Fluídica revolucionária

VACUOFLOW VTI: MODOS DE VÁCUO E FLUXO

No coração do EVA está um sistema revolucionário de controle de fluidos chamado Vacuflow VTi. O Vacuflow VTi usa inteligência de tempo de válvula (VTi). A beleza da nossa tecnologia Vacuflow VTi é que ela elimina o risco de fluxo indesejado; apenas entrega sem esforço o fluxo preciso e vácuo rápido exigido pelo cirurgião.

Modo vácuo

Modo vácuo

• Fornece eficiência ao cirurgião: tecido chega à ponta da ponteira
• Ideal para remoção vítreos do núcleo
• Tempo de resposta ao vácuo controlável

Modo fluxo

Modo fluxo

• Fornece controle para a remoção precisa do tecido
• Fluídica ideal para:
- aspiração de membranas próxima a retina
- aparar membranas em rasgos na retina
- trabalhar próximo a retina descoladas

Modo fluxo

Cassete único e universal para catarata, vitrectomia e procedimentos combinados

Preferências de cirurgiões totalmente programáveis

Preferências de cirurgiões totalmente programáveis

TDC

Sonda "two dimensional" (TDC): ATÉ 16.000 CPM*

TDC com fluídica VacuFlow VTi permite que o cirurgião controle o fluxo de tecido para a sonda para corte preciso. O design aberto da sonda reduz a turbulência intraocular causada pelas sondas tradicionais e permitem um melhor controle ao cirurgião. TDC corta em ambas as direções, dobrando o corte, reduzindo ainda mais a tração. Sonda aberta 92% do tempo - para remoção mais rápida de tecido.

* A sonda TDC tem uma velocidade de corte de até 8.000 CPM e foi projetado para facilitar o corte de tecido no retorno de cada curso da sonda, efetivamente dobrando a velocidade de corte.

Combinando TDC com até 16.000 cpm* com a fluídica do sistema Vacuflow VTI, define um novo padrão para o controle do cirurgião.

Prof. Dr. Pavlidis (Desenvolvedor da Sonda TDC) sobre a eficiência e segurança da cirurgia com 27G

Prof. Fanis Pavlidis, cirurgião de vitrectomia de Colonia, Alemanha, explica como a tecnologia mais recente permite eficiência e segurança nas cirurgias com 27G.

Sonda TDC vs Sonda Tradicional

8000 CPM, 6cc/min, 650mmHg: vídeo em câmera lenta filmado em vítreo artificial.

Sonda TDC descartável de alta velocidade.

Corte “Two Dimensional” (TDC) com até 16.000 cpm*

- TDC combinado coma fluídica do VacuFlow VTI, permite ao cirurgião controlar o fluxo de tecido na entrada para um corte preciso.

- O design de porta aberta reduz a turbulência intraocular causada pelas sondas tradicionais, permitindo melhor controle do cirurgião.

* A sonda TDC tem uma velocidade de corte de até 8000 cpm e é projetado para facilitar o corte do tecido no retorno de cada apreensão vítrea, dobrando efetivamente a velocidade do corte.

Video cortesia do Prof. Eckardt, Alemanha

Iluminação led aprimorada

Aumento da produção de luz para cirurgia 27G

As últimas fibras 27G proporcionam um aumento de 65% na saída.

Fonte de luz LED aprimorada oferece aumento adicional de pelo menos 30%.

Consegue iluminação ideal para cirurgia 27G.

Saída constante no lúmen

Nenhuma degradação da saída de luz ao longo da vida útil de +10.000 horas do LED.

Economia significativa de custos em comparação com as lâmpadas xenônio tradicionais (400 horas).

Color tinting disponível

Permite o contraste do tecido ajustável do usuário para visualização aprimorada.

Maior segurança para casos prolongados ou altamente complicados.

Testemunhos

"The DORC EVA system was a game changer in my practice."

Mr Mahi Muqit PhD FRCOphth, Consultant Vitreoretinal Surgeon, UK, about EVA, TDC cutters and DORC trocars.

Mitul Mehta, MD, USA about a more efficient, controlled and safer procedure.

Mitul Mehta, MD, USA, describes his experiences using the DORC EVA system, and its benefits when it comes to training fellows and surgeons. He highlights how the innovative technology keeps the eye stable during surgery, resulting in a more efficient, controlled and safer procedure.

Carlos Sjoholm, MD, Spain about EVA Flow Mode, VTi and 27G TDC

EVA Flow Mode decreases the risk of retinal traction. - Carlos Sjoholm, MD, Spain.

Vacuum mode or Flow mode? There’s no need to choose.

David Eichenbaum, MD (USA), and Colin McCannel, MD (USA), describe how they utilize the unique vacuum and flow pump system of the EVA (DORC) phaco-vitrectomy system.

DORC TDC cutter: a step forward

Colin McCannel, MD (USA), believes the EVA (DORC) system’s two-dimensional (TDC) cutter is the biggest advancement in the last decade in vitrectomy technology. David Eichenbaum, MD (USA), reviews why the TDC cutter makes him feel as if he is taking a step forward with surgery.

