RefRactive and coRneal SuRgeRy - Designs For...

10
2 66 7 REFRACTIVE AND CORNEAL SURGERY

Transcript of RefRactive and coRneal SuRgeRy - Designs For...

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7RefRactive and coRneal

SuRgeRy

67avedro KXl™ System for Accelerated Cross LinkingHigh Performance cross-linking for Keratoconus & Post-lasik ectasiaAvedro’s KXL System is a highly advanced UVA device for performing corneal collagen crosslinking.The KXL provides superiority in: • EnergyOutput• BeamHomogeneity• BeamPositioning&Stability• Programmability• Portability

High performance cross-linking Protocol: Keratoconus & Post-lasik ectasia•Speed: Accelerated 3 minute UVA exposure at 30 mW/cm2

•Safety: 5-10 minute time soak time (depending on corneal thickness)•Predictability:Uniformbeamprofile(consistentenergydeliveredacrossthecornea

with superior depth of focus)

lasik Xtra•Efficacy:LasikXtrareturnscorneastotheiroriginalpre-surgicalstrength•Speed:1.25minuteUVAexposurewithhighpower•Safety:1minutesoaktime•Predictability:UniformBeamProfile

Riboflavin formulations and Protocols

order code description unitsAVE-A0001 510-01157KXLAcceleratedCrosslinkingTreatmentPackage 10AVE-A0003 520-01418-006KXLActivationCards Boxof10AVE-A0005 520-01417-006Vibex520-01417 Boxof10AVE-A0007 520-01430-007VibexXTRforLASIKXTRA Boxof10AVE-A0008 520-01863-006VibexRapidFasterDiffusion Boxof10AVE-A0009 520-02400-006Paracel-VibeXtraCombination Boxof5

Keraflex KXL

KXl ii: the future of cross-linking

AvedrohasdevelopedtheKXLIISystemtointegratepatienttopographywithreal-timeeyetracking,real-timeriboflavindosimetryimaging,andprogrammableUVAilluminationpatternstoprovideatrulycustomisableproceduretotheindividualpatient.Itisexpectedthatthesefeatureswillassuresafer,repeatableandmorepredictabletreatmentoutcomes.

TheKXLIIstandsaloneinitsapproachbyoffering:• AcceleratedCrossLinkingwithpulsedandcontinuouswaveIllumination• Topography guided cross-linking • Programmableilluminationpattern• Real-timeeyetracking• Significantlyhigherpoweroutput• IntegratedScheimpflugimagingforreal-timeriboflavindosimetrymeasurements

ProceduresunderinvestigationwiththeKXLIISystemincludethepotentialtreatmentofmyopia and astigmatism. Keraflex KXL II

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268 7 RefRactive and coRneal SuRgeRy

avedro Mediocross uv-X™ System for Corneal Cross Linking

uv-X 1000TheUV-X1000isusedtoperformtheDresdencross-linkingprotocol,whichhasthepotential to halt the progression of keratoconus and ectasia.Firstintroducedin2006,theUV-X™1000wasdevelopedincollaborationwiththeinventorsofcornealcross-linking,Prof.TheoSeilerandProf.EberhardSpoerl.Thedevice was designed for safety and effectiveness.

Key features• Illuminationtimeof30minutes• Gaussianbeamprofile• Averagepowerof3mW/cm²• Energydoseof5.4J/cm²• Portable

uv-X 2000The UV-X™2000embodiesthesecondgenerationofportablecross-linkingdevicesfromtheinventorsofcornealcross-linking,Prof.TheoSeilerandProf.EberhardSpoerl.Thedevicefeatureshigherpowerandamodifiedbeamprofiletotreatkeratoconuspatients.

Key features• Illuminationtimeof10minutes• Non-Gaussianbeamprofile• Averagepowerof9.0mW/cm²• Energydoseof5.4J/cm²• PortableThe UV-X 2000 is used to perform faster cross-linking, which has the potential to halt progression of keratoconus and ectasia.

