The Challenge of Dreams

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REF TOPO RET-700

Feb.22,2019

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Contents

1. Specification and comparison table

2. Measurement mode
3. Topographer
4. Dry eye
5. Meibomian
6. Setup screen
7. External output
8. Procedure of software update(SYSTEM ver4.0)
9. KRT/TOPO calibration

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1.Specification and comparison table

Attached comparison table

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Specification of TOPO REF Comparison Table
Products of other Companies Our products
RT-7000 TMS-4N CA800 ANTARES-2
CT-1000 RET-700
(TOMEY) (TOMEY) (TOPCON) (CSO)

Exterior image

-25D～+20D -20D～+30D
Function SPH × × × ×
Ref (VD=12) (VD=0)

CYL -10D～+10D × × × × -10D～+10D

Ø0.4 ～ Ø10.7 (R8)
φ1.0～φ8.0 mm φ0.46～φ8.8 mm Up to φ9.8 mm φ0.4 ~ φ9.6mm φ0.56～φ10.6 mm
Range Peripheral Cornea
(φ0.9～φ7.0) (43D) (42.2D) (43D) (43D)
About Ø16 (R8)
Axial ○ ○ ○ ○ ○ ○
Tangential ??? ○ ○ ○ ○ ○
Corneal
shape Elevation ??? ○ × ○ ○ ○
measurment
Refractive ??? ○ × ○ ○ ○
Zernike × × ○ ○ ○(Option) ○
Fourier ○ ○ × x × ○
Type Topo corn Topo corn Dome Dome Topo corn Dome
Contact Lens Fitting ○ ○ ○ ○ ○ ○
Dry Eye Function (tear film breakup time) ○（1frame/sec） x ○ ○ × ○ (Option)
Meibomian Glands × × ○ ○ × ○
Number of Rings 15 25 / 31 24 24 20 19
6,400 (25)
Number of Measurement Points ??? Over 6,200 6,144 6,292 6,330
7,300 (31)
Mesurement of Pupil Diameter ○ x ○ ○ ○ ○
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Strength
・Wider measurement range ・Possible to store the patient data
φ0.4～φ10.7 Number of Ring 17or19 Approx. 10-thousand images could be stored
and opened. Use LAN, USB-A and USB-B,
store to the external
φ0.4 and open from there.
※ USB-B: Output Data only

φ10.7

・Screen is easy to see

LCD touch panel of 10.4 inch
Tilt to upward 40°
Swivel to horizontal 45°

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2.Measurement mode
There are 4 Measurement Functions.
Tap on the respective icon to activate each function.

1.Topographer
Measuring light : Red

2.REF/KRT
REF Measuring light：
Near infrared
KRT Measuring light：
Near infrared

3.Dry eye
Measuring light：Red

4.Meibomian
Measuring light：
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3. Topographer
・Measurement principle
The multiple ring pattern for measurement
is projected on the cornea and take a
image by using the light that is reflected LED
from cornea with the sensor. The size of (Central ring)
ring pattern is changed depending on the
corneal curvature radius. The map of
corneal curvature radius are designed
by calculating the size of each ring.
Use the visible light (650nm) for
measurement light.

・Central ring
The inside 2 rings (Central ring) of 19 are
projected by the light inside the optical unit,
which make it possible to take a
measurement for peripheral of top of Sensor
cornea. The other 17 rings are projected by (Monitor)
the light from the Placido’s disk. 8
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Purpose of corneal Measurement Calculation of IOL diopter

shape measurement of curvature power
radius Application of Toric IOL

Trial lens of HCL

Judgement of Degree of the abnormality

abnormality of of corneal shape
corneal shape Evaluation before and after the
prescription of orthokeratology
Preoperative screening of the
operation for LASIK/cataract
Evaluation of corneal shape
after surgery

Evaluation of After prescription of

irregular astigmatism orthokeratology
After LASIK/cataract surgery
After a transplant of cornea

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・Alignment procedure
As for the alignment procedure, align manually, please.
In case of distance between subject’s eye and device is far: red arrow
In case of distance between subject’s eye and device is close : blue arrow
The number of arrow decrease as approaching the distance.
When alignment is OK, the reticle displayed green

・Alignment OK ・Far from subject’s eye ・Too close with subject’s eye

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・To measure more accurately

Alignment OK range

Align to match the center of reticle and ring as accurate

as possible with manual alignment.