Case report by Dr Mercanti, Italy: total retinal detachment, traumatic white cataract and inferior iridodialysis

Case report

• Male, 35 years old

• Total retinal detachment with grade C type 4 PVR, subretinal strands • Traumatic white cataract and inferior iridodialysis

SURGICAL APPROACH:

• 1.8 mm phacoemulsification with Malyugin ring pupil expansion

• 25G PPV with TDC (Two Dimensional Cutting) EVA DORC system, 27G Twinlight chandelier and illuminated transcleral depression

• Subretinal strands removal by using new DORC 27G Wide Grip microforceps.

Professor Avci, Turkey, about EVA and DORC instruments

Prof. Remzi Avci (Turkey) explains the benefits of using EVA VTi Flow mode in conjunction with the TDC cutter, Eckardt Twinlight Chandelier, Extendible 41G subretinal injection needle, Ultra Peel and Wide Grip forceps.

Prof. Peter Stalmans: 5 years with EVA, thousands of cases and 20+ live surgeries

Professor Peter Stalmans from UZ Leuven, Belgium has been using D.O.R.C. EVA Phaco-Vitrectomy system for the last 5 years; in this 5-min video he describes his experience and impressions of the VTi pump, TDC cutter, Automatic Infusion Compensation and the range of favourite instruments (incl. 23/27G hybrid vitrectomy pack) and liquids he uses in conjunction with EVA.

EVA case report nr.1 by Dr Paolo Rossini, Italy

EVA case report nr.2 by Dr Paolo Rossini, Italy

Dr Marco Coassin about predictability and maximized safety of EVA

Dr Marco Coassin, VR surgeon from Santa Maria Nuova Hospital IRCCS in Reggio Emilia, Italy, tells how easy it was to use EVA for the first time during Live Surgery: There is no gap between what I want to do... and what actually happens...

Dr Casas about safe and complete phaco-vitrectomy platform

Dr Diego Ruiz Casas, vitreoretinal surgeon from Ramón y Cajal, Madrid, Spain, highly appreciates the safety of the EVA platform and flexibility provided by the TDC cutter in Flow Mode.

Dr Marco Vecchi about VR and phaco

Dr Marco Vecchi, Director of Complex Operative Unit at AUSL Reggio Emilia, Italy, tells about the speed of vitreous evacuation and stability of retina, effective LED endo illumination and about extraordinary phaco capabilities of the EVA machine.

Prof. Ferenc Kuhn compares EVA to other surgical platforms

Prof Ferenc Kuhn, President of the International Society of Ocular Trauma, Vice President for Clinical Research at the Helen Keller Foundation, who has performed more than 15.000 vitrectomies within the last 32 years, compares EVA to the other surgical platforms.

Prof. Nawrocki about EVA for VR and Anterior surgery, about forceps and dyes

Prof Jerzy Nawrocki, Poland, president of the the European Vitreoretinal Society, has been using EVA for 3 years for both VR and Anterior segment surgery and is satisfied with the effectiveness and safety of its fluidics, allowing to handle complicated cases.

Dr Philippe Koch about safety of the EVA flow mode

Dr Philippe Koch, Vitreoretinal surgeon from Brussels, Belgium, explains the reasons for switching from venturi-based phaco-vitrectomy machines to EVA and reveals the major benefits of the EVA Flow mode - safety, maximised control and comfort.

Gaurav K Shah, MD, USA, describes his experience and impression of EVA

“DORC has always been synonymous with quality...”: Gaurav K Shah, MD, USA, describes his experience and impression of EVA, Two Dimensional Cutter, compares EVA fluidics to the other vitrectomy platforms.

Prof Romano about 27G fluidics, EVA pump and High Flow infusion

Prof Mario Romano, vitreoretinal surgeon from the University of Naples Federico II, Italy, shares his experience on the 27G EVA fluidics, effectiveness of the VTi pump in vacuum and flow modes, and on the 27G high flow infusion line, and explains why these benefits allow for performing about 80% of his surgeries in 27G.

Prof Pavlidis (TDC Cutter developer) about efficient and secure 27G surgery.

Prof Fanis Pavlidis, vitreoretinal surgeon from Cologne, Germany, in collaboration with whom the TDC cutter was developed, explains how the latest technology allows for efficiency and security in 27G surgery.

Dr Patelli about EVA and 27G

Dr Fabio Patelli, Vitreoretinal surgeon, Director of vitreoretinal service at San Paolo Hospital University of Milan, Italy, shares his opinion on EVA phaco-vitrectomy system in conjunction with the 27G instrumentation.

Dr Nerinckx about 27G in paediatric cases and dynamic usage of EVA

Dr Fanny Nerinckx, Vitreoretinal surgeon from Belgium, explains the benefits of using 27G TDC cutter in paediatric cases and describes the advantages of the VTi pump.

Dr Vanwynsberghe about EVA

Dr David Vanwynsberghe, vitreoretinal surgeon from Ghent, Belgium, describes his experience with EVA phaco-vitrectomy system.

Dr Koshy about EVA phaco-vitrectomy system and 27G TDC cutter

Dr Zac Koshy, Vitreoretinal surgeon from the UK, shares his opinion on EVA phaco-vitrectomy system and 27G Two Dimensional Cutter (filmed at EURETINA 2015).