Sign up to receive occasional informational and promotional emails from accutec blades. Amadeus ii is the multipurpose platform for traditional lasik, epilasik as well as anterior and posterior lamellar keratoplasty. A visx star 4 system visx, santa ana, ca, usa was used to perform the laser ablation in all eyes. The amadeus ii microkeratome in conjunction with the mozart artificial anterior chamber system proved to be a suitable device for modern lamellar keratoplasty. Microkeratomes definition of microkeratomes by medical. With accuracy, safety, and repeatability, eye surgeons can utilize the femtosecond laser in almost all anterior refractive procedures. The precision cut is performed by the amadeus microkeratome made by sis. Corneal cell response after flap creation using a mechanical.
Ziemer amadeus ii microkeratome model information dotmed. The ml7 microkeratome offers unparalleled ease of use and versatility. The evolution of corneal and refractive surgery with the. Automation provides standardization and ease of use and takes the subjectivity out of semen analysis. The visumax from carl zeiss, germany is the first femtosecond laser system to perform the minimally invasive, flapless relex smile, which has impressed both the patients and the physicians alike with its sophisticated performance. Wong constructed this video showing the flap creation using the ml7 microkeratome. Used amadeus ii microkeratome system microkeratome for.
The amadeus ii microkeratome advanced medical optics, inc. Millions of lasik surgeries have been performed until today by hundreds of surgeons around the globe with amadeus. Amo amadeus ii mk40 microkeratome w accessories ebay. It would be hard to imagine a highquality corneal flap cut and its ablation without a laser. I use the ml7 microkeratome with the calibrated lasik blade medlogics, inc. Amadeus ii microkeratome in a world of rapidly changing technologies and applications for refractive and corneal surgery, amadeus continues to offer a platform that serves all your needs and allows you to stay abreast of evolving technologies while protecting your investment. Ziemer amadeus ii microkeratome system for sale laser locators. The network medical range of precision lasik blades have been designed to maximise the performance of the microkeratome system.
The amadeus microkeratome operated at a blade oscillation frequency of 11,000 rpm and at a blade advance rate of 1. Thin flap lasik withmedlogics plano blade andamadeus ii microkeratome gordon balazsi md, frcsc marc mullie md, frcsc kashif baig md, frcsc montreal, canada no financial interest 2. With precision the blade is moved forward and back by the precistep 2phase. Amadeus ii is the multipurpose platform for traditional lasik, epilasik as well as. In phase 2 phase ii clinical trials, the study drug or treatment is given to a larger group of people to see if it is effective and to further evaluate its safety. Amadeus ii microkeratome in a world of rapidly changing technologies and applications for refractive and corneal surgery, amadeus continues to offer a platform that serves all your needs and.
In this eye surgeon debate, brian boxer wachler, md, of boxer. Spermalite sqav,a new generation in automated semen analysis, with accurate, consistent, reliable results at the push of a button. However, almost all studies have shown that the flap thickness with the intralase femtosecond laser is more predictable than with the mechanical microkeratome. Femtosecond laser versus mechanical microkeratomeassisted. The addition of a pmma epilasik blade allows this surgical transformation to occur.
In phase 2 phase ii clinical trials, the study drug or treatment is given to a larger group of people to see if it is effective and to further amadus its safety. I am one of many surgeons whove been using the femtosecond laser and striving to find its role in the care of refractive surgery patients in my practice. Holders foot pedals users manual travel case with foam key features in. Used amadeus ii amo microkeratome for sale dotmed listing. Amo amadeus mk32 advance medical optics microkeratome.
Lasik, surface ablation, and lamellar keratoplasty. Intralase, the amadeus ii or the hansatome laser for treatment of1. Femtosecond laser systems often are marketed as bladeless or all laser lasik, although eye surgeons favoring more traditional microkeratomes might argue that both procedures involve penetrating the eyes surface. Katsanevaki v, tsiklis n, astyrakakis n, pallikaris i. Perry binder, md, comedical director for intralase, inc. Food and drug administration and state and local regulatory agencies. Amo ziemer sis amadeus ii metal suction unit w ring size 8. After identifying both clinical and histopathological treatment issues, along with a notable slowdown in my surgery schedule. The normal human cornea varies from around 500 to 600 micrometres in thickness.
