AT 020

Applanation tonometer

User manual
 Copyright 1

Knowledge of this manual is required for the operation of the

instrument. You should therefore familiarise yourself with the contents
of this manual and pay special attention to instructions concerning the
safe operation of the instrument.

We reserve the right to make changes to the product in light of technical

developments; the manual is not covered by an update service.
© Unless expressly authorised, dissemination or duplication of this
document and commercial exploitation or communication of its
contents is not permitted. Persons in contravention of this
copyright are liable to pay compensation for damages.
All rights reserved in the event of granting of patents or
registration of a utility model.

319300Ć9231Ć000_GA_GB_251108
 Contents 3

Page
Copyright . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Device safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Notes on installation and use . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Intended use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

Description of the device ā/ āAssembly . . . . . . . . . . . . . . . . . . . . . . 7

Measuring principle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Mounting the AT 020 on the SL 120, SL 130 slit lamps and
LSL 532s and LSL Trion laser slit lamps . . . . . . . . . . . . . . . . . . . . 9
Mounting the AT 020 on the SL 115 Classic slit lamp . . . . . . 10

Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Disinfecting the measuring prism . . . . . . . . . . . . . . . . . . . . . . . 12
Preparing for measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Measuring with the AT 020 applanation tonometer . . . . . . . 15
Checking the AT 020 applanation tonometer . . . . . . . . . . . . . 19
Conversion table for tonometer readings . . . . . . . . . . . . . . . . 20

Metrological check/maintenance . . . . . . . . . . . . . . . . . . . . . . . . . 22
Metrological check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

Disposal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Disposal of the product within the EU . . . . . . . . . . . . . . . . . . . 23

Technical data / Manufacturer's declaration . . . . . . . . . . . . . . . 24

Technical data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Manufacturer's declaration . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

Important safety notes:

Device safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

319300Ć9231Ć000_GA_GB_251108
4 Device safety

General

This AT 020 applanation tonometer has been developed and tested in

accordance with Carl Zeiss safety standards and with national and
international regulations.
This chapter contains a summary of the most important safety-relevant
information.
All safety notes and information in this manual and on the labels on the
instrument must be observed:

Danger to the instrument!

Danger to the user!

Warning
Correct operation of the AT 020 applanation tonometer is imperative
for its safe functioning. You should therefore ensure that you are
thoroughly familiar with this user manual before using the instrument
the first time. If you need supplementary information, please contact
our service or authorised agents.

319300Ć9231Ć000_GA_GB_251108
 Device safety 5

Notes on installation and use

q According to the German Medical Product Act (MPG) the AT 020

applanation tonometer is classified as a Class I instrument with
measuring function.
q The instrument was licensed as measuring instrument by the
Physikalisch Technische Bundesanstalt of Germany on 09.02.1994
carries the symbol .

q Observe the relevant national regulations for the prevention of

accidents.
q Do not store or use the instrument in damp rooms. Do not expose the
instrument to water splashes, dripping water or sprayed water.
q Modifications and repairs to your tonometer may be carried out by
Carl Zeiss service technicians or authorised personnel only.
q Observe the notes on disinfection of instrument components which
come into contact with the patient.
q Use the instrument only in accordance with the user manual.
q The instrument may only be operated by familiarised and trained
staff.
q It is the responsibility of the owner/user to ensure that operating
personnel is appropriately trained and instructed.
q The instrument may be used only for seated patients, i.e. in
horizontal measuring direction.
q Use only accessories supplied by Carl Zeiss. Other accessories may
only be used if their use has been proven and certified as safe by the
manufacturer of the device/accessory.

Caution
Each time the AT 020 applanation tonometer is set up or moved, the
measuring element must be set to 2.0 (use rotary knob 1, Fig. 1). The
measuring element holder will thus be at a defined position.

