Designed to amplify your talent:

Introducing R-Evolution®

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Presenting R-Evolution®

• Agile Fluidics™ supporting Anterior Chamber stability via:

– IOP Management with Advanced Microprocessor-controlled Active Irrigation System and the proprietary algorithm “Dynamic IOP Control” acting synergistically to mitigate surge via adjusting the intraocular pressure and responding to varying aspiration demand

– Selectable Aspiration System between Flow or Vacuum based pumps designed for surgeons who who like to be free of constraints

– Unique EasySys Cassette System with integrated dual pump fluidics interface engineered with the dual purpose of reducing the surge and boost performance

– Integrated and Motorized IV Pole for optional Gravity Irrigation

• Optimized Energy Management fostering U/S efficiency via:

– Minimal Stress™ Technology, a patented technology to optimise U/S energy delivery, it always ensures consistency between programmed and actual phaco tip stroke regardless of nucleus hardness

– Balanced U/S Cutting Protocols designed to boost efficiency

– 40 KHz Phaco Handpiece, choice between Slim4 (traditional 4 crystals) or SIX (enhanced 6 crystals)

– Wide Phaco Tip range supporting incision size from 1.8 to 2.8mm, available with straight, flared or flared bent configuration

R-Evolution is the system that gives a wide range of options for each step of the cataract, vitreo-retinal or combined procedure, enhancing performances and functionalities

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Presenting R-Evolution®

Vitreo-Retinal Surgery providing everything needed via:

• Uninterrupted vitreous removal flow with the TWEDGE™ vitreoretinal cutters, available in 23, 25 and 27G, for a paradigm shift of efficiency during Vitrectomy procedures either in the anterior or posterior segment

• LED LIGHTING SYSTEM with 3 independent LED light sources with selectable color filters for enhanced visualization, free of harmful UV and IR emissions

• Integrated Green Laser Module 532 nm for endo-photocoagulation (optional)

• Ancillary functions: Fluid/air exchange, Silicon oil Injection/Removal, Eso/Endo Diathermy, Pars Plana phaco option.

• ANGel™ Perfusion Pressure Monitoring of ocular perfusion pressure

User Interface assisting human-machine interaction via:

– Large High Visibility 19” touch screen

– Wireless Foot-Pedal Programmable as Single Linear or Dual Linear

– Same EasySys Cassette for Phaco/Retina/Combined procedures

– Several programmable Voice and Audio Feedbacks

– IR Remote Control (optional)

Professional solutions sustaining trustable partnership via:

• Highly professionally trained clinical application support and technical service

• BVI wide products portfolio with flexible commercial solutions tailored to your needs

R-Evolution is the system that gives a wide range of options for each step of the cataract, vitreo-retinal or combined procedure, enhancing performances and functionalities

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Agile Fluidics™: IOP Management

The core components of Agile Fluidics™ include:

• The Advanced Microprocessor-controlled Active Infusion System delivering enhanced Irrigation IN-FLOW capabilities and supporting faster reaction time to compensate for IOP fluctuations

• The Dynamic IOP Control System is a proprietary sw. algorithm that links the IOP to demanded vacuum smoothing risks associated with IOP fluctuations at varying aspiration flow rates.

WITHOUT Dynamic IOP Control System WITH Dynamic IOP Control System

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Agile Fluidics™: Pump System & Surge Reduction

❑ High performance Flow based or Vacuum pump selectable on fly❑ Selectable Integrated Motorized IV pole for optional gravity irrigation❑ Further Surge reduction through synergic work of the small-bore aspiration tubing combined with Flared tip design

I.D.Ø 1.3mm

small-bore aspiration tubing U/S Flared tip design

Surge = IOP drop x duration

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Optimized U/S Energy: Minimal Stress™ Technology

Normal phaco System without minimal stress

Contact between phaco tip and cataract material

Phaco System with minimal stress technology

Contact between phaco tip and cataract material

Minimal Stress™ Technology works in the background to maintain consistency between the programmable phaco tip stroke and the actual tip elongation, when the phaco tip faces the resistance opposed by cataract material.

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Optimized U/S Energy: Minimal Stress™ Technology

Minimal Stress™ Technology is characterized by monitoring and sensing the dumping of the phaco tip stroke under the resistance of the lens material, it transmits continuous feedback related to the actual tip movement and continuously adjust energy supply to the piezoelectric components of the phaco handpiece in order to align actual tip elongation to the value the surgeon has programmed.

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NO Minimal Stress™ Technology WITH cataract impact

Normal phaco System without minimal stress

Contact between phaco tip and cataract material

Programmed tip elongation (stroke µm)

Delivered tip elongation (stroke µm)

NO consistency between the programmed phaco tip stroke and the actual tip elongation, when the phaco tip faces the resistance opposed by cataract material.

