iOCT®

Discover a new dimension with intraoperative OCT

Tradition and Innovation – Since 1858, visionary thinking and a fascination with technology have guided us to develop innovative products of outstanding reliability: Anticipating trends to improve the quality of life.

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iOCT®

Enhance your possibilities

HAAG-STREIT SURGICAL is pleased to introduce the world‘s first intraopera-tive OCT system. The iOCT camera is integrated into the high class operating microscope HS Hi-R NEO 900A NIR and its carrying system. iOCT scans of the eye’s anterior and posterior segments are performed live during surgery, thus improving quality control mechanisms for the surgeon. Discover more details than with a standard surgical microscope and enhance your possibilities.

HS Hi-R NEO 900A NIRon floor stand FS 2-21 / FS 2-25

M.DIS for iOCT display and user setting

Intraoperative OCT

EIBOS 2 for fundus observation

M.REC 2 for synchronized picture-in-picture recording (PiP)

iOCT® The operating system

Foot switch EF 5001 for hands-free microscope and iOCT operation

HS MIOS 5

HS Hi-R NEO 900A NIRoptimized for nearinfrared light

» Perform live OCT scans during surgery» Binocular picture-in-picture image injection» Great depth overview due to the large window depth» Same focus for iOCT and microscope

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Anterior segment surgeryGreat window depth and high visibility of transparent structures

Keratoplasties (PKP, DALK, DMEK, DSAEK)

■ Use iOCT to orient the donor‘s graft■ Assess the graft’s position and detect misalignment■ Eliminate air bubbles■ Improve suturing

DMEK

Opaque cornea

■ Use the iOCT to detect structures below the cornea■ View the iris to determine the eye’s optical path■ Open the cornea centered on the optical axis

IOL DSAEK

DALK

Intraoperative OCT can be used for all surgeries performed in the eye’s anterior segment. While in cataract surgery it is used to help position the IOL, it comprehensively covers all aspects of corneal surgery:

Posterior segment surgeryAmazing resolution of retinal membranes and structures

ILM PEELING

RETINA DETACHMENT

For posterior segment surgery and observation of the retina, intraoperative OCT can be used with HAAG-STREIT SURGICAL’s ophthalmoscopic system EIBOS 2 NIR or a contact lens.

Applications are:

■ ILM peeling with the membrane visible in the iOCT■ Retina detachments to judge the re-established contact between the retina and the uvea■ Closing macular holes

MACULAR HOLE AND SWELLING

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Handling and visualizationIntegrated into the workflow

C.INJECT 900 –Enrich your visionOften, more information is needed than what hits the eye through the oculars of the operating microscope. In these situations data from intraoperative OCT scans are useful to provide best surgical outcome.

At a glance these extra information are provided by our image injection system C.INJECT 900 in real time. Featuring high defi-nition, the live iOCT image can be superimposed in exceptional resolution into the oculars as an overlay to the live view.

The binocular image injection guarantees distraction-free work in full compliance with your natural, visual perception. Moreover, it prevents drawing your attention away from the surgical field and permits fatigue-proof work throughout your whole day.

Handling and display of the iOCT are smoothly integrated into the operating microscope. While a monitor, the M.DIS, acts as the iOCT’s main control center, operation can also be con-trolled via the foot switch. Perfect visualization is supported by the binocular image injection superimposing the scan to the live view into both oculars.

For easy handling the intraoperative OCT was designed to focus on the same focal plane as the microscope. In addition, the microscope’s zoom can be used to magnify the iOCT’s image. The amazing window depth of 4.2 mm provides an overview of the whole anterior segment: from the cornea to the lens.

FOOT SWITCH CONTROL

For faster, easier, and safer operationiOCT, together with the operating microscope HS Hi-R NEO 900A NIR, features ergonomic integration of iOCT control into your foot-switch-centered workflow, greatly improving speed and ease of operation. To meet the user experience of established HAAG-STREIT SURGICAL microscopes, the actual assignment of iOCT functionality to foot switch controls is highly customizable through user profiles.

