The Digital Microscope Platform. Heads-up Surgery with Integrated Applications

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Virginia Scott
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1 The Digital Microscope Platform Heads-up Surgery with Integrated Applications 3 D D I G I T A L

2 I now routinely use heads-up 3D surgery in all my retinal and cataract cases, and I believe many surgeons will perform ophthalmic surgery this way within five years. The implication for digital imaging, beyond the obvious ergonomic benefit, is far reaching. This digital image quality is extremely impressive, even at low light levels used in posterior segment procedures. Prof. Dr. Med. Claus Eckardt, surgeon and professor of ophthalmology, Klinikum Frankfurt Höchst, Frankfurt, Germany

The implication for digital imaging, beyond the obvious ergonomic benefit, is far reaching.

3 The TrueVision Digital Microscope Platform quickly turns an optical microscope into a powerful digital imaging system designed to improve patient outcomes and promote surgeon comfort. Intended for anterior, posterior, glaucoma or refractive procedures the plug-and-play system can be integrated into an existing suite or included in the creation of a new system. Available in both Portable Cart or Integrated System configurations the comprehensive platform consists of a multi-faceted visualization system, surgical applications and the ability to integrate and interface with OR data and surgical systems technologies. PORTABLE 3D VISUALIZATION SYSTEM Our Portable System incorporates patented technologies into a small-footprint system, ideal for any size OR or surgery center. Lightweight and easily moved, the medical-grade cart houses and conceals the Compact Image Processing Unit and its proprietary software, supports a range of 3D flat panel displays and provides storage for 3D glasses, cables and accessories. Modularly designed, the system easily integrates with external imaging or data systems. Platform Components 3D Surgical Camera (High Dynamic Range) Compact 3D Image Processing Unit (CIPU) 1080p 3D Flat Panel Display TrueWare 3D Imaging OS INTEGRATED 3D VISUALIZATION SYSTEM The Integrated 3D Visualization System is seamlessly assimilated into Leica Microsystem s popular 844 and 822 surgical microscopes. The combined best-in-class technologies create a small footprint system, ideal for any size OR or surgery center. The system is modularly designed allowing for easy upgrade or integration with external digital imaging or data systems. Platform Components 3D Surgical Camera (High Dynamic Range) Compact 3D Image Processing Unit (IPU) 1080p 3D Flat Panel Display TrueWare 3D Imaging OS TrueVideo 100+ Hours of Recording TrueEdit 3D Video Editing Software TrueBridge to Link Camera and Oculars TrueVideo 100+ Hours Recording TrueEdit 3D Video Editing Software TrueBridge to Link Camera and Oculars Medical-Grade Portable Cart

Available in both Portable Cart or Integrated System configurations the comprehensive platform consists of a multi-faceted visualization system, surgical applications and the ability to integrate and

4 VISUALIZATION The heart of the TrueVision Digital Microscope is our award winning visualization system known for its unprecedented image quality that closely mirrors the microscope oculars. The visualization system is composed of a patented fifth generation image capture module (ICM5 camera), proprietary software and compact processing unit that includes 2- and 3D streaming video. Pristine image quality and extremely low latency enables heads up operation 5 th Generation Image Capture Technology (ICM 5) The ICM 5 3D high dynamic range camera attaches to all leading surgical microscopes including Leica, Zeiss, Möller-Wedel, Alcon and more. Developed from the ground up using surgeon input and market data, ICM 5 leads the industry in image quality, resolution, light balance capability and brightness and does not require alignment, focus or synchronization. ICM 5 s image quality outperforms competing 1080p cameras and so closely mirrors the oculars that surgeons can operate heads up right out of the box. TrueWare Proprietary Software and Compact Image Processing Unit (CIPU) The visualization system s proprietary and patented software streams in either 2- or 3D to one or more 3D flat panel displays. With an impressive latency of less than 80 milliseconds and state of the art image correction and calibration, TrueWare provides unmatched visualization and processing power. TrueWare captures up to 100 hours of high definition video which can be quickly edited using the system s best-in-class TrueEdit software. TrueEdit is intuitive and easy to use and includes movie editing, image organizing, text overlay, transition, fade and single image capture.