Cataract particle

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WITH Minimal Stress™ Technology WITH cataract impact

Programmed tip elongation (stroke µm)

Delivered tip elongation (stroke µm)

Phaco System with minimal stress technology

Contact between phaco tip and cataract material

Minimal Stress Technology works in the background to maintain consistency between the programmed phaco tip stroke and the actual tip elongation, when the phaco tip faces the resistance opposed by cataract material.

Cataract particle

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CUTTINGEMULSIFY

HEAT

REPULSION

FLUIDICSCOOLINGATTRACT

HOLD

REMOVE

ON ONOFF OFF

1 sec.

Balanced U/S cutting protocols

• ON period supports cutting/emulsification without repulsion• OFF period allows the fluidics to solely act and facilitate

attraction, holding and/or pulling-removal of lens material

ON OFF

CUTTINGEMULSIFY

HEAT

REPULSION

FLUIDICSCOOLINGATTRACT

HOLD

REMOVE

CUTTINGEMULSIFY

HEAT

REPULSION

FLUIDICSCOOLINGATTRACT

HOLD

REMOVE

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Frequency range from 1Hz to 100Hz

3 efficiency tested prefixed duty cycles protocols:

➢ STD (Standard): 50% Time ON - 50% Time OFF

➢ Cold: 25% Time ON - 75% Time OFF

➢ Ice Cold: 10% Time ON - 90% Time OFF

Optimized U/S Energy: boost of efficiency

Cold: Ton=25ms, Toff=75ms

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Entering POS3 start the phaco pulse is delivered as a single burst of ultrasound power with a duration of 120 ms.To obtain another single burst must move footswitch from position 3 to 2 and enter again POS3 start

Entering POS3 start the phaco pulse is delivered as single burst with a duration of 80 ms, the nominal interval between bursts is approx. 1 second, as the footswitch is depressed the interval between burst decrease (frequency of bursts increases) up to a maximal rate of 4 bursts per second at the end of POS 3

Entering POS3 start, phaco pulse is delivered with a duration of 80 ms, the interval is approx. 1 second, as the footswitch is depressed the frequency of bursts increases up to become a continuous mode at the end of POS 3

Optimized U/S Energy: delivery protocols

POS 3 start POS 3 end

µm

POS 3 endPOS 3 start

POS 3 start POS 3 end

POS 3 start POS 3 end

T

T

T

µm

µm

In burst mode the U/S energy is modulated by regulating intervals

rather than the stroke which remain panel

Appropriate use of foot-pedal with Burst enhance efficiency of the lens

removal

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Streamlined phaco tip options

Straight or bent depending on personal preferenceSame Color code sleeve/tip

Incision 3.0-2.8mm

Incision 2.4-2.2mm

Incision 2.0-1.8mm

Port OD Port ID Shaft OD Shaft ID Port area Vacuum Holdability Cutting edge Stroke µm Cut-ability

phaco tip 20G 30° straight 0,9 0,7 0,9 0,7 1,78 563 1000 3,05 33 100,00

phaco tip 20G 30° flared 1,04 0,94 0,8 0,6 3,20 312 1000 3,53 28 100,00

phaco tip 21G 30° straight 0,8 0,6 0,83 0,6 1,31 766 1000 2,71 37 100,01

phaco tip 21G 30° Flared 0,94 0,84 0,7 0,45 2,56 391 1000 3,19 31 100,01

Vac x Port Area Stroke X Port edge

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User Interface

• Optikon has simplified man-machine interaction by directing the surgeon's gaze towards a single 19" touchscreen.

• The user-friendly graphic interface is conceived to ensure easy handling of a highly complex instrument Wireless footswitch with

programmable buttons

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Posterior Segment Surgery: GUI & connectivity

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33 mm long

28 mm long

Posterior Segment Surgery: TWEDGE™ 20K

The same vitrectomy probe is also applicable in the anterior vitrectomy

• The chart shows the differences in aspiration flow(balanced salt solution, Vacuum 650 mmHg, Venturipump, that are achieved using the Twedge™ vitreous cutter (solid line) compared to a single blade vitreous cutter (dashed line), as the cutting rate changes.

• In particular, the solid line shows how the flow remains constant up to 20,000 cuts/min with the Twedge™ vitreous cutter (10,000 cuts/min with

• R-EVO smart); in comparison, the flow decreases as cutting rate increases using the single blade vitreous cutter.

0,25 mm

Same tip-to-port distance for all gaugesa

28 mm long

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Posterior Segment Surgery: LED LIGHTING SYSTEM

• The R-Evolutio® CR is equipped with three independent, high-efficiency LED light sources, free of harmful UV and IR emissions.

• The LED lighting system allows surgeons to perfect tissue visualization (white light close to sunlight) and guarantees the maximum protection against phototoxicity.

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The R-Evolution®

R-Evolution® combines functionality and

technology in a monolith platform for cataract and vitreo-retinal surgery, available in 2 different models delivering outstanding performance trough geared features.

congress.bvimedical.com/ESCRS

KEEPING YOUR VISION IN SIGHT®

DISCOVER MORE ONBVI INNOVATIONS 2020