EMMETROPIA! Halos, Glare, Sparkles & Starbursts Poor Reading or Poor Mid Range Acuity Low odds of Emmetropia for everyone.

Transcription

1

2 PRESBIOPTICx TM Optical System TM EMMETROPIA is as easy as SEE! 1 Measure 1st Eye & Implant 2 Refract 2nd Eye, Calculate ADD, Select the & Implant SEE! EMMETROPIA! The new PRESBIOPTICx IOL offers a NEW choice for patients. Because it is Progressive, neither the patient nor the Doctor can see the multiple zones without high-tech optical measuring equipment. In addition Surgeons will be able to perform delicate laser procedures on the retina without the fear of hitting a line or without an annoyance of shadows. It s been clearly documented that the most advanced optical systems used in the world today Multifocal IOLs, Pseudo-Accommodating IOLs and Multi-Piece IOLs implanted by today s ophthalmologists create problems such as: Halos, Glare, Sparkles & Starbursts Poor Reading or Poor Mid Range Acuity Low odds of Emmetropia for everyone Halos Sparkles Glare Over the past six years Imperial Medical s team of engineers, scientists and surgeons have solved those problems! Doctors can NOW have an excellent chance of offering Emmetropia to 100% of their patients all without long term Halos, Glare or other visual problems. The Rx 2 system allows the clinician to micro-adjust the patient s visual acuity. 1 Both the Micro Incision version (HM60PM) of the Imperial Medical PRESBIOPTICx TM Progressive Refractive Multifocal IOL and the Modified C version provide excellent visual acuity for both distance & near and can be customized in the 2 nd eye with Rx 2 to achieve a full range of vision in 100% of the cases. ASCRS San Diego, CA G. Rubiolini, M.D., G. Gallo M.D. - G.R. Vision, Milano, Italy. Multifocual Progressive Refractive Optical Systems

3 No lines = No Halos, Sparkles or Glare! How Rx 2 Works Implant the first lens into the dominant eye or according to your usual protocol. It will have a 0 or 1 in the box by the lens Diopter. If you used a 0 after implantation refract the patient and record the reading acuity. If NO adjustment to reading is needed, implant another 0. If an adjustment of +0.2D is needed you simply add 2 to the first lens and the 2nd implant will have a 2 in the box. If +0.3D is needed 0+3 = 3 so you would implant a 3. Research shows that the recessive eye will take over and your patient should be happy & spectacle free. 1st Eye 2nd Eye Optical Zone Dilemma Because the Zones on the standard Multifocal lens reduce the light to the retina by 20%, IOL companies make the lenses Aspheric. But that creates huge vision problems when the lens de-centers. IMT s progressive IOL provides 20% MORE light to the Retina. (2) Mix & Match Problems Mix and Match doesn t work because usually they are two different optical systems. NOW with Rx 2 the same system creates perfect or near perfect vision every time! (3) +0.1 Diopter Accuracy +1/10 (+0.1) of a Diopter Accuracy offers you the ability to micro-adjust the patient s reading acuity thus increasing the potential for Emmetropia with every surgery! (4) (1) Nighttime Image Quality & Multifocal IOLs, R. Tipperman, MD, J. SChweigerling PhD, Eye World, 10/2011 (2) Centration & Diffractive Multifocal IOLs; Holladay, Jack - April, 2006, Cataract & Refractive Surgery. (3) Training required and there is no guarantee every surgeon will achieve emmetropia every time. (4) G.R. Vision reported, ASCRS, 2011, 59 out of 59 patients were spectacle free after using Rx2.

