Ophthalmic diagnostic products / 2015 Catalogue

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1 1 Ophthalmic diagnostic products 2014 / 2015 Catalogue

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3 Software Refraction Diagnostic Anterior 3 4 nonmyd WX 3D 10 VX-10α/i 6 VK-2 WX KW KT SL-15 8 nonmyd 7 11 VX-20 Analysis software 14 AP FM nonmyd α-diii 12 GENESIS-D 7 VK-2 16 HA-2 19 FM-600 Kowa Optimed Ophthalmic diagnostic products History and experience Kowa Optimed is part of Kowa Company, Ltd. founded in 1894 which has become one of the largest privately owned companies in Japan. The group has four primary divisions among which ethical and OTC pharmaceutical products, optics and medical devices play a large role with research and development facilities, factories and sales offices across Japan, and subsidiaries across the globe. Kowa Optimed is part of the Life Science Division of the company. Since its inception in 1946, the Kowa Life Science Division has combined electronics, mechanical design and optics to create a wide range of significant new technologies. Since the launch of its first retinal camera in 1962, Kowa has been devoted to producing the most innovative optical products and integrated technology solutions in the world. The company s focus on leading edge technology, flexible machine technology, application software and traditional optical technology has produced a wide range of products designed to enhance the visual experience and provide vision solutions and diagnostics for all users. R&D and manufacturing The Ophthalmic Diagnostic products are the result of the companies R&D facilities at the company s state-of-the-art laboratories and factory in Chofu. Quality and customer care The Medical Diagnostic Products set clinical standards for diagnosis of a wide range of ophthalmic conditions and have been designed and engineered to provide simple to use solutions for health care professionals allowing for the patient to be put first in the diagnostic process. This means that the Kowa products deliver meaningful clinical results to the highest standards, cost effectively and assist in optimising clinic workflows. If you would like more information on your local supplier (or servicer) of Kowa s Ophthalmic Diagnostic Products or any of Kowa s wide range of other Life-Science and Optical Products please contact one of our European offices or visit the Kowa Optimed web site. All our products are CE-certified

4 4 Kowa nonmyd WX 3D 2D / 3D non-mydriatic retinal camera The ideal solution for the successful monitoring and progression of patients at risk or diagnosed with Glaucoma CLINICAL INDICATION: GLAUCOMA, DIABETIC RETINOPATHY, ARMD (AGE RELATED MACULAR DEGENERATION) An advanced retinal camera that provides both stereo 3D and standard 2D images whilst maintaining the Kowa traditions of high quality optics and ease of use. The exclusive optical design combined with the high resolution Nikon digital camera back delivers extremely detailed 3D images. In 3D mode the camera captures a 20 x 27 field of view as a stereo image in one shot. This may be viewed using prism glasses or by using a 3D monitor. What s more, the Kowa nonmyd WX 3D also operates as a standard 45 /27 non-mydriatic camera. The small pupil option enables photography with a pupil size of ø3.5mm and includes 9 internal fixation points to allow mosaic photography. - Quick, incredibly detailed simultaneous stereo images in just one click - Easy to use, reduced operator time - High patient throughput - Confidently assess and monitor patients suspected of having glaucoma - Accurately verifies the physiological state of the cup and disc - Proven Virtual Glaucoma Pathway solution - Efficient work flow through advanced networking & connectivity - 3 photography modes 3D, 2D, Small pupil - View the optic disk in 3D - Internal 9 point fixation system for mosaic photography Options - Advanced 3D analysis system Kowa VK-2 WX - External fixation target Now approved by the NDESP. The Kowa nonmyd WX 3D camera for retinal screening has been approved for digital photography use in Diabetic Eye Screening by the NHS Diabetic Eye Screening Programme.

5 5 3D stereo Photography Field angle: 34 (20 x 27 ) Instant and simultaneous 3D photography is possible in one shot. Stereoscopic images are captured without the camera shifting. Kowa VK-2 WX analysis software The optional 3D analysis provides quantitative analysis of stereo images of the optic nerve including disk damage likelihood scale (DDLS). 2D normal & SP (small pupil) 2D - normal Field angle: 45 Kowa s exclusive optical design in combination with the 12 megapixel digital SLR camera delivers extremely detailed retinal images. 2D - SP (small pupil) Field angle: 45 Retinal images can be taken even with smaller pupils. On screen guides indicate if the pupil size is within the sufficient range (above 3.5mm) for photography. Automatic mosaic merge function Mosaic images are created easily with automatic image rotation & alignment.