FOOT SWITCH EF 5001

In order for iOCT observation during surgery to be possible, the microscope needs special optics that are optimized for near infrared (NIR) light. These op-tics are integrated into the HS Hi-R NEO 900A NIR as well as into the EIBOS 2 NIR. For added flexibility the iOCT-ready microscope system is also offered separately from the actual iOCT, making it possible to upgrade later on.

HS Hi-R NEO 900A NIR

Ready for iOCT

M.DIS

The M.DIS (Microscope Display) operates as the iOCT’s control center. The high-resolution screen, mounted close to the eyepiece, provides the iOCT images which may be seen by momentarily looking up from the eyepiece. The touch screen allows full control of the iOCT including its user settings.

M.DIS

Microscope mounted display and control

USER INTERFACES

Individual workflow optimizationThe concept of “per-user customization” is carried far beyond simple foot-switch-control mappings. Comprehensive sets of iOCT configurations can seamlessly be saved. These include foot switch operation but also control of special settings related to the eye’s segment observed with iOCT.

HS Hi-R NEO 900A NIR

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Recording

Next to your normal HD camera recording with e.g. C.MOR HD, iOCT videos, snapshots, and 3D volume scans need to be made for docu-mentation purposes. This process is fastened by HS MIOS 5 and the recording option M.REC 2 allowing to synchronize these two paral-lel video signals. When used for teaching, the iOCT images will help trainees learn faster as another dimension is added to their vision.

M.REC 2 –Connect your recordingsYour solution to synchronize two parallel video signals is the M.REC 2 for the recording system HS MIOS 5. This becomes necessary when more than one image processing instrument (e.g. operating microscope plus iOCT camera) is used and recordings of videos and snapshots are desired at once.

By activating the M.REC 2 the live streams of two camera inputs are shown simultaneously on the HS MIOS 5: one as a full screen image, the other displayed as a picture-in-picture (PiP). The streams can easily be interchanged between each other. Also the position and size of the PiP is adjustable.

Starting recording or doing a snapshot will automatically activate the function for both streams. Even though the display on the screen of the two images is connected, this action will result in two separate full HD videos being recorded or two separate high quality snapshots being taken – one for each source.

The archive menu of the HS MIOS 5 allows the transfer of both or indi-vidual recordings to external media. In combination with the automatic editing module M.AED here you will also have a composed video of the important scenes for each stream available.

Documentation made easy

VOLUME SCAN

3-dimensional imagesAdditionally to your standard recordings, volume scans can be performed with the iOCT system. This offers the unique option of creating a 3-dimensional image including the iOCT‘s depth information during surgery. It is created out of 30 scans over a specified area and clearly supports understanding.

HS MIOS 5

Comprehensive yet intuitive recordingMIOS stands for Microscope Imaging and Operation System. Its prime functions are the recording of operation scenes as well as the capturing and recording of snapshots, together with proper identification of patient and hospital data. During surgery comparison of your live view with previously taken images from e.g. the starting phase of your surgery is comfortably possible. The archive menu supports easy storage of images and video streams on DVD-R/-RW, HDD, USB flash drive, and external USB hard disk drive or transmitted to the hospital PACS via DICOM.

M.AED is a unique feature that allows automatic editing with HS MIOS 5 without changing the normal/full recording. Its initial setup is as easy as its operation and requires the definition of a time period only (e.g. 5 seconds). Interesting scenes are marked during surgery via snapshots (blue line) and video sequences around the snapshots are stored (5 seconds before and 5 seconds after each snapshot, light blue lines). When entering the archive menu all interesting scenes are auto- matically composed into one additional video (e.g. 30 seconds, light blue line).

C.MOR HD

Compact HD cameraC.MOR HD is a full HD color video camera designed for the HAAG-STREIT SURGICAL microscope. Its ultra-compact camera head houses a 1/3‘‘ CMOS sensor that meets very high standards. With a resolution of 900 TV lines and an S/N ratio of 50 dB, images are crisp and sharp. Different user settings allow individual adjustments.