319300Ć9231Ć000_GA_GB_251108
6 Device safety

Intended use

q The AT 020 applanation tonometer is for measuring the intraocular

pressure of a seated patient.
The corresponding tonometer bracket is used for mounting on the
various Zeiss slit lamps.
q Use the instrument only in accordance with the user manual.

319300Ć9231Ć000_GA_GB_251108
 Description of the device / Assembly 7

Measuring principle

The AT 020 applanation tonometer was designed for various Zeiss slit
lamps according to the principle applied by Professor Goldmann. The
measuring device, containing a measuring prism with built-in optical
doubling system, is mounted on the slit lamp using a tonometer bracket
and the applanation surface is observed through the miscroscope.
Further progress has been achieved by the use of a comparatively small
applanation surface requiring only small measuring forces, as
introduced by Professor Goldmann.
Professor Goldmann found out that the counteracting forces of corneal
rigidity and capillary attraction of tear fluid neutralise at an applanation
surface of 3.06 mm diameter, so that the applied force corresponds to
the intraocular pressure.
The applanation tonometer works on the principle of force variation due
to the expansion of a spring. Therefore, it does not require any
maintenance or readjustment.

319300Ć9231Ć000_GA_GB_251108
8 Description of the device / Assembly

General

The AT Ă020 applanation tonometer can be attached to Zeiss slit lamp

types SL Ă115 ĂClassic, SLĂ 120 and SLĂ 130, as well as laser slit lamps
LSLĂ532s and LSLĂTrion, using a special-purpose tonometer bracket.
Towards the patient, the instrument has a spring-loaded stop to avoid
injuries by inadvertently coming too close to the eye. Visual defects of
the operator can be compensated for by using adjustable eyepieces on
the slit lamp.
The applied measuring force is approximately constant throughout the
entire motion range.
The object is observed through the left eyepiece of the microscope. The
measuring prism is located in the left optical axis of the
stereomicroscope.
The easily replaceable measuring prism of the applanation tonometer
contains an optical device that halves the image of the applanation
surface.
The measuring force applied to the eye via the measuring prism (3, Fig.1)
can be adjusted between 0 and 78 mN by turning the rotary knob of the
graduated drum (1, Fig.1). For normal work with the slit lamp, the
measuring arm can be easily swung out of the optical path by turning
it around the given axis.

Á
1 Rotary knob of graduated drum
Á
2 Adjusting screws for horizontal and 3
2
vertical adjustment
3 Measuring prism
Fig.1 Controls of the AT 020 applanation tonometer

319300Ć9231Ć000_GA_GB_251108
 Description of the device / Assembly 9

Mounting the AT 020 on the SL 120, SL 130 and

LSLĂ532s / LSL Trion slit lamps

 Use the guide pins (4, Fig.2) to position the tonometer bracket (2,
Fig.2) on the slit lamp und secure it with the fixing screw (3, Fig.2).
 Fit the AT 020 (1, Fig.2) onto the mounting pivot (6, Fig.2).
 The measuring prism must be fully visible in the left eyepiece. There
are two adustment options for the purpose:
1. Horizontal deflection of the measuring prism can be corrected
with the two upper adjusting screws (7, Fig.2). Use adjusting
screw (8, Fig.2) to correct any vertical deflection of the measuring
prism.

Á
2
Á ÁÁ
3
6 7
8
4 5 7

1 AT 020
2 Tonometer bracket
3 Fixing screw
4 Guide pin
5 Guide holes
6 Mounting pivot
7 Adjusting screws for horizontal adjustment
8 Adjusting screws for vertical adjustment

Fig.2 Mounting the AT 020

2. A larger vertical deflection of the measuring prism can be

achieved with the Carl Zeiss Meditec tonometer bracket by tilting
the mounting pivot (6, Fig.2) on the tonometer bracket. For this
purpose, alternately loosen or tighten the two adjusting screws (5,
Fig.3) by which the swivel arm of the mounting pivot is secured.
The screws are accessible from the bottom and situated on either
side of the tilting axis. Tilting the applanation tonometer results
in lifting or lowering the measuring prism.