Medicross RiboflavinMedio-Haushassetthestandardfortheproductionofhigh-qualityriboflavinformulationssincetheintroductionofcornealcross-linking.Medio-HausmanufacturesitsCEMarkedMedioCROSSriboflavinproductsinitsfacilityinGermany,alsoproducesAvedro’sproprietaryVibeXriboflavinproductsandnowprovidesallofitsMedioCROSSriboflavinproductsexclusivelythroughAvedro.Avedro’steamofscientistscontinuetobeattheforefrontofriboflavinformulationdevelopmenttoimprovecross-linkingprocedures.WiththeadditionofMedioCROSStoAvedro’sfamilyofriboflavinformulations,comestheopportunitytodeliverthehighestqualityophthalmicproductspossibletophysiciansandtheirpatients.

order code description unitsAVE-A0013 MEDIOCROSSM-Forepithelial-offtreatment Formulation:0.1%Riboflavin,1.1%HPMC Volume: 3.0 ml Procedure:Cross-linkingforkeratoconusandcornealectasia Box/6AVE-A0014 MEDIOCROSSTE-Fortrans-epithelialtreatment(epi-on) Formulation:0.25%Riboflavin,1.2%HPMC,0.01%BenzalkoniumChloride Volume: 2.0 ml Procedure:Cross-linkingforkeratoconusandcornealectasia Box/6

69nideK navexNavexisagenerationalandtechnologicalbreakthroughinlaservisioncorrection,especially in customised or individual corrrection of refractive errors of the eye.Thisisanevolutionarysystemthatoffersthebesttechnologytosurgeonsandpatients.NAVEXhasallthecapabilitiestochangethewaylaservisioncorrectionproceduresareperformed. This sophisticated medical technology provides all the tools for customised ablationprocedures,helpingsurgeonsidentifytheoptimumvisualoutcomeandmakingit a reality for their patients.TheNAVEXsystemalsoincludesthesupportofaleadingsupplierofophthalmicproducts, worldwide.NAVEXincludesfourmaincomponentsforcustomisedablationandlaservisioncorrection.

navScanAn innovative scanning technology which offers a homogeneous beam,auniformablatedsurface,betterbeamcontrol,fasterablationtimes,lessablationdepthperdioptre,asmoothertransitionzonee,bettercontroloftissuehydration,andcustomisedablationwiththehelpofNIDEK’snewMultiPoint™AblationModule

navfocusAn ingenious technolgy which offer precise, tilt-free pupil and centrealignment(aimingbeamandcrossshapedillumination),hands-freecontinuousvariablecontrolofthemicroscopewith3xto17xmagnificationpower,handsfreeX-Y-Zmovementofthedelivery arm, and an eye tracking system for laser alignment during procedures for co-axial treatment.

navWave AnintelligenttechnologywhichofferscustomisedablationwiththehelpoftheOPD-Scan™systemthatcombineswavefrontanalysiswithcornealtopographyaandautorefractiontomaptheaberrationsoftheentireopticalsystem,andNIDEK’suniqueFinalFit™ Software that evaluates and converts data to produce the precise customised ablationpaarametersfortheNIDEKexcimerlaser.

navtomeA technology which offers micro-smooth incisions with the help of the automated, single hand-piece,highoscillationfrequencyandconstantspeedmechanism,fastequipmentturn-aroundtimebetweenprrocedures,addedsafetyfeaturestoensurepropervacuumpressure,andmultiplesuctionringandbladeholdersfordifferentflapsizesandthicknesses.

nideK navtomeNAVTomeisaprecisetechnologytomakeaflapbyincisingthecornea.Thisflapismadebyavalvularincisionleavingapartofthecorneaattachedasthehinge.Itispossibletomakethecornealflapwithapre-determinedflapdiameterandthicknesssafelyandeasilybyusingtheupgradedNIDEKKeratomeMK-2000.•ErgonomicHandpiece-onepiece,lightweightdesign•SharpEdge-stainlesssteeldisposableblades•ExcellentIncision-2separatemotorsforbladeoscillationandbladeadvancement•Versatility-combinationofsuctionringsandbladeholdersensureanidealcornealflap

for virtually every patient

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270featHeR Micrometer Blades LRI/Arcuateincisions order # description Qty feather MicrometerFeather-7330G-SR0.30mmMicrometerKnife(Reusable)7330G 5Feather-7335G-SR0.35mmMicrometerKnife(Reusable)7335G 5Feather-7340G-SR0.40mmMicrometerKnife(Reusable)7340G 5Feather-7355G-SR0.55mmMicrometerKnife(Reusable)7355G 5Feather-7360G-SR0.60mmMicrometerKnife(Reusable)7360G 5

ducKWoRtH & Kent lRi instruments

Wallace lRi Kitorder # description DK4-620 WallaceLRI600micronsDK9-705R WallaceMendezDegreeGaugeDK2-138D DKColibriForceps,0.12Toothed

diamond Knives for lRiorder # description DK4-620 WallaceLRI600micronsDK4-621 PackardRosen600micronsDK4-621S DKShortLRI600microns(suitableforusewithslitlamp)DK4-622 BarrettLRI550micronsDK5-305-1 DKLRIMicrometerDiamondKnife