6 6 Kowa VK-2 WX - 3D analysis software for nonmyd WX 3D A sophisticated software analysis tool for use with images from the Kowa nonmyd WX 3D camera. Examine the optic disk quickly, easily and in far more detail than is possible from a standard 2-dimensional image or a slit lamp biomicroscopy. This simple to use software provides a detailed quantitative display of optic disk parameters, including the vertical cup to disk ratio, neuroretinal rim area and rim to disk area. The rim width in various locations can be compared using the polar coordinates display whilst a disk damage likelihood scale gives a simple numerical estimate of the possibility of glaucomatous damage to the optic nerve. 1 Depth distribution Color-coded display of the depth distribution in the analysis area, or graphical display of the cross section of a chosen position D display Display of 3D image based on stereographic data of the ONH Quantitative optic disc parameters Display of various optic disc parameters including the DDLS * - disk damage likelihood scale; which was suggested by Dr. George L. Spaeth as a method to diagnose the optic disk using the disk size and rim/disk ratio**. 4 Polar coordinates display The polar coordinates display of the depth distribution permits a visual display of the thinnest part of the rim. 5 Contour line depth distribution graph This provides a graphical display of the depth distribution of the cup and disc profiles. 6 Reporting Graphical display of current and historical disc parameters of cup/ disk ratio, rim/disk ratio, cup area and many other parameters to assist to the detection of change. * References The disk damage likelihood scale: reproducibility of a new method of estimating the amount of optic nerve damage caused by glaucoma. Spaeth GL, Henderer J, Liu C, Kesen M, Altangerel U, Bayer A, Katz LJ, Myers J, Rhee D, Steinmann W. Trans Am Ophthalmol Soc. 2002;100:181-5 ** References Validity of a new disk grading scale for estimating glaucomatous damage: correlation with visual field damage. Bayer A, Harasymowycz P, Henderer JD, Steinmann WG, Spaeth GL. Am J Ophthalmol Jun;133(6):

7 7 Kowa VK-2 High performance digital imaging software Simple image capture and viewing at your fingertips The Kowa VK-2 digital imaging software easily captures and stores retinal photographs taken from Kowa retinal cameras well as images from other sources including a scanner. Video inputs via USB or IEEE1394 (Firewire ) are supported with 1-click switching between instruments. Images can be magnified for viewing and filters such as red free are readily available. In ICG and FA mode the patient timer is displayed on screen and as a video loop. Multiple timers are also available in FA mode for managing several patients. When used in combination with the Kowa perimeter the software allows integrated management of fundus images and perimetry results. Furthermore, a montage function creates panoramic views from multiple fundus images. - Simple, easy to use image viewing - Comprehensive image manipulation tool with no hidden cost - Fast, easy networking - Total management of the fundus - images can also be integrated with the Kowa perimeter - Store, view and compare images - Multiple inputs - Supports the latest high resolution cameras - Manipulate images with magnification and filters - Comprehensive image export function Multiple timer for patient work flow. Detailed database viewer provides advanced searching, viewing, image processing, printing, and reporting for your Kowa VK-2 database. Link to perimeter This unique function from Kowa allows total management of fundus.

8 8 Kowa nonmyd 7 retinal camera The ideal solution for your diabetic retinopathy screening service CLINICAL INDICATION: DIABETIC RETINOPATHY, ARMD (AGE RELATED MACULAR DEGENERATION), GLAUCOMA Kowa s nonmyd 7 utilises a 16 megapixel digital camera offering high quality imaging together with an easy to use image filing software, Kowa s Portable VK-2 plug and play interface makes set-up quick and easy. With its dual optical magnifications for enhanced detail imaging (45 / 20 ), high levels of clinical detail are captured enabling you to offer high quality patient care. The camera can be used with a Windows desktop or notebook PC that is installed with Kowa Portable VK-2 digital imaging software allowing automatic image saving for viewing at your convenience. Ideal for Diabetic Retinopathy screening (approved by the NDESP - NHS Diabetic Eye Screening Programme). - Superior image quality of the retina and anterior for high quality patient care - Easy to operate allowing more efficient workflow - Durable, robust build quality - Full user control for optimal performance - A long term solution with upgradable DSLR camera back - Efficient work flow through advanced networking & connectivity - 16 megapixel DSLR Nikon Camera back - Internal 3 point fixation targets - Dual 45 o /20 o field by optical magnification for enhanced detail of clinical images - Kowa Portable VK-2 imaging software included - Fingertip control - Connects to laptop or desktop Windows PC (32/64 bit) - Small pupil mode Options - External fixation light 20 ONH image 45 overview Now approved by the NDESP. The Kowa nonmyd 7 camera for retinal screening has been approved for digital photography use in Diabetic Eye Screening by the NHS Diabetic Eye Screening Programme.