Caution
After the adjustment, make sure the screws on the applanation
tonometer and tonometer bracket are firmly seated.

319300Ć9231Ć000_GA_GB_251108
10 Description of the device / Assembly

3
2

1
4

1 Fixing screw
2 Guide pins
3 Mounting pivot 2
4 Swivel arm of mounting pivot
5
5 Adjusting screws for vertical adjustment of measuring prism
Fig.3 Tonometer bracket

Mounting the AT 020 on the SLĂ115ĂClassic slit lamp

1
2
1
2

5
Á
6

1 Fixing screw 4 Tonometer bracket

2 Washer 5 Microscope
3 Pivot of tonometer bracket 6 Adjusting screws

Fig.4 Mounting the tonometer bracketĄ

 Set the tonometer bracket (4, Fig.4) onto the microscope (5, Fig.4)
so that its pivot (3, Fig.4) for holding the tonometer points to the front
and the two fixing screws (1, Fig.4) with washers (2, Fig.4) fit exactly
into the holes of the tonometer bracket. Slightly tighten the fixing
screws.

319300Ć9231Ć000_GA_GB_251108
 Description of the device / Assembly 11

 Set the AT 020 applanation tonometer onto the mounting pivot and
push down as far as it will go. If necessary, slightly loosen the three
adjusting screws at the tonometer base, making sure to retighten
them afterwards.
 Centre the measuring prism whilst viewing it through the left
eyepiece at a magnification of 12x. For this purpose, use the
adjusting screws on the tonometer bracket. Focus the eyepieces
beforehand!
 The focus of the front end of the measuring prism should lie in the
middle of the swivel range of the tonometer arm.
To check the function, set a scale value of approx. 2.0 and press about
2 mm against the measuring prism with the fingertip. Fully open the
slit for illumination. Swing out the projector laterally by about 60_
and clamp it. If necessary, correct the position by slightly loosening
the fixing screws and shifting the tonometer carefully forwards or
backwards.
 When position and focus are properly set, tighten all screws. If
required, the tonometer can be removed by loosening the three
adjusting screws on its base.
The tonometer bracket can remain on the microscope.

319300Ć9231Ć000_GA_GB_251108
12 Operation

Disinfecting the measuring prism

For hygienic reasons the measuring prism of the applanation tonometer

must be disinfected before each measurement. The measuring prism is
not delivered in a sterile condition; this also applies to the first
measurement with a new measuring prism.

Caution
Disinfectants are aggressive liquids. It is therefore important to heed the
directions for disinfection. This is to ensure a maximum life of the
measuring prisms of your applanation tonometer.

Caution
It is urgently recommended that a measuring prism is used for no longer
than two years after the first-time use (a measuring prism can be stored
indefinitely as a replacement part; wear begins with the first use).

Caution
Please follow the instructions on the packaging of the measuring prism,
as well as the instructions for the use and disinfection of tonometer
measuring prisms on the homepage of Carl Zeiss Meditec
(http://www.meditec.zeiss.de).

Please note that practical containers with holders for several measuring
prisms are available from specialised dealers, so that mass screenings
can be carried out without delay.

Caution
When using disinfecting solutions other than those stated on the
CarlĂZeiss Meditec homepage (http://www.meditec.zeiss.de), it must be
ensured that the material does not attack the material of the measuring
prism. No guarantee can be given in such cases. Never use alcohol for
disinfection!

319300Ć9231Ć000_GA_GB_251108
 Operation 13

Warning: risk of injury!

The measuring prisms must be disinfected and undamaged. Inspect the
surface of the measuring prism for contamination and damage (e.g.
scratches, cracks or sharp edges) prior to each use.
Recommendation:
We recommend working with a magnification of 8x or 12x.
The use of several measuring prisms is recommended; store the
unused prisms in a clean state. Prior to use they must be treated
in accordance with the instructions for the use and disinfection of
tonometer measuring prisms on the homepage of Carl Zeiss
Meditec (http://www.meditec.zeiss.de).