4 DIFFRACx Micro Yesterdays standards for visual outcomes are no longer considered adequate for the active life-styles of today. Imperial Medical Technologies, for more than 10 years has been quietly and confidently working on new optical systems that we believe will set the standards for others to follow. Now, after the introduction of PRESBIOPTICx the World s first Progressive Multifocal IOL using refractive optics, IMT is once again leading the way with DIFFRACx Micro the World s first Progressive Multifocal IOL using diffractive optics with NO lines which can mean NO halos and glare for patients. How It Works It s well known that for decades diffractive technology has been used for optical systems in many medical fields, scientific fields and space exploration. Now, nano-technology in manufacturing has advanced enough to create a diffractive intraocular lens perfect enough to make a real difference. IMT uses the laws of optical physics combined with state of the lens nano-technology, on the world s finest high tech equipment, to create an optical system that can provide emmetropia to patients as never before. As light travels through the multiple zones of a multifocal lens they are focused on the retina which feeds a myriad of signals to the brain. Neuro-Surgeons, Psychologists and Ophthalmologists know that the brain is capable of filtering and sorting multiple images and then centering the attention of a precise image. DIFFRACx uses the brains superior awareness to detail to its advantage. The theory behind the normal diffractive optical system is to supply sharp, crisp images for the brain to sort, thus allowing for good distant ision, good mid-range vision and good close vision. Unfortunately, the standard multifocal lens offers concentric circles or lines that dilute the image and blur the true crispness of the image. Imperial Medical invented the progressive IOL and those images can now be viewed without loss of light and without the image being blurred by concentric lines, separating the dioptric zones. This is done through more than 20 zones allowing for distance, mid vision and near vision no matter what the pupil size. More Light Unlike its competition, IMT modified the DIFFRACx Micro to include its technology from its ASPHERICx IOL line and its progressive multifocal PRESBIOPTICx intraocular lens line. Because of that, DIFFRACx Micro lenses are also progressive, aspheric and aberration controlled meaning that there are clearer focal zones with NO LINES to eat up valuable light needed at twilight or dusk. Laser Procedures - No Problem! Dr. Gianluca Rubiolini, Como, Italy, reported in a formal presentation at the ASCRS that for the first time, he was able to perform Diabetic Retinopothy surgery without shadows on the retina and without fear of the laser bean hitting the rings of the lens because with a progressive multifocal THERE ARE NO RINGS. How Its Made The EOEMA material is carefully and methodically lathe cut on precision air bearing lathes and once milled, carefully tumble polished to remove any free radicals. Each lens is carefully hand inspected on a wave-front analyser for power and quality before being called an Imperial Medical intraocular lens.

5 Clinical Data Imperial Medical s quality process, combined with superior plastics, have proven to provide superior visual acuity and unquestionable safety. The Company has nearly 1.5 million implants with NO complications and no adverse reactions. A perfect track record for more than 11 years. MUDr. J. Urminský, PhD of the Ophthalmological Clinic, Medical Faculty of the Charles University & University Hospital in the Czech Republic presented finding from his 135 patient study in 2004 that IMT lenses from EOEMA presented significantly lower PCO rates than other lenses tested. 1 In addition, Dr. Gianluca Rubiolini reported in a 2011 study, released at the ASCRS that more than 90% of all patients implanted with DIFFRACx Mirco were free of spectacles and the other 10% were less than 0.25 diopters off two months post op. Indeed, studies indicate that when properly used, implantation of diffractive intraocular lenses can provide excellent long term visual acuity without adverse reaction and without visual misadventures for the patients. 2 The Archives of Ophthalmology in 1999 published a study called Bilateral Implantation of Asymmetrical Diffractive Multifocal Intraocular Lenses, which detailed that eighty percent (80%) of the patients in the study reported no use of spectacles postoperatively. However, studies also indicate that the No. 1 Complaint of all multifocal lenses is halos, glare, sparkles and starbursts. Surgical Features DIFFRACx Micro IOLs combine many features that will allow the surgeon to have a quality surgical experience and positive surgical outcome when using DIFFRACx for their patient s visual needs. Micro Incision Technology Because of its unique features, DIFFRACx Micro intraocular lenses can be implanted through 1.6mm to 1.8mm cartridges up to and including diopters. However, surgical experience should dictate the size of incision and the size of cartridge to be used. IMT always recommends using a silicone cushion when implanting and we recommend that from to you can use a 1.6mm to 1.8mm cartridge. From to you can use a 1.8mm to 2.2mm cartridge and above it is recommended surgeons use a 2.4mm to 2.8mm cartridge. Caution should always be used when injecting an intraocular lens into the capsular bag and inexperienced surgeons should seek proper training before attempting micro incision lens injection. Lens Positioning DIFFRACx Micro was designed to be implanted in the capsular bag with the diffractive surface anterior. Surgeons will note a small position indicator (hole) on the Top Right and Bottom Left of the wings or haptic. Care should be taken to always implant the lens with the small position indicator to the Top Right or Bottom Left or the 1:00 o clock and 7:00 o clock positions. (1) An Evaluation of Opacities in the Posterior Capsule after Implantation of Two Types of Intraocular Lenses; MUDr. Urminsky, J., PhD; (2) 3M Diffracive Multifocal Intraocular Lens, Eight Year Follow-up; J. Cataract Refract Surg, 2000; 26(3):402-1;