◎：Completely match the center of ring △：Slightly match in the range of OK

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・Analysis screen-Current map

①Type of map

②Type of scale

③Sim-K’s

④Corneal profile

⑤Type of display icon ⑥Type of function icon 12

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Axial is general map.

・①Type of map Tangentiaｌ can be judged
more easily .
・Axial Optical axis ・Tangential

Cornea

・Elevation ・Refractive
BFS(Best fit sphere)

Cornea
The height of cornea in reference to
“best fit sphere” (BFS) or the difference
between actual corneal surface & BFS.
(BFS: φ3/φ5/φ7 mm)
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・②Type of scale

・Normalized ・Numeric

step RmaxRmin
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(In case of Step is less than 0.25,
it is considered as STEP is 0.25)

・Absolute ・Adjustable

Step＝set randomly
0.12～4.75 (0.25※0.12)
Med＝ set randomly
39.00～47.00 (0.12)

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Sim-K Geometric values

・③Sim-K’s Sim-K :Simulated Keratometry 〈e〉: Eccentricity (rate of flattening)
(5th ~ 7th ring is used)
〈Q〉: Aspheric coefficient
e :Eccentricity (Aspherical rate change from center to peripheral)

dk :Difference of Sim-K1 & K2 〈p〉: Coefficient of corneal

KISA% :Keratoconus index (*) shape

KISA% Index: REF/KRT/Other

Central K：
Ave. of K1 & K2 values for φ3mm.
I_S：
Ratio difference between inferior power & Measurement results with
superior power of corneal curvature 3.0mm. REF/KRT mode is displayed
SRAX：Radial Skewed Axes
Most acute angle formed by the steepest
semimeridians.

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・④Corneal profile

【Sim K’s】 【dk】 【Plofile of random direction】

Sim K’s dｋ

Red： Flat meridian

steep meridian ┃
Blue： steep meridian
flat meridian

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・⑤Type of display icon

3D Int. Rings Popup

Grid KRT Tran.

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・Analysis screen-Multiple maps

It is possible to show Axial, Tangential, Elevation, Refractive at the same time.
Each display scale can be switched.

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・Analysis screen-Dual case

It is possible to show 2 data at the same time.
It is possible to:
Displays of 【Both eyes】 , 【Current data】 and 【Past data】,【Past data】 and 【Past data】.

Display 【Both eyes】 Comparison 【Current data】 with 【Past data】

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・Analysis screen-Difference Maps

It is possible to show difference of 2 data.
It is possible to show :
Differences of 【Both eyes】, 【Current data】 and 【Past data】,【Past data】 and 【Past data】

Difference of 【Both eyes】 Difference of 【Current data】 and 【Past data】

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Fourier,Zernikeはど Ｗｈａｔ‘ｓ Ｎｅｘｔ？
んな目的に使う?
・Analysis screen-Aberration Fourier
It is possible to show Spherical, Astigmatism, Asymmetry, High order by using Fourier
analysis.
The average value of each component in φ3, φ6, φ9 area is displayed in Value.

【Fourier】 【Value】

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・Analysis screen-Aberration Zernike

It is possible to show Total, Eaｃｈ【Spherical, Astigmatism, Coma, High order】 by using
the Zernike polynomial.

【Total】 【Each】

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・Analysis screen-CL fitting

Currently, fitting simulation of contact lens (simple) is displayed.
PC is displayed in BC + 1 mm.
Future software updates will allow you to simulate to use the database of contact lens.

Dia.：Diameter
OZ：Optical zone
BC：Base curve
PC：Peripheral curve

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・New function of Analysis screen-CL fitting from version4.0

Blink simulation Images file Fitting history

Lens protocols Multilingual

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・DB gen-Contact lens database creation tool

DB gen create contact lens database.

