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School Health-Product Education-SureSight
 
SureSight™ Vision Screener

Introduction
Product Overview and Description
Product Use and Procedure
Features and Benefits
Frequently Asked Questions
Technical Specifications
Articles/ Manual
Sales Brochure / Demo Disk
Warranty
Reimbursement
Product Ordering Information
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Print This Page Ask Our Product Specialist


Introduction
The SureSight™ Vision Screener is a child friendly instrument that automatically screens a child in less than 10 seconds. The SureSight Vision Screener can accurately detect refractive errors using a quick, non-invasive technology. The screening is objective, easy to administer and eliminates the need for the child to respond. The Welch Allyn SureSight operates by pressing a labeled button on the unit and lining up the hand held device 14" away from the patient's eye. The instrument is lightweight, portable and can be used on everyone from infants to hard to test adults.



Product Overview and Description
The Welch Allyn SureSight™ Vision Screener is a child-friendly instrument that automatically screens vision in just seconds, addressing an eye chart's compliance problems and making screening of young children easier for both healthcare professionals and patients.

Welch Allyn developed a new vision testing technology for this product to accurately detect refractive error faster, easier, and less intrusively. The technology is ideally suited to detect key risk factors for amblyopia, a marked loss of visual acuity in one eye that affects up to five percent of the U.S. population. In addition, it can be used by school nurses and eye care practitioners to more quickly and easily perform an objective vision screening of refraction (determination of the eye's optical properties), for all age groups.

Research indicates that two-thirds of cases of amblyopia, or "lazy eye," are associated with refractive error. Current testing methods, such as eye charts and photoscreeners, can be difficult to perform on young children. In addition, only 21 percent of U.S. children have their vision screened before kindergarten. Unfortunately, 72 percent of children with the disorder go undetected until after the window for effective treatment expires. However, if treatment begins during the window -- before school age -- vision can almost always be preserved.

Pediatricians and family physicians typically use Snellen visual acuity (eye) charts to screen for the presence of refractive risk factors. However, studies have shown that only 25 percent of 3 year olds and 50 percent of 4 year olds can successfully complete this test. In addition, performing this test on pre-school children can take an average of five minutes or more.

Welch Allyn's method operates by pressing a button and lining up the hand-held device 14 inches away from the patient's eye -- as opposed to the two or fewer inches needed by autorefractors (devices used by eye care practitioners to measure refractive error). The new instrument has visual and audio cues that engage the child's attention automatically -- eliminating the need for the child to respond. The portable unit requires little time to learn, and nurses, technicians, and other trained personnel can administer tests. The lightweight device can be used for vision screening or objective refraction on everyone from infants to senior citizens.



Product Use and Procedure
Set-Up:
Push any button to turn the unit on
Position the patient so that the test can be conducted level with the patient's eyes.
Choose the calibration mode using the child / adult button (child mode for 6 years and under). Hold the button until you hear a double beep and see the desired icon on the LCD.
Explain the test procedure to the patient: "Now I will check your eyes. You will see a red light in the middle of green blinking lights".
Position yourself at eye level and square with the face of the patient.

Test Procedure:
Push the GO button on the unit.
Watch that the patient is fixated correctly throughout the test.
Position the unit at the correct distance from the patient:
When the unit is too far away, you will hear slow, low-pitched beeps.
Slowly move closer. At the correct 14" distance you will hear a steady low tone.
When the unit is too close, you will hear quick, high-pitched beeps.
The crosshair will flash in synch with the tones.
Look through the peephole and align the crosshair on the pupil of the patient's right eye. While the unit is acquiring data, you will hear a very high-pitched chirping sound over the steady low tone. (If you have a steady tone without acquiring data chirps, ask the patient if they see the red light and scan around the pupil in a spiral until chirps begin then hold at that location).
When the test on the right eye is complete, you will hear a "tah dah" sound.
Without changing positions, or pushing any buttons, rotate the unit to the left eye and align the crosshair over the pupil. Repeat test on this eye.
At the end of the test you will hear the "tah dah" sound again.
If the unit has not gathered enough good readings from either eye, you will hear 5 tones when the test stops. At that time retest that eye.
To stop a test at any time hold down any button until you hear the 5 tones sound.