Preparing for measurement

 The cornea of the patient's eye should be anaesthetised prior to

examination.
Recommendation:
Always anaesthetise both eyes to avoid eyelid blinking.
 Then apply a drop of sterilised fluorescein solution to the conjunctival
sac of the patient's eye, using a strip of blotting paper as necessary
to produce a green fluorescing band of liquid around the measuring
surface in the following measurement.
Warning: risk of injury!
Make sure the instrument table is set up horizontally to prevent the slit
lamp from moving towards the patient when the measuring prism has
been mounted.
 Press the patient's head firmly against the chin and head rest.
 Ask the patient look at an angle of about 6_ towards the front
surface of the measuring prism. If necessary, the fixation lamp can be
used to calm the eyes.
 At the beginning of the measurement, the patient should be calmed
to take away his/her fear of the examination. This fear may cause an
increased intraocular pressure. Therefore, do not use the result of the
first trial measurement on both eyes, but take the average of the
subsequent three measurements of each eye to obtain a
reproducible result.

319300Ć9231Ć000_GA_GB_251108
14 Operation

 For the measurement, ask the patient to open his/her eyes wide. The
examiner can assist by splaying out the patient's eyelid with thumb
and forefinger. Take care, however, not to exert inadvertent pressure
on the bulbus. The fingers should rest only on the bony eye socket.

Warning: risk of injury!

Always secure the instrument base as soon as the measuring prism
contacts the cornea.
 Make a record of each tonometric measurement, i.e. note the date,
time of day and period that has passed since the last application of
pressure-reducing substances.

Warning: contraindications!
The AT 020 applanation tonometer should not be used if the patient is
susceptible to the anaesthetic used for the tonometry. Utmost caution
is also advised with patients suffering from corneal epithelium lesions or
keratitis, infection of the cornea (fungus, virus, etc.) or penetrating eye
injuries.

Warning: risk of injury!

The measuring prisms must be disinfected and undamaged. Inspect the
surface of the measuring prism for contamination and damage (e.g.
scratches, cracks or sharp edges) prior to each use.

319300Ć9231Ć000_GA_GB_251108
 Operation 15

Measuring with the AT 020 applanation tonometer

 The patient's head must be positioned in front of the slit lamp using
the height adjustment of the head rest so that the eyes are level with
the red marking of the head rest.
 The axis of the measuring prism is set at an angle of 6° to the axis of
the slit lamp. To ensure that the measuring prism is centred on the
patient's cornea, the patient must look at an angle of 6° to the right
(use the fixation lamp!).
 Swing the clean, disinfected measuring prism of the applanation
tonometer into the optical path. Set the graduated drum (1, Fig. 1)
to scale mark 1 so that the measuring prism is at the front end
position.
 Swing out the illuminating device (slit arm) laterally to about 50°,
open the slit fully and switch on the blue filter.
 Use the slit lamp to align the measuring prism horizontally and
vertically to the patient's eye.
 Operate the joystick of the slit lamp to slowly approach the patient's
eye until the measuring prism touches the patient's cornea.

319300Ć9231Ć000_GA_GB_251108
16 Operation

Measuring spherical cornea surfaces

With a spherical cornea the applanation area is a circle. The optical
system produces two fluorescein semicircles that must be brought to
coincide.
 View the produced pattern (Fig.5a) through the eyepiece of the
microscope. Focus the image of the applanation area by adjusting the
eyepiece or moving the instrument towards the patient's eye. If the
separating line does not exactly halve the applanation surface, adjust
the slit lamp vertically.