9 9 Kowa nonmyd α-diii retinal camera Quality imaging in an easy to use camera CLINICAL INDICATION: DIABETIC RETINOPATHY, ARMD (AGE RELATED MACULAR DEGENERATION) The Kowa nonmyd α-diii is a compact digital retinal camera that continues the Kowa tradition of electronic imaging excellence. The lightweight construction and internal scientific 8 megapixel sensor produces a robust camera that combines advanced technology with modern design. Rapid capture of fundus images is easy with the simple controls that are conveniently located at your fingertips. Connect to a computer via a USB interface to store, view and compare images in the Kowa Portable VK-2 digital imaging software. Two fixation modes enable the capture of three standard fixation positions or an extended mosaic mode of 9 internal fixation positions which can be merged into one panoramic image. - Fast, easy to use camera to maximise patient flow - Reduces footprint with compact design and integrated camera - High quality imaging utilising the internal CCD camera - Efficient work flow through advanced networking & connectivity - Integrated scientific 8 megapixel imaging camera - 3 standard internal fixation targets - 9 internal fixation targets for extended peripheral view - Small pupil mode - Montage software function for mosaic images - Kowa Portable VK-2 imaging software included Options - External fixation light A panoramic image using 9 fixation positions and the montage function. 20 ONH image 45 overview

10 10 Kowa VX-10α/i Combined mydriatic and non-mydriatic retinal camera A true partner in a clinical environment The Kowa VX-10α/i offers mydriatic, non-mydriatic and FA modes with a 50 field of view in full mydriatic mode. The optics are mounted on a swing arm to allow photography of the peripheral retina. SP mode allows both colour and FA photography in cases of insufficient mydriasis. Colour and FA images are captured using a Nikon digital camera back. ICG capability can be easily added as an optional extra. Operation is simple, with illuminated controls designed for use in dark rooms and with multiple step flash settings for correct exposure in all modes of operation. - Superior image capture for high quality patient care - Versatile, easy to use system - Ergonomic design allowing improved patient observation and comfort - Durable, robust build quality - Reduced footprint by combining mydriatic and non-mydriatic in a single solution - Efficient work flow through advanced networking & connectivity - Mydriatic and non-mydriatic function - Colour and FA modes - Optical view finder and black and white monitor - Small pupil mode - 50 and 30 views - Optional ICG mode - ICG observation using LCD monitor Options - Kowa VK-2 high performance digital imaging software Connect to Kowa VK-2 software for enhanced viewing and image manipulation see page 7 - For optional accessories please contact your local Kowa representative ONH 30 FAG 50

11 11 Kowa VX-20 Combined, mydriatic and non-mydriatic retinal camera Clinical fundus imaging of your choice Like the Kowa VX-10α, the Kowa VX-20 offers mydriatic, non-mydriatic and FA modes with 50 and 30 views. Additionally the VX-20 has an autofluorescence mode to provide further diagnostic investigation of the health of the retina such as ARMD. Connected to VK-2 software the VX-20 provides outstanding performance for fundus image analysis. With a built in PC and high resolution camera back, this retinal camera is a versatile diagnostic tool with stand-alone capability. - Superior quality retinal imaging - Ergonomic design for enhanced patient comfort and operator experience - Simple, easy to use system - Fast image capture in FA mode - Saves time with direct printer & network connections - Saves space with modern, compact design - Narrow camera design allows the operator better view of the patient - Efficient work flow through advanced networking & connectivity - Versatile 7 in1 retinal imaging system - FAF (Autofluorescence), FA, RF, colour, anterior, mydriatic and non-mydriatic modes - Mydriatic and non-mydriatic function - 9 point internal fixation targets for mosaic imaging - Conventional ocular viewfinder - Touch screen LCD monitor - Small pupil mode - 50 and 30 views Options? Colour 50 FAF 50 - Kowa VK-2 high performance digital imaging software Connect to Kowa VK-2 software for enhanced viewing and image manipulation see page 7 - For optional accessories please contact your local Kowa representative