Hints for Successful Testing
Screen in a dimly lit room. If it is too bright the pupils cannot dilate properly, too dark and it is difficult to see.
Make sure the unit is straight and level with the patient. When testing the second eye, simply rotate the unit over since it is already at the proper angle and distance.
Remind the patient to look at the red light and monitor the fixation.
Make sure the patient's eyelids are not occluding the pupil.
A charged unit can test patients for about 3 hours of continuous use.
To charge the unit, place firmly into the stand.

What do those buttons do?
Clear & child/adult mode

"GO"

Unit on — start test
Unit off — recall readings

L/R toggle & print

Re-test selected eye
Print (hold button, point at printer throughout)




Features and Benefits
No Patient Response - Minimal cooperation is required, making it ideal for use with young children, special needs populations and when there is a language barrier.

Child friendly
- The SureSight's lights and sounds engage the child's attention.

Objective
- The SureSight does not rely on the child's response. The person performing the screening does not have to interpret a pass/fail.

Complete, precise refractive information
- The unit automatically screens common vision problems, including near and farsightedness (myopia/hyperopia), astigmatism, and anisometropia (unequal power between the two eyes).

Compact and portable
- The unit is hand-held and operates for three continuous hours of testing. The battery-operated printer enables you to print out your screening results anywhere, anytime.

Comfortable, ergonomic design
- The unit weighs two pounds and features an ergonomic grip and replaceable, self-adjusting hand strap that accommodates all hand sizes.

Rugged construction
- The SureSight features optics and electronics that are shock mounted inside housing to protect the unit. The sealed unit helps keep out dirt.

Screen any age
- SureSight screens babies, children and adults. You can test patients while they're wearing glasses or contact lenses - testing for symptoms caused by the need for a new optical prescription.

Affordable
- After investing in the SureSight, there is no recurring charge per use.



Frequently Asked Questions
Q: During vision screenings, I have to screen around 60 students in a two-day period. Some of these students are difficult to test and the screenings are very time consuming. How can the SureSight save me time in my busy day?
A: The average time it takes to screen a patient with the SureSight is 30 seconds. The average time it takes to screen the same student with an eye chart is 5 minutes or more. This represents a time savings of 4 ½ hours to screen your 60 students over the two days. If you screen 200 patients you could save 15 hours!

Q: What do the S, C and D stand for on the LCD panel during a screening?
A: S is the sphere, or power of the eye measured in diopters. Negative numbers indicate myopia (near sightedness); positive numbers indicate hyperopia (far sightedness). C is the cylinder, a measure of astigmatism, or irregular focus of the eye. D is the difference in mean spherical power between the two eyes.

Q: Where is there an on / off button?
A: You can press any button to turn the unit on, and the unit automatically turns off after 2-1/2 minutes being unused. If you desire, you can turn the unit off by momentarily depressing all 3 buttons at once.

Q: Is this unit the same as an autorefractor?
A: No. There is another unit that is called the SureSight Autorefractor, but this unit is the SureSight Vision Screener. The autorefractor model is available through exclusive ophthalmic distribution and gives more comprehensive, diagnostic results. These are necessary for eye care practitioners who are prescribing corrective glasses or contact lenses.

Q: The low battery indicator popped up on my unit, how much time do I have left on my charge?
A: This indicates you have 15 minutes of usage remaining before your unit needs to be charged.

Q: Does the unit need to be calibrated?
A: Yes. Welch Allyn recommends calibrating the unit every 18 months. The CAL symbol will display on the unit and printout when it is ready to be calibrated. The unit will still be usable with the CAL symbol displayed.

Q: How do I get my unit calibrated?
A: Contact the Welch Allyn Technical Service Department to schedule your calibration. Their phone number is (800) 561-8797.