a b c
Fig.5 Measuring patterns produced by the applanation tonometer

 Vary the measuring force by turning the graduated drum (1, Fig.1)
until the inner edges of the green semicircles touch each other
(Fig.5b). The two semicircles must be of equal size, have a fluorescein
ring width of about 0.2 to 0.3 mm and pulsate uniformly. When this
has been achieved, the applanation surface has the nominal
diameter of 3.06 mm.
 If the measuring force has been set too high, a different pattern
appears (Fig.5c). The application of too much fluorescein results in
readings that are too high, whereas too little fluorescein results in
narrow semicircles, thus producing readings that are too low.
Multiplied by 10, the value read directly from the scale of the
graduated drum gives the intraocular pressure in mm Hg (see
conversion table on page 20 for converting these values to kPa).

Warning: risk of injury!

The measuring prisms must be disinfected and undamaged.
Inspect the surface of the measuring prism for contamination and
damage (e.g. scratches, cracks or sharp edges) prior to each use.

319300Ć9231Ć000_GA_GB_251108
 Operation 17

Measuring toric cornea surfaces

With a toric cornea, the applanation surface is an ellipse. The
coincidence of the half ellipses provides correct pressure values only if
the surface of the ellipse is equal to the surface of the applanation circle.
This condition is to be met for a definite angular position of the major
semiaxis of the ellipse with regard to a principal direction of curvature
of the cornea. The calculation shows that an astigmatism of below 3 D
is negligible for tonometer measurement. With higher astigmatism,
correct measurements are taken at an angle of about 43° between the
major diameter of the ellipse and the direction of the minor principal
section.

Corneal astigmatism above 3 D is taken into account as follows:

q The measuring prism carries an angular scale, the bracket holding the
measuring prism has a white and a red index line. With spherical
cornea and astigmatism up to 3 D, rotate the measuring prism until
its 0°Ć line coincides with the white index line. In this case, the line of
coincidence of the measuring prism is horizontal.
q With astigmatism above 3 D, the axial position of the lower refracting
principal section (larger radius of curvature) must be known from a
previous measurement with an ophthalmometer.
q The corresponding axis angle is read from the angular scale of the
measuring prism and set to the red index line.
q In this setting, the line of coincidence of the measuring prism forms
an angle of 43° to the horizontal.
Notes
q The tonometric measurement should be taken in a darkened room
and the slit lamp operated at normal lamp intensity. Only under these
conditions is it possible to reproducibly observe the weakly shining
inner edge of the fluorescein ring. To ensure that the scale can also
be seen in darkened rooms, it is set against a green fluorescent
background. If this background is exposed to intense light (lamp,
sunlight) it will glow for several hours (chargeup effect).
q The fluorescein ring itself should have a width of 0.2 to 0.3 mm. If the
fluorescein ring is too wide, the eyelids came into contact with the
measuring body during the measurement. Then, the read value is
higher than the actual pressure. To correct this fault, withdraw the
slit lamp and dry the measuring prism with a cotton swab. Repeat the
measurement.

319300Ć9231Ć000_GA_GB_251108
18 Operation

q If the fluorescein ring is too small, the tear fluid has dried up during
a longer measurement. In this case the pressure reading will be too
low. To obtain a correct result, ask the patient to close his/her eyes
several times and repeat the measurement.
q The actual measuring process should take no longer than 30 seconds,
otherwise the pressure will be reduced by flowing processes.
q The axis of the measuring prism must coincide with the normal to the
corneal surface. This is the case if the fluorescein semicircles lie
symmetrical to the separating line, as described above.
q If this condition is not complied with, patterns as shown in Fig.6 will
appear. These patterns require the slit lamp and thus the measuring
body to be repositionedĆ laterally and vertically.

a b c d
Fig.6 Measuring patterns requiring correction of the tonometer position

a Requires slit lamp to be lifted and moved to the left.

b Requires slit lamp to be lowered and moved to the right.
c Requires the slit lamp to be lowered and the measuring force
reduced.
d The slit lamp has been moved too close to the patient, or the
patient has moved suddenly towards the slit lamp during
measurement. In this case, the measuring arm knocks against a
springloaded stop and the applanation area is too large. Turning
the graduated drum does not result in any change. Withdraw the
slit lamp until a smaller measuring area indicates the proper
measuring position.