6 PRESBIOPTICx Optical System TM PRESBIOPTICx Rx 2 Optical System TM Model Number HM60PM - (MULTI-FOCAL Refractive & Progressive) Optic Size / Style 6.0mm PCO Barrier / Bi-Convex (Equi-Convex) 11.0mm - MICRO INCISION Haptic Style / Angle Plate / 0 0 (Positioning hole: Top Right & Bottom Left) D to D in +0.5 Diopter Increments Reading ADD Available in 1/10 (+0.10D) Diopter Increments A Constant / AC Depth / 5.3mm (Note: Special Training Required) Implant / Incision 1.8mm 2.2mm (Depending on Diopter & Experience) Coming Soon PRESBIOPTICx Rx 2 Optical System TM - Coming Soon! Model Number HP60CM - (MULTI-FOCAL Refractive & Progressive) Optic Size / Style 6.0mm PCO Barrier / Bi-Convex (Equi-Convex) 12.5mm Haptic Style / Angle Modified C / D to D in +0.5 Diopter Increments Reading ADD Available in 1/10 (+0.10D) Diopter Increments A Constant / AC Depth / 5.3mm (Note: Special Training Required) Implant / Incision 2.2mm 2.8mm (Depending on Diopter & Experience) DIFFRACx Micro DIFFRACx Micro Multi-Focal, Diffractive & Progressive Model Number HM60PD - (MULTI-FOCAL Diffractive & Progressive) Optic Size / Style 6.0mm PCO Barrier / Bi-Convex (Equi-Convex) 11.0mm - MICRO INCISION Haptic Style / Angle Plate / 0 0 (Positioning hole: Top Right & Bottom Left) D to D in +0.5 Diopter Increments Reading ADD Variable with Pupil Size A Constant / AC Depth / 5.3mm (Note: Special Training Required) Implant / Incision 1.8mm 2.2mm (Depending on Diopter & Experience) Coming Soon DIFFRACx C Progressive, Diffractive Multi-Focal Lens - Coming Soon! Model Number HP60CD - (MULTI-FOCAL Diffractive & Progressive) Optic Size / Style 6.0mm PCO Barrier / Bi-Convex (Equi-Convex) 12.5mm Haptic Style / Angle Modified C / D to D in +0.5 Diopter Increments Reading ADD Variable with Pupil Size A Constant / AC Depth / 5.3mm (Note: Special Training Required) Implant / Incision 2.2mm 2.8mm (Depending on Diopter & Experience) Dioptors < 15.0 and > 25.0 are custom and require a Special Order

7 Most Complete Lens Line IMT offers the World s widest range of Intraocular Lens Systems, Intracorneal Inlays, Capsular Tension Rings and Visco Elastics. Our State of the Art products have been implanted for more than eleven years in over one and a half million people with NO adverse reactions. IMT uses ONLY the finest materials, under the most stringent ISO, ANSI, CE and USFDA standards. The ASPHERICx TM series is Imperial Medical s aberration controlled lens line that provides the patient with similar visual acuity as when the patient was in their early twenties. ASPHERICx TM IOLs allow for more light to be focused on the retina thereby improving clarity and acuity, especially in low light scotopic conditions. The A in the model number denotes the IOL is available with Aspheric Properties. Imperial Medical Technologies was the first to have a PCO barrier, first to have the silicone tip for injectors and continues to be in the forefront of intraocular optical systems. Try the clearer Imperial Medical lens and we believe that you ll find that it s the best lens you ever used! ASPHERICx Micro Aberration Controlled Aspheric Lens Model Number HM60PA - Micro Incision IOL Optic Size / Style 6.0mm / Bi-Convex (Equi-Convex) 11.0mm Haptic Style / Angle Plate / to (+10.0D to +30.0D in.05 Increments) A Constant / AC Depth / 5.3mm Implant / Incision 1.8mm 2.2mm (Depending on Diopter & Experience) SOFTVAULT Self-Vaulting Plate Lens (Available High Definition) Model Number(s) Optic Size / Style Haptic Style / Angle A Constant / AC Depth Implant / Incision HP60P HP60PA HD60PA 6.0mm / Bi-Convex/Equi-convex Aspheric Note: Anterior Indicator Top Right 11.0mm Plate / 0 - Patent Pending Self-Vaulting -10.0* to (+10.0 to in 0.5 increments) NOTE: H.D. Lenses are Custom Order ONLY. Please contact IMT for availability / 5.3mm 2.2mm 2.8mm (Depending on Diopter & Experience) HYDROPTICx Posterior Chamber Foldable Lens Model Number(s) Optic Size / Style HP55C HP55CA HD55CA HP60C HP60CA HD60CA 5.5mm 6.0mm Equi-Convex 12.5mm Haptic Style / Angle Modified C - 0 A Constant / AC Depth Implant / Incision -10.0* to (+10.0 to in 0.5 increments) NOTE: HP55C not available in minus diopters. (+0.00D to +40.0D ONLY) / 5.3mm 2.2mm 2.8mm (Depending on Diopter & Experience)