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・Procedure to open the stored 2.Select “Patients data

patient data and “Exams data” continuously
1.On the Measure screen, select the “Open
exam” without any measurement data

3.You can open the analysis screen

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4. Dry eye
・What is the Dry eye?
Dry eye is the disease to damage the health of eye surface because of lacking
the amount of and being poor of quality of tears.

Lacking the amount of tears

Dry eye

Being poor of quality of tears

【Normal tears】 【Unstable tears】

Lipid(oil)layer Lipid(oil)layer

Aqueous(water) Aqueous(water)
layer layer
Mucous Layer Mucous Layer
Corneal Corneal
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epithelium epithelium
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・Dry eye measurement screen

Select the dry eye measurement mode, and do alignment.
When you press the measurement switch, the measurement starts for 15 seconds(10fps) (The
reticle is displayed in white at this time)
During measurement(15 seconds), alignment indicator is not displayed, be careful that the
alignment is not to be displayed for subject’s eye.

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・Analysis screen-Dry eye

【option feature】(Release in July )
-available Demo mode
【standard feature】 (The number of usage limit：50)

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・Analysis screen-Dry eye(option)

If the value is high, there is a high possibility that the patient causes dry eye.
However, if the patient has corneal epithelial disorder, take care because the
ring is easy to disturb.
Map about
how disturb
the ring is
Original image

5 steps for
switching
sensitivity Play/stop button

Adjustment of
graph scale Grapf about how
10～100 disturb the ring is

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Dry eye samples Dry eye sample1

Normal

Dry eye sample2

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5. Meibomian
Oil
・What is the Meibomian？ layer
A layer of oil is on the surface to make tears difficult to Water
evaporate.The Meibomian produce this oil. layer
Mucous
The disease to be poor the function of Meibomian,
layer
which is called MGD(Meibomian gland dysfunction).
There are some cases which is to be poor Meibomian Corneal
for MGD. Epithelium
【Normal meibomian】 【Meibominan of MGD patient】
The number of
meibomian
Upper eyelid：
30~40

Lower eyelid：
20~30
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・Meibomian measurement screen

Select the Meibomian measurement screen, and do alignment.
No reticle and indicator for alignment is displayed.
Press the measurement switch to focus on where you wish to measure in a visual.
It is possible to take a measurement of 2 images with single eye and 4 images with both
eyes.

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・Analysis screen-Meibomian
The measured image can be edited to make it easy to see by adjusting 【Contrast】 and
【Brightness】 as necessary.
Also it is possible to enlarge the random part by zoom function.

【before edit】 【after edit】

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6. Setup
Regarding REF/KRT1, REF/KRT2, Topographer, Contact lens, Option,
refer to operation manual.

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・Memory
Topographer data(Valid for Analysis screen)
Save exam Set to save of Exam data
Save report Set to save of Report

REF/KRT data (Valid in Measure screen)

Save XML Save of XML format
Save std Save of Rexxam format
USB-COM：Output using USB serial
converter
Use to communicate with
the phoropter
Terminal Set Terminal of External setting

Use LAN setting

Shared Set the folder to save data
folder
Network Set of network used when saving

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・Printer

Connect with external printer

External Report print setting with external printer
printer
Printer The printer connected is displayed
registration

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・Registration
Enter the registration code to be effective the option function of dry eye.
Registration code is different depending on each product.
By entering demo code, it is possible to use the dry eye function with the number of usage
limit.
For registration code and demo code, please contact to sales department.

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7. External output
・DR-900
1.2 types of cables are required to connect with DR-900
・USB-Serial converter (CHIPI-X10)
・9P-9P cross cable(SP3303)

2.Set the Save std to “USB-COM”

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・DR-900
3.Set Baurate REF of DR-900 to“115200”
4.After REF measurement on Measure screen, tap the Print/Save
button.The data is output to DR-900.

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・Report output
It is possible to output the report by pressing Print/Save button on Analysis screen.
The output report is different depending on the analysis screen.
It is selectable either jpg or pdf for report output.