Pristine image quality and extremely low latency enables heads up operation 5 th Generation Image Capture Technology (ICM 5) The ICM 5 3D high dynamic range camera attaches to all leading surgical

5 APPLICATIONS TruePlan TruePlan collects, stores, and processes variables related to eye surgery to generate a customized surgical plan with targeted refractive outcomes. The customized plan is transmitted to the TrueGuide intraoperative surgery system to generate guidance templates for lens alignment and incision placement. Heads-up computer guided surgery with patented indicia. Percent of Eyes TrueGuide TrueGuide is a state of the art, patented guidance technology designed to improve patient outcomes and at the same time allow for more comfortable heads-up surgical procedures. Templates appear on the live surgical field of view to aid surgeons in navigating IOL alignment and centration, LRI incisions, AK and much more. Completely customizable, the TrueGuide application is personalized to the patient and specific to surgeons preferences. TrueGuide fits into the flow of a premium practice interfacing at all levels, from pre-op to post-op. In addition to excellent alignment and incision guidance, TrueGuide s placement on one or more OR flat panel screens allows an ergonomically superior heads up capability which is more Toric IOL Uncorrected Distance Visual Acuity comfortable for the surgeon and allows easy projection of the surgical fi e l d o f v i e w t o O R s t a f f TrueGuide Toric IOL Alignment Limbal Relaxing Incision Clear Corneal Incision Capsulorhexis Multifocal IOL Alignment IOL Centration Astigmatic Keratotomy TrueGuide is uniquely designed for use with a wide variety of ophthalmic procedures. Since its recent introduction, surgeons all over the world have reported positive results during procedures where TrueGuide was employed. (see Jonathan Solomon s results, left) /20 or better 20/25 or better 20/30 or better 20/40 or better N = 30 Uncorrected distance visual acuity 30d postoperatively using TrueGuide and Cassini Cumulative uncorrected distance visual acuity 1 year postoperatively. E. Holland et al. Ophthalmology, 2010 Source: Jonathan Solomon, MD. ACOS/CXL Congress Deer Valley 2014 TrueGuide is designed to improve patient outcomes. TrueEdit The best in class TrueEdit 3D video editing software is intended to quickly and easily assist surgeons and staff in compressing and collecting up to 100 hours of recorded procedures. TrueEdit s intuitive and easy to use feature set is second to none with text overlay, zoom, fade, image organizer and other editing capabilities.

Heads-up computer guided surgery with patented indicia.

6 Integration is an important component in our practice. We can most effectively serve patients by mixing and matching the best technologies in the industry. With the Digital Microscope Platform we easily integrated with existing equipment and have seen amazing results including improvements in astigmatic outcomes. Jonathan D. Solomon, M.D. Director, Refractive / Cataract Surgery, Solomon Eye Physicians & Surgeons

With the Digital Microscope Platform we easily integrated with existing equipment and have seen amazing

7 INTEGRATION Substantial Integration Capability Creates Best in Class Collection The Digital Microscope Platform is designed with customization in mind. The platform easily integrates into a practice s existing digital equipment and external data systems or helps create a brand new, best-in-class surgery system that integrates with: Electronic Medical Records (EMR) All Leading Surgical Microscopes Optical Coherence Tomography (OCT) Topographers Aberrometers Phaco Machines Femtosecond Lasers Excimer Lasers

8 THE LEADER IN DIGITAL 3D VISUALIZATION & GUIDANCE Tr T Tr T ueguidetr 315 Bollay Drive Santa Barbara, CA Phone: Toll Free: GuideTr T ueguide TVS p/n /14

93117 Phone: 805.963.9700 Toll Free: 855.963.9700 www.

3D Visualization and Guidance System

3D Visualization and Guidance System O P H T H A L M O L O G Y TrueVision is revolutionizing the way surgeons perform ophthalmic procedures. Their continuum of innovations is driving a movement into high