Markers for lRiorder # description DK9-700 DKMendezDegreeGaugeDK9-705R WallaceMendezDegreeGaugeDK9-705R-1 DKMendezDegreeGaugeDK9-706 Packard-RosenLRIDegreeMarkerwithFixationDK9-706-4 ThomassenLRIClockMarkerwithFixationDK9-746 GaytonThorntonMarker

femto laser instrumentsorder # description DK6-857 StevensFemtoRimLifterDK6-858 StevensFemtoFlapLifterDK6-859 StevensFemtoFlapLifter,NarrowTipDK6-848 KrokchingsFemtoIncisionOpeningSpatula

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Single footplate allows easier visibility of knife as it passes through corneal tissue. Handle designed for finger twirling as blade follows arcuate pattern of the limbus.

Also Available: 4-620-2 550 microns 4-620-3 500 microns

• 0 .2mm f ron t f la t t ip• B lade prese t a t 600 mic rons• Ret rac tab le long hand le• Length 120mm

60˚

0.60

0.20W a l l a c e L R I 6 0 0 m i c r o n s

4-620

0.60

Single footplate allows easier visibility of knife as it passes through corneal tissue. Handle designed for finger twirling as blade follows arcuate pattern of the limbus.

Also Available: 4-620-2 550 microns 4-620-3 500 microns

• 0 .2mm f ron t f la t t ip• B lade prese t a t 600 mic rons• Ret rac tab le long hand le• Length 120mm

60˚

0.60

0.20W a l l a c e L R I 6 0 0 m i c r o n s

4-620

0.60

Single footplate allows easier visibility of blade. Profile of footplate locates in the inside of the Packard LRI degree marker / fixation (9-706) which isused as a guide, giving greater control and a uniform incision.

• D is tance f rom foo tp la te to cen t re o f d iamond b lade is 500 mic rons (0 .5mm )• Can be used with 9-706 range of Markers-see overleaf.

• 0 .2mm f ron t f la t t i p• B lade prese t a t 600 mic rons• Ret rac tab le long hand le• Length 118mm

60˚

0.60

0.50

0.20P a c k a r d - R o s e n 6 0 0 m i c r o n s

4-621

Single footplate allows easier visibility of blade. Profile of footplate locates in the inside of the Packard LRI degree marker / fixation (9-706) which isused as a guide, giving greater control and a uniform incision.

• D is tance f rom foo tp la te to cen t re o f d iamond b lade is 500 mic rons (0 .5mm )• Can be used with 9-706 range of Markers-see overleaf.

• 0 .2mm f ron t f la t t i p• B lade prese t a t 600 mic rons• Ret rac tab le long hand le• Length 118mm

60˚

0.60

0.50

0.20P a c k a r d - R o s e n 6 0 0 m i c r o n s

4-621

Single footplate allows easier visibility of blade. Profile of footplate locates in the inside of the Packard LRI degree marker / fixation (9-706) which isused as a guide, giving greater control and a uniform incision.

• D is tance f rom foo tp la te to cen t re o f d iamond b lade is 500 mic rons (0 .5mm )• Also available 4-621S-3 500 microns

• 0 .2mm f ron t f la t t i p• B lade prese t a t 600 mic rons• Ret rac tab le shor t hand le• Length 50mm

60˚

0.60

0.50

0.20D K S h o r t L R I 6 0 0 m i c r o n s - S u i t a b l e f o r u s e a t S l i t l a m p

4-621S

Single footplate allows easier visibility of blade. Profile of footplate locates in the inside of the Packard LRI degree marker / fixation (9-706) which isused as a guide, giving greater control and a uniform incision.

• D is tance f rom foo tp la te to cen t re o f d iamond b lade is 500 mic rons (0 .5mm )• Also available 4-621S-3 500 microns

• 0 .2mm f ron t f la t t i p• B lade prese t a t 600 mic rons• Ret rac tab le shor t hand le• Length 50mm

60˚

0.60

0.50

0.20D K S h o r t L R I 6 0 0 m i c r o n s - S u i t a b l e f o r u s e a t S l i t l a m p

4-621S

The diamond knife has a unique double sided footplate for lateral support on the diamond blade, with an opening behind the footplate to givegood visibility.