12 12 Kowa GENESIS-D Hand-held retinal camera Ideal for domiciliary and paediatric care The Kowa GENESIS-D colour mydriatic fundus camera is a portable, hand held retinal camera that is ideal for mobile situations or where using a conventional table-mounted camera is not possible. Designed for easy one-handed capture, all the controls are within easy reach and can be operated from both sides of the camera. An LCD monitor on the side of the camera allows a view of the images captured on the CF card, and can also connect to Kowa s VK-2 software for advanced viewing and manipulation of images. - Portable lightweight camera, capture images in any location and in any position - Easy one-handed operation, with easy to reach controls - Efficient work flow through connection to Kowa s VK-2 - Colour mydriatic camera - Angle of field - Horizontal 30 / Vertical 25 - Integrated 2 megapixel digital camera Options - Kowa VK-2 high performance digital imaging software Connect to Kowa VK-2 software for enhanced viewing and image manipulation see page 7 - Indirect lens holder enables viewing of more peripheral areas of the retina Anterior image Retinal image

13 13 Kowa KT-800 Non-contact tonometer with 3D auto-alignment Ideal for accurate screening and monitoring of intraocular pressure CLINICAL INDICATION: GLAUCOMA The Kowa KT-800 is an accurate and easy to use non-contact tonometer. Auto-alignment simply requires placing the positioning spot inside a circle on the monitor after which alignment up and down, right and left and forwards and backwards. The air puff is very gentle and feels soft to the patient. The pressure measurement range goes from 1 to 60mmHg without any range switching and the results are swiftly printed on paper. The chin rest height is electrically adjusted using buttons close at hand. The instrument detects occasions when the eye is not open sufficiently and prevents processing of the potentially inaccurate measurement. - Highly accurate measurement - Quick and easy operation - Increased patient comfort - 3D auto-alignment and eye tracking - Soft air puff - Senses when eye is not open sufficiently - Easy paper replacement - Electrically operated chin rest 3D auto-alignment is performed to guarantee precise measurement. Easy paper replacement Pursued usability and fast printing.

14 14 Kowa AP-7000 Automated perimeter for both static and kinetic perimetry Next generation perimeter with the gold standard threshold test CLINICAL INDICATION: GLAUCOMA The Kowa AP-7000 is a next generation automated perimeter that offers an extensive variety of test strategies and screening programmes. It provides reliable and consistent assessment results due to its normative database. Full threshold modes offer macular, central and peripheral coverage up to 80 whilst screening modes provide swift evaluation of the visual field for relative or absolute scotomas. To shorten test times quick modes are available for both threshold and screening modes. Furthermore, by automatically correlating the fundus image (from a fundus camera, OCT or SLO) with the static visual field, early detection of glaucoma is possible. With its ergonomic, compact design, the AP-7000 offers additional comfort to patients, easy operation for the clinician and fits perfectly within the practice. - Reliability & consistency of results - Efficient, easy operation - Extensive variety of test strategies and screening programmes (Static and kinetic) - Early detection of Glaucoma - Advanced analysis - Efficient work flow through advanced networking & connectivity - Clinic and patient friendly Now incorporating the Estermann Test - Includes the Estermann Test - Automated correlation of fundus images with the static visual field - Easy touch screen operation - Quick modes for threshold & screening programmes - Extensive range of test & screening strategies, including blue/yellow test Threshold (measured values) Greyscale Total deviation Pattern deviation MD - Easy to understand report, comparable to market leaders - Kinetic perimetry - Internal fixation camera - Chronological Analysis PSD Analytical indices Bebie curve Gaze monitor Clear, concise display of analytical results.

15 15 Seamless management of Glaucoma Kowa s fast algorithm test strategy (QUICK) Kinetic perimetry is included as standard with multiple isopters. Chronological change (graph). Reports can provide an analysis of chronological change for a patient. Fundus Image Test results Correlate the fundus image (from a retinal camera, OCT or SLO) with the static visual field. Kowa AP-7000 Kowa VK-2 or Portable VK-2 Easy networking to other systems for data transfer and storage. Key analytical indices GHT (Glaucoma Hemifield Test) GHT analyses the upper and lower hemisphere of the visual field and provides a quick indication of possible glaucoma damage. VFI (Visual Field Index) VFI is the measurement of the visual field status as a percentage of a normal age- adjusted visual field in which a normal visual field is 100% and total loss of field is 0%.

16 16 Kowa HA-2 Hand-held applanation tonometer Gold standard tonometry in a portable package CLINICAL INDICATION: GLAUCOMA The Kowa HA-2 applanation tonometer works on the Goldmann prism principle and uses industry standard tonometer probes or disposable heads. The internal spring mechanism allows accurate readings of intra-ocular pressure in any orientation, regardless of patient position or posture. The compact and lightweight design allows easy one-handed operation and the built in illumination enables use of the instrument regardless of the lighting conditions. The precision dial provides direct readings of the pressure. This instrument is ideal for domiciliary situations and as a backup tonometer and provides pressure readings using the gold standard applanation principle. - Portable: lightweight and compact - Easy to operate - Reliable and highly accurate with Goldmann compatibility - High patient safety: uses industry standard tonometer probes - Can be used in any orientation - Standard prism heads or disposable probes - Easy, one-handed operation - Built in illumination Options - Adjustable headrest For ease of operation and accurate positioning - Interchangeable eyepiece For viewing from a distance Long eye relief 3x (option) for a more relaxed examination.