319300Ć9231Ć000_GA_GB_251108
 Operation 19

Checking the AT 020 applanation tonometer

After transport of the instrument, the condition of the applanation

tonometer can be checked as follows:
Check at drum position 2
 For this check, use a test weight (Fig.7) which is to be attached to the
horizontal swivelling axis of the measuring body.

Fig.7 Test weight

5 rings are engraved into the weight rod.

The middle ring corresponds to scale value 0, the two neighbouring
rings to the right and left correspond to scale value 2, and the two outer
rings correspond to scale value 6.
 A mark corresponding to drum position 2 is set exactly on the index
line of the weight holder. Then slip the weight onto the tonometer
axis so that the longer end points to the patient.
 Set the drum position to scale value 1.8. When the measuring arm
is slightly pushing in the direction of the free motion range, it should
move by itself against the stop in the direction of the examiner.
 Set the drum position to scale value 2.2. Now, the measuring arm
should move analogously against the stop towards the patient.

Note:
The check at measuring drum position 2 is most essential,
because pressure measurement is of crucial importance in this
range.
Check at drum position 6
Similarly, the tonometer can be checked at scale reading 6. The check
points are then 5.8 and 6.2.

319300Ć9231Ć000_GA_GB_251108
20 Operation

Conversion table for tonometer readings

Scale Pressure
reading mm Hg in kPa* in mbar
0.2 ă2.0 ă0.27 ăă2.7
0.4 ă4.0 ă0.53 ăă5.3
0.6 ă6.0 ă0.80 ăă8.0
0.8 ă8.0 ă1.07 ă10.7
1.0 10.0 ă1.33 ă13.3
1.2 12.0 ă1.60 ă16.0
1.4 14.0 ă1.87 ă18.7
1.6 16.0 ă2.13 ă21.3
1.8 18.0 ă2.40 ă24.0
2.0 20.0 ă2.67 ă26.7
2.2 22.0 ă2.93 ă29.3
2.4 24.0 ă3.20 ă32.0
2.6 26.0 ă3.47 ă34.7
2.8 28.0 ă3.73 ă37.3
3.0 30.0 ă4.00 ă40.0
3.2 32.0 ă4.27 ă42.7
3.4 34.0 ă4.53 ă45.3
3.6 36.0 ă4.80 ă48.0
3.8 38.0 ă5.07 ă50.7
4.0 40.0 ă5.33 ă53.3
4.2 42.0 ă5.60 ă56.0
4.4 44.0 ă5.87 ă58.7
4.6 46.0 ă6.13 ă61.3
4.8 48.0 ă6.40 ă64.0

319300Ć9231Ć000_GA_GB_251108
 Operation 21

Scale mm Hg in kPa* in mbar

reading
5.0 50.0 ă6.67 ă66.7
5.2 52.0 ă6.93 ă69.3
5.4 54.0 ă7.20 ă72.0
5.6 56.0 ă7.47 ă74.7
5.8 58.0 ă7.73 ă77.3
6.0 60.0 ă8.00 ă80.0
6.2 62.0 ă8.26 ă82.6
6.4 64.0 ă8.53 ă85.3
6.6 66.0 ă8.80 ă88.0
6.8 68.0 ă9.06 ă90.6
7.0 70.0 ă9.33 ă93.3
7.2 72.0 ă9.60 ă96.0
7.4 74.0 ă9.86 ă98.6
7.6 76.0 10.13 101.3
7.8 78.0 10.40 104.0
8.0 80.0 10.66 106.6
* 1 Torr is equal to 133.332 Pa (N/m2)

319300Ć9231Ć000_GA_GB_251108
22 Metrological check / Maintenance

Metrological check

All Carl Zeiss Meditec applanation tonometers are metrologically

checked and delivered in this condition.

