyodanchi, Utsunomiyashi, Tochigiken, Japan
Telephone: (81)-28-667-5711

CANON MEDICAL SYSTEMS Eye Care Systems Department

15955 Alton Parkway, Irvine, CA 92618, U. S. A.
Telephone: (1)-949-753-4162

PUB. L-IE-5129C 0000P0.000 Printed in Japan