8 Mod. Z Posterior Chamber Lens (Available in High Definition) Model Number(s) Optic Size / Style HP60Z HP60ZA HD60ZA 6.0mm / Bi-Convex/Equi-convex Aspheric 12.0mm Haptic Style / Angle Z Hybrid / 0 Implant / Incision A Constant / AC Depth 0.0 to (+10.0 to in 0.5 increments) NOTE: Mod. Z lenses available in HD & Aspheric by special order HD60Z & HD60ZA 2.2mm 2.8mm (Depending on Diopter & Experience) / 5.3mm DIABETICx TM - Diabetic Foldable Lens Model Number(s) HP70P HP70PA Optic Size / Style 7.0mm / Bi-Convex/Equi-convex Aspheric 11.0mm Haptic Style / Angle Plate / 0 - Self-Vaulting to (+10.0 to in 0.5 increments) Implant / Incision 2.8mm 3.2mm (Depending on Diopter & Experience) A Constant / AC Depth / 5.3mm QUADRAPLEx -Posterior Chamber Foldable Lens Model Number(s) HP57P HP57PA HD57PA Optic Size / Style 5.7mm / Bi-Convex/Equi-convex Aspheric 10.5mm Haptic Style / Angle Plate / to (+10.0 to in 0.5 increments) Implant / Incision 2.8mm 3.2mm (Depending on Diopter & Experience) A Constant / AC Depth / 5.3mm High Definition Yellow IOLs Model Number(s) Optic Size / Style Haptic Style / Angle Plate / 0 Implant / Incision A Constant / AC Depth HD55CA HD57PA HD60CA HD60PA HD60ZA 5.5mm 6.0mm / Bi-Convex/Equi-convex Aspheric C-Loop: 12.5mm Plate Models: 11.0mm 0.0 to (+10.0 to in 0.5 increments) 2.2mm 2.8mm (Depending on Diopter & Experience) / 5.3mm 26% Hydrophilic Acrylic UV Absorbing NOTE: from Neg 10-0 and are a custom order - please contact IMT for details.

9 KERATACx Advanced Intra-Corneal Segments KERATACx Intracorneal Segment Model Number(s) CR45 CR90 CR120 CR160 R210 CR320 Optical Zone 4.8mm-5.2mm Peak Style Rounded, Off-center (Distal) Segment Height 100µ-500µ in 0.50 micron increments* Width / Degrees 0.62mm / Stromal Depth 70% - 75% Recommended Holes 2 ea., 1 per Clear, Perspex C.Q. UV - PMMA KERATACx Plus Intracorneal Segment Model Number(s) CRP45 CRP90 CRP120 CRP160 CRP210 CRP320 Optical Zone 4.8mm-5.2mm Peak Style Rounded, Centered Segment Height 100µ-500µ in 0.50 micron increments* Width / Degrees 0.62mm / Stromal Depth 70% - 75% Recommended Holes 2 ea., 1 per Clear, Perspex C.Q. UV - PMMA KERATACx SP (Super Plus) Intracorneal Segment Model Number(s) CRS45 CRS90 CRS120 CRS160 CRS210 CRS320 Optical Zone 5.8mm-6.0mm Peak Style Rounded, Centered Segment Height 100µ-500µ in 0.50 micron increments* Width / Degrees 0.62mm / Stromal Depth 70% - 75% Recommended Holes 2 ea., 1 per Clear, Perspex C.Q. UV - PMMA KERATACx V Model Number(s) Optical Zone Peak Style Segment Height Intracorneal Segment CRV-45 CRV-90 CRV-120 CRV-160 CRV-210 CRV mm-6.1mm Rounded, Centered 100µ-500µ in 0.50 micron increments* Width / Degrees 0.62mm / Stromal Depth Holes 70% - 75% Recommended 2 ea., 1 per Clear, Perspex C.Q. UV - PMMA * NOTE: Segments > 300µ is a custom segment - please consult with IMT before implanting.