• B lade prese t a t 550 mic rons• 8 face t ver t i ca l cu t t ing b lade• Ret rac tab le long hand le• Length 121mm0.55

1.00

B a r r e t t L R I 5 5 0 m i c r o n s 4-622

The diamond knife has a unique double sided footplate for lateral support on the diamond blade, with an opening behind the footplate to givegood visibility.

• B lade prese t a t 550 mic rons• 8 face t ver t i ca l cu t t ing b lade• Ret rac tab le long hand le• Length 121mm0.55

1.00

B a r r e t t L R I 5 5 0 m i c r o n s 4-622

• 0 .2mm f ron t f la t t ip d iamond• Mic rometer hand le• Length 105mm

• One d iv is ion on the sca le i s 10 mic rons• One revo lu t ion o f the bar re l i s 500 mic rons

0.20

60˚

D K L R I M i c r o m e t e r D i a m o n d K n i f e 5-305-1

Single footplate allows easier visibility of knife as it passes through corneal tissue.

sca le bar re l

04

50

0

• 0 .2mm f ron t f la t t ip d iamond• Mic rometer hand le• Length 105mm

• One d iv is ion on the sca le i s 10 mic rons• One revo lu t ion o f the bar re l i s 500 mic rons

0.20

60˚

D K L R I M i c r o m e t e r D i a m o n d K n i f e 5-305-1

Single footplate allows easier visibility of knife as it passes through corneal tissue.

sca le bar re l

04

50

0

10˚ interval marks. Designed for surgeons familiar with use of a standard phoropter.

• Measures 0° - 180° in 10° inc rements x 2• F la t hand le , leng th 117mm

D K M e n d e z D e g r e e G a u g e9-700

150

120

150

0960

0

VIEW ON ARROW60

90120

30180

10˚ interval marks. Designed for surgeons familiar with use of a standard phoropter.

• Measures 0° - 180° in 10° inc rements x 2• F la t hand le , leng th 117mm

D K M e n d e z D e g r e e G a u g e9-700

150

120

150

0960

0

VIEW ON ARROW60

90120

30180

10˚ interval marks. Designed for surgeons familiar with use of a standard phoropter.

• Measures 0° - 180° in 10° inc rements x 2• Round hand le , leng th 105mm

30180

150

12060

09120

150

0960

300

VIEW ON ARROW

W a l l a c e M e n d e z D e g r e e G a u g e9-705R

10˚ interval marks. Designed for surgeons familiar with use of a standard phoropter.

• Measures 0° - 180° in 10° inc rements x 2• Round hand le , leng th 105mm

30180

150

12060

09120

150

0960

300

VIEW ON ARROW

W a l l a c e M e n d e z D e g r e e G a u g e9-705R

Also Available:9-706-1 Ø13.0mm ring, 9-706-2 Ø14.0mm r ing , 9-706-3 Ø11.0mm r ing

• Degree marker measures 0° to 90° in 10° inc rements x 4• Ø12.0mm r ing w i th 12 po in t f i xa t ion• F la t hand le , leng th 116.5mm

00

3030

60609090

600

3030

03030

60609090

6060

300

VIEW ON ARROW

P a c k a r d - R o s e n L R I D e g r e e M a r k e r w i t h F i x a t i o n9-706

Also Available:9-706-1 Ø13.0mm ring, 9-706-2 Ø14.0mm r ing , 9-706-3 Ø11.0mm r ing

• Degree marker measures 0° to 90° in 10° inc rements x 4• Ø12.0mm r ing w i th 12 po in t f i xa t ion• F la t hand le , leng th 116.5mm

00

3030

60609090

600

3030

03030

60609090

6060

300

VIEW ON ARROW

P a c k a r d - R o s e n L R I D e g r e e M a r k e r w i t h F i x a t i o n9-706

Designed for surgeons familiar with clock hours, scale with half hour interval marks. Every half hour is equivalent to 15 degrees, examples:

VIEW ON ARROW

1 clock hour (30 deg); 1½ clock hours (45 deg); 2 clock hours (60 deg); 3 clock hours (90 deg)