Relative to the amadeus,all of the mechanical components of the amadeus ii are internalised,and it weighs about 70% less because it has both a smaller handpiece and cords that are lighter as well as more. Corneal flaps were then created using a 200 khz femtosecond laser visumax, carl zeiss meditec ag femtosecond group or a mechanical microkeratome amadeus, abbott medical optics, inc. Microkeratome definition of microkeratome by medical. With precision the blade is moved forward and back by the precistep 2phase stepping motor with planetary gearhead. During the procedure, my colleagues and i used a blade oscillation speed of 11,000rpm, slowed the translation speed of the amadeus ii to 1. Supplied sterile, single use only, declared shelf life 3 years manufactured in the uk see. I measure all of my flaps intraoperatively and tabulate the data to be certain that i am getting very tight tolerances for each flap. The basic principles of the microkeratome and the role of the suction ring and cutting head are illustrated in figure 53.
Designed to providing a predictably thinner or thicker flap based on the surgeons preference. In this study, one eye from each patient was randomly selected for femto ldvassisted lasik treatment, while the fellow eye was operated using the amadeus ii microkeratome amadeus. He marks the cornea to line it up with the marks on the ml7 vacuum ring, making centering the ring quick and simple. Microkeratome for traditional lasik, epilasik, and anterior and. The use of femtosecond lasers has created an evolution in modern corneal and refractive surgery. With amadeus, classical blade surgery remains a viable and dependable alternative to femtosecond laser technology for many types of refractive and corneal surgery. Swelling and deswelling characteristics of organ cultured corneas need to be further investigated to optimize the deswelling time prior to donor cornea sectioning in lamellar. With the innovative carriazopendular software for pc and notebook, the user is able to illustrate different suction and cutting phases in an uniquely detailed way. Jan 24, 2008 10 eyes of 10 patients underwent epilask, epithelial flaps were created with the amadeus ii, epilasiklasik microkeratome ziemer ophthalmics systems ag, switzerland. The threeinone microkeratome for traditional lasik.
Knorz compared adhesion strength of lasik flaps created with the amadeus ii microkeratome vs. Amadeus ii, the universal microkeratome platform features. According to the published literature, the femtosecond laser created corneal flaps with better predictability than mechanical microkeratomes. Amadeus ii microkeratome in a world of rapidly changing technologies and applications for refractive and corneal surgery, amadeus continues to offer a. The surgeons used the amadeus with 140 m head and 9. The iop was obtained continuously during flap preparation using the 60 khz intralase femtosecond laser, the 200 khz visumax femtosecond laser, or the amadeus ii microkeratome. Wills easy guitar and other stuff recommended for you. Microkeratome is a laser device, which the ophthalmologists use to perform eye surgeries.
Lasik flaps created with amadeus ii are characterized by excellent uniformity. Laser vision correction has never been more advanced, tissuepreserving and gentle like the visumax femtosecond laser. Used amadeus ii microkeratome system microkeratome for sale. Supplied sterile, single use only, declared shelf life 3 years manufactured in the uk see continued. Jul 07, 2019 in phase 2 phase ii clinical trials, the study drug or treatment is given to a larger group of people to see if it is effective and to further evaluate its safety. May 06, 2019 amadeus ll advanced automated microkeratome conditions conditions usually refer to a disease, disorder, syndrome, illness, or injury. In the microkeratome amadeus ii group, the efficiency index at the first. It helps to make sure that the surgery is painless and to accelerate the visual recovery. For more than three months, i switched almost exclusively to using the femtosecond laser to prepare lasik flaps. The xp microkeratome was designed to provide flap predictability and consistency, such as standard deviation software. In the microkeratome amadeus ii group, the efficiency index at the first day, and until the first week after surgery, was reduced p microkeratome. Lamellar keratoplasty with a novel anterior chamber system.