10 CTR TM Capsular Tension Rings Model Number(s) TR-100 TR-110 TR-120 TR-130 TR-140 Outside Diameter 10.0mm 11.0mm 12.0mm 13.0mm 14.0mm Style Round Ring Thickness 0.18mm Implant Style Inject or Insert Compression 1.0mm Holes 2, 0.36mm, 1 per end Blue, Perspex C.Q. - PMMA or Clear (Custom) New Products Coming Soon OPTIC Rx TM OPTIC Rx TM is VERY SPECIAL because it allows the eye surgeon to change the prescription without removing the original IOL. 3 lenses engineered as one through a 2.2mm incision. 1.0mm incision for post surgical adjustments. This technology prevents fibrosis between the lenses. Standard surgery techniques are used and limited training is required. OPTIC Rx Post Surgery - Adjustable IOL Model Number(s) Optic Size PL60BP Base PL60BP Mid Lens PL60TD - Top 6.0mm 6.0mm Aspheric 6.0mm 11.0mm Haptic Style / Angle Plate / 0 (Base Lens) A Constant / AC Depth thru (0.5f increments) / 5.3mm with capsular bag capture Correction Astigmatic +0.5 to +5.0 D of cylinder at Biometric +0.5 Diopter to D Hydrophilic Acrylic UV Absorbing HYDROPHOBICx Posterior Chamber Foldable Lens (Coming Soon) Model Number HF60C HF60CA Optic Size / 6.0mm 12.5mm Haptic Style / Angle Modified C / to (+10.0 to in.05 increments) Index of Refraction A Constant/AC Depth / 5.3mm Implant / Incision 2.2mm 2.8mm (Depending on Diopter & Experience) Hydrophobic UV Absorbing

11 VEJARANO DELAMINATOR SYSTEM IMPERIAL MEDICAL TECHNOLOGIES Vejarano Delaminator System TM - Platinum Set The WORLD S FIRST affordable corneal delaminating system for Keratoconus. Designed to improve results and prevent corneal perforations Invented by World Class Surgeon Manuel Vejarano, M.D. of the famous Vejarano Laser Vision Center in Mexico. The system has been successfully used on over 2,000 patients with 100% success. Complete System Availability: Vejarano Platinum Set Supplied with a short video and easy to read instructions the Vejarano Delaminating System is available with or without the Vejarano Diamond Keratoconus Knife available by contacting Imperial Medical Technologies. Presented in its own State of the Art sterilization tray for rapid patient turn-around, the Vejarano Platinum Set includes: Visual Axis Marker Corneal Marker Pre Delaminator Y Spatula Dual Direction Delaminators: right and left V Glide Automatic Vacuum System Inserter: right and left Extractor: right and left Forceps for IMT KERATACx Easy To Use Following the standard Pre-Op Topography and Pachymetry the surgeon can use either his own surgical expertise and nomogram to plan the procedure, or for a small fee, submit the patient data to IMT s team of experts who will expertly suggest and advise on the size and radius of the segments to be used as well as the location.