Caution
During the service life of the instrument the user is responsible for
having it metrologically tested in compliance with national regulations.

In Germany the Medical DevicesĆOperating Ordinance requires that the

first instrument inspection be performed within 24 months of the first
year of use.

Carl Zeiss Service will be pleased to perform the metrological check and
possible repair.

Carl Zeiss Meditec AG

Technischer Dienst
07740 Jena
Phone: +49 3641 220 333

Maintenance

The AT 020 applanation tonometer does not require any maintenance.

In the case of malfunctions, immediately put the instrument out of
operation and consult Carl Zeiss service staff.

Caution
For cleaning and transport the measuring position must be set at 2.0 in
order to protect the measuring element.
Only clean the outer surfaces of the applanation tonometer. A cloth
slightly moistened (not dripping) with diluted detergent is
recommended for cleaning the casing of the tonometer.

Caution
It is urgently recommended that measuring prisms be used for no longer
than two years after first-time use (a measuring prism can be stored
indefinitely as a replacement part; wear begins with the first use).

319300Ć9231Ć000_GA_GB_251108
 Disposal 23

Disposal of the product within the EU

In accordance with applicable EU guidelines at the time at which the

product was brought onto the market, the product specified on the
consignment note is not to be disposed of via the domestic waste
disposal system or communal waste disposal facilities.

For further information on disposal of this product, please contact your

local dealer or the manufacturer or its legal successor company. Please
read the latest internet information provided by the manufacturer.

Where the product or its components are resold, the seller must inform
the buyer that the product must be disposed of in accordance with the
currently applicable national regulations.

319300Ć9231Ć000_GA_GB_251108
 Technical data /
24 Manufacturer's declaration

Technical data

AT 020 applanation tonometer,

Certificate of Approval No. 10.23Ć30/94 of PhysikalischĆTechnische
Bundesanstalt

Measuring prism 2 prisms for image splitting

Diameter of applanation surface 3.06 mm
Measuring force range 0 mN ... 78.4 mN
of precision spring tonometer
Scale reading 1.96 mN
Reading of x 10 = intraocular pressure in mm Hg
graduated drum (conversion to kPa acc. to conversion table)
Measuring precision according to DIN EN ISO 8612 Table 1
Ambient conditions Temperature: +10 °C ...)35 °C
Rel. humidity: 30 ... 75 % (no condensation)
Air pressure: 800 ... 1060 hPa
Storage conditions Temperature: Ć10 °C ...)55 °C
(in original packaging) Rel. humidity: 10 ... 95 %
Air pressure: 700 ... 1060 hPa
Transport conditions Temperature: Ć40 °C ...)70 °C
(in original packaging) Rel. humidity: 10 ... 95 %
Air pressure: 500 ... 1060 hPa
Dimensions of tonometer 200 x 85 x 218 mm3
(H x W x D)
Weight of tonometer 680 g

Manufacturer's declaration

The AT 020 applanation tonometer meets the requirements of the

0297 Medical Device DirectiveĆ 93/42/EEC and of its national implementation
in the form of the German Medical Product Act (MPG).

Device class according to the

Medical Products Act: I with measuring function
UMDNS-No.: 16Ć809

The AT 020 applanation tonometer conforms to EN ISO 8612.

319300Ć9231Ć000_GA_GB_251108
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Carl Zeiss Meditec AG

Goeschwitzer Str. 51Ć52
07745 Jena
Germany
Phone: +49 3641 220 333
Fax: +49 3641 220 112 319300-9231-000_GA_GB_251108
E-mail: info@meditec.zeiss.com AT 020 Applanation tonometer
Internet: www.meditec.zeiss.com Specification subject to change