• Sca le in c lock hours , inc rements a t every ha l f hour• Ø12.0mm r ing w i th 12 po in t f i xa t ion• F la t hand le , leng th 116 .5mm

T h o m a s s e n L R I C l o c k M a r k e r w i t h F i x a t i o n9-706-4

Designed for surgeons familiar with clock hours, scale with half hour interval marks. Every half hour is equivalent to 15 degrees, examples:

VIEW ON ARROW

1 clock hour (30 deg); 1½ clock hours (45 deg); 2 clock hours (60 deg); 3 clock hours (90 deg)

• Sca le in c lock hours , inc rements a t every ha l f hour• Ø12.0mm r ing w i th 12 po in t f i xa t ion• F la t hand le , leng th 116 .5mm

T h o m a s s e n L R I C l o c k M a r k e r w i t h F i x a t i o n9-706-4

Designed to mark 10° in te rva ls th rough 360° a t 9.0mm to 11.0mm diameter

• Round hand le , leng th 126 .0mm• Package inser t cer t i f i ca t ion

• Lowest p ro f i le w i th cen t re po in te r• Measured ou ts ide l ine , ou te r d iameter• 9 .0mm ins ide d iameter, 11.0mm outs ide d iameter

G a y t o n T h o r n t o n M a r k e r9-746

Designed to mark 10° in te rva ls th rough 360° a t 9.0mm to 11.0mm diameter

• Round hand le , leng th 126 .0mm• Package inser t cer t i f i ca t ion

• Lowest p ro f i le w i th cen t re po in te r• Measured ou ts ide l ine , ou te r d iameter• 9 .0mm ins ide d iameter, 11.0mm outs ide d iameter

G a y t o n T h o r n t o n M a r k e r9-746

Stevens Femto Rim Lifter 6-857

Stevens Femto Flap Lifter 6-858

Stevens Femto Flap Lifter, narrow tip 6-859

2 - 1 3 8DD K C o l i b r i F o r c e p s2 - 1 3 8DD K C o l i b r i F o r c e p s

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dfv laSiK cannulae description Qty M280425Gx7⁄8”,0.5x22mm,IrrigatingLasikCannula. 10 Formed9mmfromthetip.Six0.15mmportsat2,4and6mmfromtip M281727Gx7⁄8”,0.4x22mm,IrrigatingLasikCannula. 10 Formed9mmfromthetip.Four0.15mmportsat2and4mmfromtip M281927Gx7/8”,0.4mmx22mm,IrrigatingLasikCannula. 10 Angledat25º,7mmfromthetip M282225Gx7/8”,0.5mmx22mm,IrrigatingLasikCannula. 10 Formed9mmfromtip.Six0.15mmportsat2,4and6mmfromclosedtip M281827Gx7⁄8”,0.4x22mmIrrigatingLasikCannula. 10 Angledat90°,7mmfromthetip.Flattened2mmfromthetip M280125Gx7⁄8”,0.5x22mm,IrrigatingLasikCannula(Lin). 10 Angledwithtwo0.15mmportsandflattenedtip M280225Gx11⁄8”,0.5x29mm,IrrigatingLasikCannula(Buratto). 10 Formedwithtwo0.15mmsideports M281323Gx7⁄8”,0.6x22mm,IrrigatingLasikCannula. 10 Formed9mmfromtip.Tipbevelledat45° M281427G7/8”,IrrigatingLasicCannula 10

eyetec laSiK Shields & drainslaSiK Range order # description Qty / BoxNW-264 40-820LASIKShield9mmdiameter7mmedge Packof1/boxof20NW-266 40-821LASIKShield8mmdiameter6mmedge Packof1/boxof20NW-268 40-822LASIKShield4mmand8mmedge Packof1/boxof20NW-270 40-830LASIKDrain42x17x11.5mmopening packof1/boxof20NW-258 40-831LASIKDrain40x14x10.5mmopening packof1/boxof20

eyetec Pva spearsPVAeyespearsforuseinophthalmicsurgery,usedinbothcataractandLASIKsurgeries. order # description Qty / BoxNW-210 40-400PVASpears 18packsof5(90)NW-214 40-405PVASpears 18packsof10(180)