Q: Does this unit test for color discrimination?
A: No. Given the benefits of the SureSight vision screener for quickly and accurately screening for refraction, we recommend purchasing a color test if you are screening for color discrimination. Click here to review information on the Goodlite Color Test.

Q: How old does a child have to be before being able to get screened with the SureSight?
A: We recommend 6 months through adulthood. Before 6 months the babies eyes are not developed enough to give an accurate screening.

Q: Does the SureSight check for Strabismus or assess the muscles?
A: No. The SureSight is intended for use as a refraction screener on preschoolers, special needs and language barrier patients, saving time and improving accuracy for that portion of the vision screening.

Q: How do I clean my SureSight Vision Screener?
A: All windows on the unit can be cleaned with a soft cloth moistened with 70% Isopropyl Alcohol or any standard window cleaner. The housing, grip, hand strap and stand may be cleaned with either a dry soft cloth, or a soft cloth moistened with any of the following: 10% bleach solution, soapy water, 70% Isopropyl Alcohol, alcohol pads or standard window cleaner.

Q: Where do I find the serial number of my SureSight Vision Screener?
A: The serial number is located on a label inside the battery door.

Q: How many printouts are the batteries good for?
A: Printer batteries will print approximately 500 tests. At that time you will need to replace your batteries.

Q: How many tests can I print on a printer roll of paper?
A: You can print approximately 500 tests on one printer roll.

Q: Where do I buy accessories and printer paper for my SureSight?
A: You can order them from School Health Corporation on line or call their toll free number.

Q: I need to test hundreds of children at one time. What can I do?
A: An external battery charger can be purchased and is capable of charging 2 batteries completely in 2 hours.

Q: Is the SureSight a photoscreener?
A: No. The SureSight vision screener is a screening autorefractor, a different technology than that used in photoscreeners. Before the development of the SureSight, autorefractors were only available to eye care practitioners (at far higher price).




Technical Specifications
Technology: Welch Allyn proprietary autorefractor hardware/algorithm utilizing Hartmann Shack wavefront analysis
Working distance: 14 inches (35 cm.)
Distance detection: Automatic, with audible and visual cues
Eyepiece: Illuminated target for easy aiming
Data acquisition time: 2.4s/eye
Reliability measure: Indicates number of, and variation among measurements for the given eye
Battery voltage: 7.2v nominal (Lithium Ion)
Battery life: More than 3 hours of continuous usage
Low-Battery warning: Indicates 10 - 15 minutes usage remains
Interfaces: Remote infrared link to thermal printer.RS-232 interface for IBM compatible PC for future software upgrades/data transfer to electronic medical records.
Stand: Compact charger and SureSight storage
Weight: Approximately 2.0 lbs. (0.9 Kg.)
Dimensions: 6.5" x 7.75" x 2"
Class II equipment: Continuous operation.
Transport/Storage: -20°C~49°C, 10%~100% R.H. Max, 500hPa - 1060hPa Altitude
Operating: 10°C~30°C, 30%~75% R.H. Max, 500hPa - 1060hPa Altitude
Measurement Range: Sphere: +6 to -4½ Diopters
Cylinder: ± 3 Diopters
Laser safety: Class 1 Laser Product per CDRH 21CFR 1040.10 and 1040.11, IEC 825-1 (1996) pending and EN60825-1 (1996) pending
Office illumination: Not for use in direct sunlight. Indoor operation only.
Materials: This product is latex free.



Articles / Manual
Click here to read the Contemporary Pediatrics article "Why Early Vision Screening Matters."

The following are four different clinical studies published in the Investigative Ophthalmology and Vision Science Journal. To review the below titles, visit the website of the Association for Research in Vision and Opthamology at ARVO.org.