12 The Procedure The system comes complete with detailed instructions that closely follow the standard surgical techniques used for Keratoconus, High Myopic, Astigmatism, Ectasia corneal congenital or post op of refractive surgery. Once the visual axis is located, the cornea is marked and the site for the incision is formalized. Then, the incision is made to the prescribed depth, usually about 75% of the stromal depth which is indicated in the pachymetry. If the Vejarano Diamond Knife is used, the base of the tunnel will be easier to separate. If not, use a standard RK knife and carefully make the incision to the prescribed depth. Next, the tissue is gently separated with the Vejarano pre-delaminator. Once the small cavity is started, introduce the Vejarano Y Spatula and start delaminating in a clockwise and counter clockwise directions. Once the tunnels are prepared the Patent Pending V Glide Automatic Vacuum System can be gently placed on the cornea. Vejarano V - Glide System The Secret is the Patent Pending V-Glide Positioning System which maintains an even and continuous vacuum. After the disposable tubing and attached Luer locks are assembled and connected to the Vacuum, carefully place the Vejarano V Glide instrument onto the surface of the Cornea aligned with the original markings. Press the Low Vacuum (50mmHg) switch or the High Vacuum (65mm Hg) switch. (Note: Amount of vacuum used is indicated by the surgeon s preference). The Vejarano V-Glide gently fixates the alignment ring onto the cornea and maintains the prescribed vacuum. The digital readout indicates both the amount of vacuum and the time the patient is under vacuum in order to provide safety for you and your patients. Safely Create the Tunnel The Vejarano V Glide positioning tube allows for the surgeon to rotate the delaminator smoothly and easily thereby reducing the potential for a perforated cornea. Once the ring is fixated on the cornea, the Vejarano V Spatula is inserted in either a clockwise or counterclockwise direction and the appropriate Vejarano delaminator blade tip is placed below the spatula in order to introduce the tip of the Vejarano delaminator into the opening of the tunnel. Gently remove the Vejarano V Spatula leaving the Vejarano delaminator blade in the entry to the tunnel. Next carefully rotate the Vejarano delaminator 180 creating a smooth and even tunnel. Reverse the rotation and extract the Vejarano delaminator from the Vejarano V Glide positioning tube. Follow the same procedure in the opposite direction and use the same technique. Extract the Vejarano delaminator from the Vejarano V Glide positioning tube and turn OFF the vacuum. This will allow for an easy removal of the Vejarano V Glide System from the cornea. Gently irrigate the eye if the protocol dictates and you are ready to insert KERATACx, the World s Finest, Patent Pending Corneal Segments. Superior Results Reported Surgeons around the world report that patients experience no glare, halos, sparkles or starbursts commonly associated with intra-corneal implantations. They are designed to be gentle on the eye and the prompted one surgeon to state...for the first time, my patients have a night life without aberrations, glare or sparkles!

13 Easy to Clean Imperial packages the Vejarano Delaminating System in an auto-clave ready tray, with easy to follow USFDA, CE and ISO approved cleaning instructions. Imperial Medical guarantees each system against all manufacture defects and workmanship. Stainless Steel Vejarano Delaminator Systems are manufactured from the finest medical grade Stainless Steel and are built for years of trouble free service and should never need repair. If the Vejarano Delaminator becomes bent or misaligned repairs are free of charge for the first repair exclusive of all shipping and handling. KERATACx Intra-Corneal Segments Imperial Medical offers multiple segment styles depending on the Corneal Topography and the dioptric correction required. KERATACx Plus is our most popular segment and matches the size and indications of Kerarings and Ferrara Rings but without the reported halos, glare or sparkles many other segments produce. KERATACx SP (Super Plus) is the 5.8mm to 6.0mm optical zone segment and also requires a different Delaminator to insure the proper tunnel radius. KERATACx V invented in conjunction with Dr. Vejarano, offers the largest optical zone of 6.0mm to 6.1mm and is used when 4 segments are required. An optional Vejarano Delaminator must be purchased to insure a proper tunnel radius. Extensive Radius Selection All KERATACx models are available in 45, 90, 120, 160, 210 and 320 radii which allows for precise dioptric corrections on all types of corneal typography. All KERATACx models are available in heights from one hundred microns (100µ) to five hundred microns (500µ) with fifty (50µ) increments. In addition all models have positioning holes at each end for easy manipulation.