aMoilS epithelial Scrubbersorder # description Qty/BoxINNOVA-140 ARES-ST-M3AmoilsEpitherialScrubberKit.Myopic6.3mm 1INNOVA-141 ARES-ST-H3AmoilsEpitherialScrubberKit.Hyperopic8.3mm 1INNOVA-150 ARES-PH3PowerHandleNeck&Recharger220VAustPlug EachINNOVA-300 ARES-100MReplacementBrushMyopic6.3mm(Sterile) 100INNOVA-305 ARES-100HReplacementBrushHyperopic8.3mm(Sterile) 100INNOVA-310 ARES-500MReplacementBrushMyopic6.3mm(Sterile) 500INNOVA-315 ARES-500HReplacementBrushHyperopic8.3mmSterile 500INNOVA-316 ARES-Ph3ScrubberHandleOnly EachINNOVA-400 HyperopicXLBrushes Boxof100INNOVA-401 HyperopicBrushesARES-HAmoilsBrushRefillTip 25INNOVA-402 MyopicBrushesARES-MAmoilsBrushRefillTip 25

Lasik Shields

Lasik Drains

PVA Spears

272Surgistar corneal trephinesadvanced Radial vacuum trephines (Recipient) order # description Qty/Box370600 6.00mm 1/Box370650 6.50mm 1/Box370700 7.00mm 1/Box370725 7.25mm 1/Box370750 7.50mm 1/Box370775 7.75mm 1/Box370800 8.00mm 1/Box370825 8.25mm 1/Box370850 8.50mm 1/Box370875 8.75mm 1/Box370900 9.00mm 1/Box

vacuum trephines (Recipient)350600 6.00mm 1/Box350625 6.25mm 1/Box350650 6.50mm 1/Box350675 6.75mm 1/Box350700 7.00mm 1/Box350725 7.25mm 1/Box350750 7.50mm 1/Box350775 7.75mm 1/Box350800 8.00mm 1/Box350825 8.25mm 1/Box350850 8.50mm 1/Box350875 8.75mm 1/Box350900 9.00mm 1/Box350950 9.50mm 1/Box

vacuum trephine Punches (donor)360600 6.00mm 1/Box360625 6.25mm 1/Box360650 6.50mm 1/Box360675 6.75mm 1/Box360700 7.00mm 1/Box360725 7.25mm 1/Box360750 7.50mm 1/Box360775 7.75mm 1/Box360800 8.00mm 1/Box360825 8.25mm 1/Box360850 8.50mm 1/Box360875 8.75mm 1/Box360900 9.00mm 1/Box360925 9.25mm 1/Box360950 9.50mm 1/Box

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Vacuum Style Trephine

Vacuum Trephine Punch

Advanced Radial Vacuum Style Trephine

73non-vacuum trephine Punches (donor) order # description Qty/Box340600 6.00mm 1/Box340625 6.25mm 1/Box340650 6.50mm 1/Box340675 6.75mm 1/Box340700 7.00mm 1/Box340725 7.25mm 1/Box340750 7.50mm 1/Box340775 7.75mm 1/Box340800 8.00mm 1/Box340825 8.25mm 1/Box340850 8.50mm 1/Box340875 8.75mm 1/Box340900 9.00mm 1/Box340925 9.25mm 1/Box340950 9.50mm 1/Box

traditional trephines (donor) 330500 5.00mm 1/Box330550 5.50mm 1/Box330600 6.00mm 1/Box330625 6.25mm 1/Box330650 6.50mm 1/Box330675 6.75mm 1/Box330700 7.00mm 1/Box330725 7.25mm 1/Box330750 7.50mm 1/Box330775 7.75mm 1/Box330785 7.85mm 1/Box330800 8.00mm 1/Box330825 8.25mm 1/Box330850 8.50mm 1/Box330875 8.75mm 1/Box330900 9.00mm 1/Box331000 10.00mm 1/Box331100 11.00mm 1/Box331200 12.00mm 1/Box331300 13.00mm 1/Box

eye Bank Style trephines331700 17.00mm 1/Box331800 18.00mm 1/Box331900 19.00mm 1/Box

traditional corneal trephine Punches330010 CompletePunchSystem 1/Box330005 Pistonfor5-7mmtrephines 1/Box330007 Pistonfor7-9mmtrephines 1/Box330009 Pistonfor9-11mmtrephines 1/Box330001 Teflon®Block 1/Box

classic Style trephines110700 7.00mm 1/Box110725 7.25mm 1/Box110750 7.50mm 1/Box110775 7.75mm 1/Box110800 8.00mm 1/Box110825 8.25mm 1/Box110850 8.50mm 1/Bo110875 8.75mm 1/Box