Bobier, W.R., etal: Reducing differences between wet and dry refractions of pre-school children. [ARVO Abstract]. Invest Ophthalmol Vis Sci. 2001;42(4) Abstract nr 2110

Adams, R.J. etal: Noncycloplegic Autorefraction in Infants and Young Children [ARVO Abstract]. Invest Ophthalmol Vis Sci. 2001;42(4) Abstract nr 2108

Harvey E.M, Miller J.M., Dobson, V.. Preschool Vision Screening with a New Portable Vision Screener: Effectiveness in a Population with a High Prevalence of Astigmatism [ARVO Abstract]. Invest Ophthalmol Vis Sci. 2000;41(4) Abstract nr 1594.

Atodaria N.J., Harvey E.M., Miller J.M., Dobson V.. Preschool Vision Screening Using a New Photoscreener: Effectiveness in a Population with a High Prevalence of Astigmatism [ARVO Abstract]. Invest Ophthalmol Vis Sci. 2000;41(4) Abstract nr 1593.

To review the SureSight user manual click here.

Click HERE to view the results of Phase 1 of the VIP study as printed by the American Academy of Ophthalmology. The article is titled, "Comparison of Preschool Vision Screening Tests as Administered by liscened Eye Care Professionals in the Vision in Preschoolers (VIP) Study".

Adobe Acrobat is required to view or print the SureSight User Manual click the icon below to download a free copy.





Sales Brochure / Demo Disk
If you would like to receive a SureSight demonstration video, in-office demonstration or sales brochure, please email us.




Warranty
SureSight Instrument
Welch Allyn, Inc. warrants the SureSight instrument to be free of original defects inmaterial and workmanship and to perform in accordance with manufacturer's specifications for a period of one year from the date of purchase. If this instrument or any other component thereof is found to be defective or at variance from the manufacturer's specifications during the warranty period, Welch Allyn will repair, replace, or recalibrate the instrument or component(s) at no cost to the purchaser. This warranty only applies to instruments purchased new from Welch Allyn or its authorized distributors or representatives. The purchaser must return the instrument directly to Welch Allyn or an authorized SureSight distributor or representative and bear the cost of shipping. This warranty does not cover breakage or failure due to tampering, misuse, neglect, accidents, modification or shipping, and is void if the instrument is not used in accordance with manufacturer's recommendations or if repaired or serviced by other than Welch Allyn or a Welch Allyn authorized representative.


NOTE: Return of the instrument registration card is required for proof of purchase and
warranty validation, and to automatically receive free software upgrades that may occur during the warranty period.


Service and Warranty
Please return instruments requiring service to:
WelchAllyn
Technical Service Department
Welch Allyn, Inc.
4341 State Street Road
Skaneateles Falls, NY 13153-0220 In Canada:
Telephone: 1-800-535-6663 Telephone: 1-800-561-8797
Fax: 315-685-4653 (Technical Services) Fax: 905-890-0008


SureSight Rechargeable Battery
Welch Allyn Lithium Ion batteries are warranted by Welch Allyn for two years from date
of manufacturing (when used in Welch Allyn instruments only). Defective batteries will be replaced on a pro rata basis should failure occur prior to expiration date on battery.



Reimbursement
Reimbursement for use of the SureSight, when paid, averages $15 per screening under code 92015 (determination of refractive state). Some SureSight users instead use code 99173 (screening test of visual acuity, quantitative, bilateral). Welch Allyn has available a reimbursement support service for customers who purchase the SureSight Vision Screener. If you would like to place an order, or already have purchased a SureSight and need additional reimbursement information email or call School Health Corporation.

For assistance in determining payer-specific coverage, coding or payment levels for the Welch Allyn SureSight™ Vision Screener, please call the Welch Allyn Reimbursement Support Line at 1.800.946.1212.

For additional Reimbursement info and a PDF you can share with others, click here: http://www.welchallyn.com/documents/Support/SM2614%20Rev%20C%20(MC4124)%20SureSight%20VS%20SS.pdf




Product Ordering Information
SH Catalog # Product Name
52316 SureSight Vision Screener

 

 


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