The RUSH ET-549 brings the computer monitor into the center of an eye examination. The monitor is capable of an unlimited number of images. Images are displayed at distance, at near, at intermediate as well as all distances inbetween. In addition, the monitor has the ability to display an unlimited array of educational images to help patients understand their visual problems. Since images is what eyesight is all about, the monitor is, indeed, the perfect eye examination tool. "The monitor was made for us in the eye care field."
The next question arises. What is the best way to manage the monitor and the computer, in the typical examination room ??? The standard Chair & Stand was never designed to have a flat screen monitor attached. And, where can you put a computer in the exam room? And, most of all, where do you put a keyboard? Nothing in the typical eye lane was ever designed to incorporate these items. Unfortunately, as doctors, most of us try to adapt what we are already familiar with, instead of redesigning the examination room to properly incorporate these wonderful imaging tools. (VIDEO: Go to the Video Library for more info on the ET-549)
Typical Mistakes Two common mistakes are: 1) Putting the keyboard on a writing table or counter on the opposite side of the room from the examination stand. 2) Putting a monitor at the end of the examination room for distance images. At first, these seem to be logical when we are trying to make minimal changes in an examination environment we are already comfortable with.
If you mentally throw out the familiar look of the typical examination room and imagine a completely new design, you will find yourself in a simpler, cleaner and incredibly more convenient environment with the RUSH ET-549.
DistanceAcuity Images This new dynamic design allows the doctor to incorporate an unlimited number of computer images as part of the vision and eye health test. Distance vision is viewed by turning the monitor and observing the image on a mirror at the end of the room. While performing a refraction, the countertop of the stand slides out on tracks for a convenient reach to the keyboard as well as mouse and still allow plenty of room for a patient chart and previous glasses. (The RUSHSimulEyes software program fits this need perfectly.) Full Room Illumination As you will note in this image, the room lights are up to full brightness. With a monitor, there is no need to turn the lights down to reach the illumination of 7 foot candles. That idea was based on contrast issues related to projected images. With a monitor, the images are not projected. The light source is independant of room lighting. As a side point, this makes viewing the numbers on the phoropter much easier to read when the room lights do not have be turned down.
Charging Wells The Charging wells are hidden for protection of delicate hand devices such as Ophthalmoscope and Retinoscope. Additionally, the manual actuator rocker switch is protected here if the foot pedal is not accessable. This is important for a doctor who may have some disabilities. Next to this is the light switch for the light at the top of the stand.
Trial Lenses Since Trial Lenses and other hand-held devices remain important tools of a vision examination. Furthermore, trial lenses need to be conveniently accessable, so the doctor is not turning around try to reach them from the other side of the patient. As such they are located in the two smooth glide drawers under the keyboard tray. These are perfectly convenient for trial frames or lens power change demonstration.
Ergonomics From an ergonomics point, two important advantages are accomplished: 1. First, the entire ET-549 moves up and down with a powerful actuator. This raises and lowers the entire cabinet, slit lamp and phoropter, all at once. The patient can be seated in a standard comfortable chair because the chair does not have to move up or down. With the ET-549, there are not the same problems some older patients experience climbing up into an old design chair. The reason an electric chair is not needed is because the stand itself moves up or down to adjust to any height patient. With the old style standard chair & stand, the articulating arms could only move up or down a few inches. As a result, this meant that the chair had to move up and down to make up the difference in height. With the ET-549 the entire stand ( including the slit lamp and phoropter ) has a range in height of 13 inches. With this wide range the stand will lower to a person in a wheel chair or go as high as needed for a basketball player. A chair going up or down is really unneeded. 2. The second important ergonomic issue relates to the doctor. Here there is no more leaning over from a stool or standing when doing a refraction. Back problems, common to many eye doctors, are significantly reduced with the more comfortable height design of the ET-549. This ergonomic issue of the doctors sitting position, over many years, can make a very important difference at the end of a long day. In fact, the doctor could be in a wheel chair as well.
Near Vision Tests
Near point images can also be viewed by turning the monitor to the patient and adjusting the distance and angle so the patient can see the near point test images conveniently. Typical vision tests at near point may include actual intermediate tests for computer operators, binocularity, stereopsis, color vision and low vision exams. Near point testing is more convenient when the computor monitor is on its swiveling platform arms. Go to www.simuleyes.com for more information.
Special Vision Tests Due to the proximity of the monitor, binocular tests, color vision tests, ocular motility and low vision testing are typical procedures that can be performed in this configuration.
Digital Imaging The slit lamp platform conveniently slides above the patients lap allowing the doctor to perform fundus and slit lamp photodocumentation without reseating the patient. A slit lamp with a digital camera can capture images of the patients eye which can be immediately displayed to the patient. If you use a separate digital fundus camera, these images can be immediately displayed as well. Further , as we move to a paperless system, all patient records are at your fingertips.
Your Office Website Finally, this is a great way to show your patients your office website. Teaching your patient about the resources that are present in your office website is an important part of the practice of the future. As you show the patient your website you can suggest more information about their health (EyeCyclopedia) or
show them your "On-Line shopping" where they can purchase more contact lenses instead of ordering them from another on-line contact lens shopping system.
The ET-549 gives you a platform that makes all of these activities convenient.
The computer system can also allow quick and easy access to computer managed patient records or to present other information to patients via the internet.
Phoropter Arm The phoropter arm has multi-jointed action which allows for smooth articulation. The honeycomb strength of the arm and the elbows eliminates any vibration in the phoropter the patient might feel.
Slit Lamp The Slit Lamp tray is designed for many years of continuous use. It is extremely stable and free from vibration. The tray has a three way axis to allow the doctor to access any patient body configuration.
Slit lamp platform
Ophthalmoscope, Retinoscope and Light charging wells.
Articulating computer monitor arm (displays testing images).
True wheel chair access for both patient and doctor.
Trial lens drawer
Accessory drawer for hand held devices
Movable writing tray
Height range - 13 inches (foot pedal and rocker switch control)