14 Vejarano Delaminator System TM - Platinum Set It is versatile, easy to use, easy to clean and works with all IMT Vejarano Delaminator sizes. The Platinum Instrument Set, comes standard with a 5.0mm Delaminator. The 6.0mm and 6.5mm Delaminators are sold separately and are available from Imperial Medical Technologies. V Glide System TM is light weight and portable, weighing less than 2 pounds this is the World s First and only portable corneal vacuum alignment system. And even better, allows the beginner to operate like a pro. The Dual Vacuum accommodates 2 settings (450 mb) for smaller KERATACx TM segments. Use (650mb) to implant IMT s larger segments or use when working with firm corneas. Easy to operate, easy to read and one 4 hours charge lasts up to 10 procedures. It s one of my greatest inventions and has reduced my keratoconus procedure time to minutes and I never worry about perforating a cornea using my system. Manuel Vejarano, M.D., Vejarano Laser Vision Center, DF, Mexico. NEW! - Vejarano Delaminator System TM for KERATACx Plus TM and KERATACx Super Plus TM Upgrade your current Keratoconus Set using the Vejarano Delaminator Upgrade Set for all KERATACx TM Segments. Each Upgrade Set contains the Vejarano Delaminator (left and right), Vejarano 5mm Corneal Marker and Vejarano Y Spatula. Never worry about perforating a cornea again! The V Glide System TM allows for a smooth and fluid dissection, insuring a parallel tunnel to the corneal surface. Implanted KERATACx TM Segment Photo courtesy of Manuel Vejarano, M.D.

15 KUSTOM LENS TM The newest lens system, still in R&D, is KUSTOM LENS TM which uses OphtaTOP TM to measure the topography, anterior chamber and retina for patients who have had LASIK or other corneal procedure. It is now widely recognized that patients who have had their cornea sculpted or modified with a laser cannot obtain perfect vision with a standard IOL. Since the Excimer Laser for use in LASIK was developed at Tubingen University the scientists and physicists in Tubingen, Germany devised a system to help patients who have had those procedures. Three years ago they began looking for a Company, dynamic enough and adaptable enough to work with. Imperial was selected and the systems are being developed now to create the World s First Custom fitted Intra Ocular lens. The Ophthalmic surgeon will use OphtaTOP TM to measure the complete biometry of the eye and then in an instant, electronically download the patient s natural optical system to the proprietary and patent pending software at Imperial Medical in the USA. The equipment will then transform the data into the perfect IOL for the LASIK patient and deliver the complete optical system, sterilized, to the surgeon in 14 days which is plenty of time before the surgery. OPHTHA Rx & KUSTOM Lens using Ray Tracing - Coming Soon Using Topography, Ray Tracing and proprietary software, OphthaTOP was designed to provide the ultimate in Corneal and Optical mapping. The OpthaTOP will provide Imperial Medical Technologies with the exact detailed data so that IMT can build the KUSTOM IOL.TM An IOL with the exact specifications for the LASIK patient or for any patient who requires a custom made IOL. Once OphthaTOP sends the data to Imperial in the U.S.A. the IOL will be built, tested and shipped to the surgeon for implantation in 14 Days. Patents Pending & Clinical Tests are under way now and soon all patients requiring a custom lens will have that option. (1) Slimming diet for a Multifocal IOL Peculiarities of Models Micro-Incision vs. Modified C ; American Society of Cataract and Refractive Surgery (ASCRS), San Diego, CA, USA 2011; G. Rubiolini M.D., G. Gallo M.D., G.R. Vision, Como, Italy. (2) PRESBIOPTICx a NEW Multifocal IOL System, ESCRS; M. Alberti M.D., L. Sadea M.D., A. Galantuomo M.D., Italy. (3) A NEW Micro Incision Diffractive IOL - First Clinical Results; ASCRS, San Diego 2011, Gianluca Rubiolini, M.D., G.R. Vision (4) Studies on file at IMT Headquarters, Cartersville, GA USA - MADE IN THE USA

16 IMT IMPERIAL MEDICAL TECHNOLOGIES Seeing into your future... Imperial Medical, Imperial Medical Technologies, IMT, IMTE, IOLENS, SOFTVAULT, HYDROPTICx, PRESBIOPTICx, PRESBIOPTICx Micro, DIFFRACx, DIFFRACx Micro, DIFFRACx C, ASPHERICx, ASPHERICx Micro, ASPHERICx C, DIABETICx, FX8, QUADRAPLEx, CTR, KERATACx, KERATACx Plus, KERATACx SP, KERATACx V, Vejarano Delaminator System, OPTIC Rx, HYDROPHOBICx, KUSTOM Lens, Rx 2, PRESBIOPTICx Rx 2 Optical System, Universal Star Medical, USM and REFRACx are Trade Marks of Imperial Medical Technologies, Inc., 30 Curtis Court, Ste. 300, Cartersville,GA Imperial Medical Technologies Inc., 30 Curtis Court, Ste. 300, Cartersville, Georgia USA, For Export Only. Phone: (678) Fax: (770)