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・LAN
It is possible to output to PC and server. Setting item Setting item
Also you can open the output Exam data. ・Terminal ・Shared folder
Shared folder setting and IP address ・Shared folder ・Network
setting are required for LAN connection. ・Network (IP address)
Refer to Maintenance manual for setting (IP address)
procedure.

LAN cable
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・LAN(In the case of connecting directly PC)

In case of connecting with server, refer to the maintenance manual.
PC setting
1.Set the name of PC user account as a numbers or alphabets
(e.g : retuser)
Also, set the password for user account.
For details, refer to Maintenance manual.

Folder setting
1.Add the following folder to the local disk(C drive)
「 C:/RET-700/SharedFolder 」
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・LAN
2.After right-click “SharedFolder” and click “Share with”-”Specific people”

3.Check that “Current login user name” is displayed in frame.

4.After checking , press “Share” button.

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・LAN
5.Check that the folder name is “SharedFolder”
6.After checking , press “Done” button.

IP address setting
1.Start up “Control panel”-”Network and Sharing Center”
2.Click “Change adapter settings”

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・LAN
3.Right-click “Local Area Connection” and click “Properties”

4.Select “Internet Protocol Version 4(TCP/IPv4)”.

Click “Properties.”

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・LAN
5.Select “Use the following IP address” and enter “IP address” and “Subnet mask”
as below.
6.Click “OK button.

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・LAN
Setting of RET-700

1.Tap “setup” with Measure mode.

2.Set “Memory” of Setup screen as below.

3. After setting, tap “Enter” of “Shared folder”

on the Setup Screen.

4. Set “Folder”, “User”, “Password” of

Shared folder screen as below.

5. After setting, tap “Exit.”

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・USB-A
It is possible to output data to USB or external HDD.
(Format is only FAT32)
Also it is possible to open the output Exam data.

Setting item
・Terminal

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・USB-A
The RET-700 folder is created.
The Exam / Report folder is created in that.

Exam(Report)/ID_Last name_First name/year_month_day_hour_minute_second/各種データ

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8. Procedure of software update (SYSTEM ver4.0)
1. Preparation for Update
Necessary item
•PC
•USB-B driver “CP210xVCPInstaller_x86.exe” (in case that the PC is
64bit,_x64.exe)
•Tool for update：SystemUpdate_1005(DealerMode) (provided
separately)
•USB memory for SYSTEM update (provided separately)
•USB-B cable

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2. Install driver
•Install in PC the driver which recognizes the USB-B.
•In case of Windows, please confirm that “Silicon Labs CP210x USB to
UART Bridge(COM..)” is displayed on the port (COM and LPT) by
proceeding as “Control Panel” → “Device Manager”.
If it is not displayed, please retry it from 1

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3. Connect pc by USB A-B cable to RET700
•Copy the software SystemUpdate_1003(DealerMode) in a folder of
PC (example in Documents)
•Connect the USB A-B cable between RET700 and PC
•Switch on the RET700
•By double click start the software SystemUpdate_1005(DealerMode)
•A file named COM.INI will be created automatically in same folder
•Open the COM.INI and be sure that the port is the same of Silicon
Labs CP210 port
•If different, change the number inside COM.INI, than close the
COM.INI file

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4. System update procedure

①Switch off the RET700
②Close the software SystemUpdate_1003(DealerMode)
③Insert the USB memory for SYSTEM update in RET700
④By double click start the software SystemUpdate_1005(DealerMode)
⑤Follow the instruction on screen

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5

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5

End of update of SYSTEM.

Please enter in Maintenance mode and confirm in Hardware check > Version
that the version of SYSTEM is correct.

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9. KRT/TOPO calibration
・How to activate maintenance mode
1.Turn on while pressing the measurement switch.

2. Hold down the measurement switch even if Rexxam logo is switched to the
measurement screen. It takes about 1 min. even in normal condition.

3. Release from the measurement switch after displaying “Maintenance.”

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Refer to the maintenance manual for the details of each screen.