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Traditional Corneal Punch

Classic Trephine Blades

Traditional Style Trephine blades

Non-vacuum Trephine Punch

274duckworth & Kent dSeK instrumentsinstruments to assist descemet’s Stripping endothelial Keratoplasty (dSeK)

order # description Qty/Box9-781 DKSingleEndedRingMarker8.0mm 19-788 DKSingleEndedRingMarker9.0mm 16-250-1 DKSinskeyHook(reverse) 16-258 Descemet’sSpatula 16-257 DayaDescemet’sScraper 16-259 Descemet’sScraper 12-2-787 GalindezDSEKForceps 12-2-788 DayaDonorDiscForceps 12-896 SmallIncisionManipulatingForceps 16-254 DayaDSEKManipulatorHook 16-255 DayaDSEKAngledManipulatorHook 16-607 MorletLamellarKnife/Dissector 16-604 DayaLamellarSpear 12-280-1 DayaLamellarSeparatorForceps(Scissoractionstylehandle) 12-280 DayaLamellarSeparatorForceps(Reverseactionstylehandle) 12-281 NakanoLamellarSeparatorForceps 18-616 O’GawaInfusionCannula 19-588 BurattoAdjustableSpeculum 1

doRc dMeK instrumentsStandardised ‘no-touch’ descemet’s Membrane endothelial Keratoplasty (dMeK) instruments

order # description Qty/BoxDORC-50-2200 DMEKSurgicalDisposableSet 3/Box -Curvedpipetteforgraftloadingandanteriorchamberinsertion -Dualluerlockconnector -Straightglasspipetterincludingballoonforgraftrinsing -5mlsyringewithluer-lock(2x)-1forgraftinsertion,1forBSS -23G‘Stab’knife(sideports) -27GBluntCannula(BSS) -30GBentCannulaforairinsertion Sterile

DORC-50-213D DisposableMellesDMEKScraperSet 2/Set -Style145º -Style290º

DORC-50-2201 DMEKSinskeyHookUp

DORC-50-2202 DMEKSinskeyHookDown

DORC-50-2203 DMEKGraftManipulationForceps withextrafinetipsforintraocularunrollingofthegraft

DORC-50-2210 DisposablereversedSinskeyHookwithirrigation,sterile 3/Box

DORC-50-2220 Straightglasspipetteincl.balloon,sterile 3/Box

DORC-50-2114A DonorCorneaHolder

7 RefRactive and coRneal SuRgeRy

0.5mm

0.5mm

1.8mm

1.3mm

1.8mm

1.3mm

1.8mm

1.3mm

75doRc lamellar Keratoplasty Setsdeep anterior lamellar Keratoplasty SetForDeepAnteriorLamellarKeratoplasty,theD.A.L.K.spatuladissectionsetconsistsofthreestyles:RedSpatula-short,triangledspatulausedtodissectdownwardintothecornea, until the desired stromal depth is reached; White Spatula - half-length, curved spatula with a rounded tip used to make the dissection up to two thirds across the cornea;BlueSpatula-Full-length,curvedspatulausedtocompletethedissectionacrossthecorneaover360degrees.

order # description Qty/Box2110 D.A.L.K.SpatulaDissectionSet2111 Aliocante Alternative Suture-entry Marker: Providesanequalmarkingforthesutureentrypointsonthecornea.2114 D.A.L.K./P.L.K.DonorEyeHolder Providesstablepositioningofthedonoreyewithsuctionfixation. TheEyeHolderisalsoveryeffectiveforallwet-labtrainingpurposes.

Posterior lamellar Keratoplasty Scissors SetForexcisionofarecipientposteriorlamellardisc,ascissorsetwasdesignedconsistingofthreescissors,eachwithaspecificcurvaturetocompletetheexcisionfromtheentryincisionat12o’clocktowards6o’clock.50.2115 CurvedP.L.K.Scissors,typeI.50.2116 CurvedP.L.K.Scissors,typeII.50.2117 CurvedP.L.K.Scissors,typeIII.

50.2118 MellesPLKScraper,style1.50.2119 MellesPLKScraper,style2.50.2122 MellesPLKSpoonGlide.

disposable PlK Set50.212-D DisposableMellesPLKScraperSet.

7 RefRactive and coRneal SuRgeRy