Accuracy and precision of the amadeus microkeratome in. The metal blade microkeratome can be contrasted to the femtosecond laser microkeratome such as intralase. Blade source effect on laser in situ keratomileusis flap. Difference between intended and actual flap thickness in eyes treated with femtosecond laser femto ldv or microkeratome amadeus ii. Since the amadeus system is fully automatic and no manual handling is. Two patients who failed to comply with the followup program were. Lasik, surface ablation, lamellar keratoplasty versatility.
A microkeratome is a precision surgical instrument with an oscillating blade designed for creating the corneal flap in lasik or alk surgery. Pdf femtosecond laser versus mechanical microkeratome. Studies explore pros and cons of femtosecond flap creation. Amadeus ii microkeratome system is being sold without the hand piece and comes with. Jul 15, 2005 newer keratomes, like the amadeus ii and the zyoptix xt, have much tighter standard deviations. Aug 01, 2011 this feature is not available right now. Visumax femtosecond laser system lasik sight center. Wirthlin explained, is to continue to support and develop new accessories for the amadeus microkeratome while encouraging use of the new femto ldv. For each experiment, a normal lamellar flap preparation regular procedure and a worstcase procedure femtosecond laser interface was pressed against globe until. Amadeus ii microkeratome system is being sold without the hand piece and. Lackerbauer ca1, kollias a, kreutzer tc, ulbig m, kampik a, grueterich m.
Device description the amadeus ii epikeratome is a modification of the accmiamadeus microkeratome, which is firmly established in the market for several years. Epilasik using the amadeus ii microkeratome researchgate. Using the medlogics ml7090 blade and the amadeus ii microkeratome. The threeinone microkeratome for traditional lasik, epi. Amo amadeus ii mk40 microkeratome with accessories large amadeus case service kit in service box 9. Device description the amadeus ii epikeratome is a modification of the accmi amadeus microkeratome, which is firmly established in the market for several years. Comparison of intralase to amadeus microkeratome ich gcp clinical trials registry. In addition to supporting customer needs for the existing amadeus ii microkeratome, ziemer has also recently added capabilities including the epilasik and lamellar keratoplasty kits. Intraocular pressure measurements during flap preparation. Femtosecond lasers continue to gain ground as improvements. Microkeratome medical definition merriamwebster medical. A faulhaber brushless dc motor causes the blade to oscillate simultaneously. Spermalite is a newgeneration automated semen analyzer providing who parameters f,medicine,medical supply,medical supplies,medical product. All procedures included in the study were performed using the allegretto wave excimer laser wavelight ag and the same amadeus i microkeratome.
Intraoperative management of partial flap during lasik. In this study, the amadeus ii microkeratome was used, as in a previous report that showed intact epithelial flaps at the level of the bowmans layer 17. The sale of this item may be subject to regulation by the u. Amadeus has been successfully on the market for more than 10 years, first with amadeus and since 2004 with amadeus ii.
In this prospective study, using the amadeus microkeratome, lasik flaps were cut. Ziemer amadeus ii microkeratome console with metal rings 9. Femtosecond laser versus mechanical microkeratomeassisted flap. Wong easily lays the flap back into the pronounced trough created by the ml7 microkeratome. The result was a regular, smooth epithelial debridement and bowmans layer. The amadeus ii epikeratome is substantially equivalent to the amadeus microkeratome, k993190, 02102000. Adding to its versatility,four flap widths are available 8. This article, published in the journal of cataract and refractive surgery, shows the results of a emory university study comparing the flap thickness created with the amadeus microkeratome using the blades from surgical instrument systems and distributed by amo and the. Ziemer amadeus ii microkeratome operator manual pdf. Amadeus ii microkeratome amadeus has been successfully on the market for more than 10 years, first with amadeus and since 2004 with amadeus ii. Microkeratome definition of microkeratome by medical dictionary.