Transit to Setup screen

Transit to Calibration screen
Transit to Touch panel calibration screen
Transit to Shift data screen
Transit to Hardware check screen
Transit to Memory screen

Transit to Measure screen

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・Calibration
Calibration screen is following contents.
REF 【0D , -10D , +10D , -5D , CYL】
KRT/TOPO 【Alignment/KRT LED , TOPO LED , KRT/TOPO image , KRT/TOPO radius】

※When update the APPLI/ANALYSIS software to ver4.00,

it is necessary to calibrate 【KRT/TOPO image】 and 【KRT/TOPO radius】 one more time.

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・TOPO Calibration
2)KRT/TOPO image 【R8】
1．Set the attached model eye(R:8.0mm).
2．Align by moving the measurement unit. Make sure to be less than 0±2 for X, Y and Z
coordinates at that time.
※NOTE: Align while lowering the measuring unit as much as possible.
If it is not fully lowered, the upper part of ring may be cut due to the chinrest.
3．Take a measurement by tapping [Set].
4．Check that the analysis point of the ring satisfies the following.
18th：more than 55 points for both eyes each , 19th：more than 30 points for both eyes each
5．Check that the ring detected point is not cut due to the headrest by tapping [Map].

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・TOPO Calibration
3)KRT/TOPO image 【R5】
1. Set the model eye for adjustment(R:5.0mm).
2. Align by moving the measurement unit. Make sure to be less than 0±2 for X, Y and Z coordinates at that time.
3. Take a measurement by tapping [Test].
※Be careful not to press ［Set］ by mistake
When you press［Set］ by mistake, please calibrate from KRT/TOPO image 【R8】 again.
4.Confirm that the measure values of A1, A2, A3 displayed at the bottom of screen are within the
following standard value.
|A3-A1|≦0.005、|A3-A2|≦0.005
A1：1st ring measurement value / A2：2nd ring measurement value / A3：3rd ring measurement value
5.If It is out of standard value, adjust to be within the standard value by changing the value of ［R1S_R］
and ［R2S_R］.
［R1S_R］：1st ring adjustment value (R5) / ［R2S_R］：2nd ring adjustment value (R5)

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・TOPO Calibration
4)KRT/TOPO image 【R10】
1. Set the model eye for adjustment.(R:10.0mm).
2. Align by moving the measurement unit. Make sure to be less than 0±2 for X, Y and Z coordinates at that time.
3. Take a measurement by tapping [Test].
※Be careful not to press ［Set］ by mistake
When you press［Set］ by mistake, please calibrate from KRT/TOPO image 【R8】 again.
4. Confirm that the measure values of A1, A2, A3 displayed at the bottom of screen are within
the following standard value.
|A3-A1|≦0.005、|A3-A2|≦0.005
A1：1st ring measurement value / A2：2nd ring measurement value / A3：3rd ring measurement value
5.If It is out of standard value, adjust to be within the standard value by changing the value of ［R1L_R］,
［R2L_R］.
［R1L_R］：1 ring adjustment value (R10) / ［R2L_R］：2 ring adjustment value (R10)

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 The Challenge of Dreams
Ｗｈａｔ‘ｓ Ｎｅｘｔ？

・TOPO Calibration
5)KRT/TOPO radius
1.Set the attached model eye(R：8.0mm).
2.Align 5 places in order from 【a】 to 【e】 and tap 【Set】 respectively.
※When align, please pay attention to the sign of X, Y, Z coordinates.
3.After 【e】, finish is displayed on the upper of screen.
4. Finish the calibration by tapping the 【Exit】.
【a】Center 【b】left 【c】right
X：0±2、Y：0±2、Z：0±2 X：○○±2、Y：0±2、Z：0±2 X：－○○±2、Y：0±2、Z：0±2

64
 The Challenge of
The Challenge of Dreams
Ｗｈａｔ‘ｓ Ｎｅｘｔ？
Dreams

・TOPO Calibration

【d】up 【e】down
Finish
X：0±2、Y：－○○±2、Z：0±2 X：0±2、Y：○○±2、Z：0±2

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