17 17 Kowa SL-15 Hand-held portable slit lamp Ideal for domiciliary, paediatric and veterinary care The SL-15 is a compact and portable hand-held slit lamp that is ideal for the domiciliary environment. Offering cordless operation, the large battery capacity provides long lasting continuous operation of the extra-bright halogen lamp. The lightweight design weighs less than 800g and provides easy and versatile operation with both 10x and 16x magnifications, 3 slit widths plus spot illumination and a cobalt blue filter. The stand doubles as a charger and can accommodate both the main unit and a spare lithium ion battery simultaneously. The slit lamp supports digital or video cameras via the optional c-mount video camera adaptor. - Versatile portable unit, can be used in emergencies, mobility challenges, switching between consulting rooms - Easy to use and handle, compact, lightweight, ergonomic design with quick one touch selection - Efficient with long lasting battery - Cordless operation - Rechargeable high capacity lithium ion battery - 10x and 16x magnification - 3 slit widths - Cobalt blue filter - Extra bright halogen light source Options - C-mount adaptor for video acquisition - Headrest Video adaptor Connect a digital or video camera using the optional c-mount adaptor. Headrest The optional headrest can assist with stability during an examination. - Spare battery - Carrying case

18 18 Kowa FM-700 Aqueous Flare Meter The ideal partner for the management of uveitis patients and post IOL surgery follow up CLINICAL INDICATION: UVEITIS & OTHER INFLAMMATORY PATHOLOGIES The Kowa FM-700, Kowa s unique aqueous flare meter combined with a slit-lamp design, allows the doctor to improve assessment of inflammation and provide a consistent follow up to patients by enabling the in-vivo measurement of aqueous flare in a non-contact, non-invasive and painless manner. The quantitative and precise measurement of aqueous flare it provides is essential in the management of patients with uveitis and other ocular inflammatory diseases. Precise results Easy operation and alignment guide Extremely fast detection of ocular inflammation Consistent data for patient follow up Increased patient comfort non-contact, non-invasive measurement A direct slit lamp providing a biomicroscopic view of the anterior chamber Accurate, quantitative protein density measurement Utilises the latest laser light scattering technique Graph results Report results Paper printout

19 19 Kowa FM-600 Aqueous flare meter The ideal partner for the management of uveitis patients and post IOL surgery follow up CLINICAL INDICATION: UVEITIS & OTHER INFLAMMATORY PATHOLOGIES The Kowa FM-600 aqueous flare meter enhances the follow up of patients by enabling the in-vivo measurement of aqueous flare in a non-contact, non-invasive and painless manner. The quantitative and reproducible measurement of aqueous flare it provides is known to be significant in cases of uveitis and following IOL implantation, and increased levels of flare have been reported with many other ocular inflammatory diseases. - Highly accurate & efficient - Extremely fast detection of ocular inflammation - Consistent data for patient follow up - Increased patient comfort - non-contact, non-invasive measurement - Compact footprint - Stand-alone operation - Utilises the principle of laser light scattering detection - Quantitative protein measurement - Reproducible results - Results displayed numerically and graphically Graph results Numerical results

20 Worldwide network Offices & factory 20 Sandhurst Paris Düsseldorf Milano Dubai Mumbai Beijing Seoul Dalian Shanghai Hong Kong Bangkok Taipei Tokyo Chofu Nagoya Osaka Los Angeles Montgomery Boston New York North Carolina Alabama Singapore Jakarta Brisbane Santiago Kowa Optimed Europe Ltd. Sandhurst House, 297 Yorktown Road, Sandhurst, Berkshire, GU47 0QA, UK Phone: +44 (0) Facsimile: +44 (0) Web: Kowa Optimed Deutschland GmbH Bendemannstraße 9, Düsseldorf, Germany. Phone: +49 (0) Facsimile: +49 (0) Web: World Sales Headquarter Kowa Company, Ltd. 4-14, Nihonbashi-honcho 3-chome, Chuo-ku, Tokyo Japan Phone: Facsimile: Web: Kowa Company, Ltd. Chofu Factory 3-1, Chofugaoka 3-chome, Chofu city, Tokyo , Japan Phone: Web: DISTRIBUTOR: Visit us at: KOWAISS001/PC_3

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