VOLUME SCAN

HS MIOS 5

C.MOR HD

M.AED: AUTOMATIC EDITING

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HAAG-STREIT & OPMedTThe product’s development

Already in 2010 the first intraoperative OCT system was demonstrated. Today the iOCT is an established product by HAAG-STREIT SURGICAL and impressions on its imaging can be gained from the iOCT Atlas.

OPMedT

The story of iOCT beginsThe iOCT was designed by OPMedT GmbH – a member of the HAAG-STREIT family of companies. It was developed based on the work of a highly qualified research group in Lübeck, Germany that specialized in integrating OCT into medical instruments.

Capable of integration into optical imaging equipment, a prototype of integration into the operating microscope was demonstrated at WOC 2010. Only one year later the product was CE certified. In the following years further technology was integrated. In 2015 510(k) clearance was realized thus the combination with HS Hi-R NEO 900A NIR is now ready for sale worldwide.

For more information, HAAG-STREIT SURGICAL has proudly developed an Internet web application to summarize many iOCT videos, 3D scans, and picture-in-pic-ture superimpositions, which can be accessed from the website iOCT Atlas (www.iOCT-Atlas.com). Please register free of charge and participate in HAAG-STREIT SURGICAL‘s new world of iOCT.

iOCT ATLAS

Experiences with intraoperative OCT iOCT CAMERA

WWW.iOCT-ATLAS.COM

ABOUT HAAG-STREIT SURGICAL

Intraoperative OCT

Wavelength 840 nm

OCT method spectral domain

Scan rate 10,000 A-scans/second

Frame rate 10 frames/second

Measuring depth window of 4.2 mm

Resolution axial ≈ 10 μm in air

Lateral scan width dependent on zoom settings of the HS Hi-R NEO 900A NIR ■ Anterior segment 5 mm to 30 mm ■ Posterior segment with 0°-optics 5 mm to 30 mm with EIBOS 2 and 90 D-optics 7.5 mm to 30 mm with EIBOS 2 and 132 D-optics 10 mm to 30 mm

Recording options videos, snapshots, and 3D-images

Visualization and operation via 6½“ touch screen M.DIS

iOCT systemTechnical specifications

Subject to alterations.

HS Hi-R NEO 900A NIR

Optics apochromatic, optimized for Near Infra Red (NIR)

Stereo base 25 mm

Focusing +17 mm to -33 mm

Working distance 175 mm (exchangeable)

Magnification (Mot. zoom 1:6) 4.4x to 26.6x

Diameter visual field 7.9 mm to 47.4 mm

Illuminated field 27 mm to 51 mm

Inclinable eyepiece head surgeon 200° (10x wide angle oculars)

assistant 160° (12.5x oculars)

Diopter settings surgeon +5 D to -8 D

assistant +-7 D

Inclination angles coarse -70° to +90°, fine +/-10°

Rotation 540°, electromagnetic

X-Y coupling 60 mm x 60 mm

Filter UV, softlight, daylight, blue

Weight (without accessories) 11.5 kg

C.INJECT 900

Resolution 1280 x 1024 (SXGA)

Color depth True Color 24 Bit

Input signal HDMI/DVI-D

Dimensions 157 mm x 130 mm x 240 mm

Weight 2.7 kg

Additional accessory connections Eyepiece heads: 1

Camera ports c-mount: 2

M.REC 2

Second camera input HD SDI, GigE Vision

Resolution 1920 x 1080 pixels

Display HS MIOS 5 and M.DIS

HAAG-STREIT SURGICAL distributes products manufactured by MÖLLER-WEDEL through national sister companies as well as dedicated representatives globally. HAAG-STREIT SURGICAL as well as MÖLLER-WEDEL maintain a Quality Management System for Medical Products according to ISO 13485. MÖLLER-WEDEL is not only developing innovative products but also producing them conscious to the environment. Fulfilling an Enviromental Management System according to ISO 14001 is the guide line. Both, the Quality as well as the Enivironmental Management System, are certified by TÜV.

All products are conform to the EC guidelines and thus CE labeled.

30 033b02 – PRINTED IN GERMANY

HAAG-STREIT Holding AG

www.haag-streit-holding.com

HAAG-STREIT AG

www.haag-streit.com

SPECTROS AG

www.spectros.ch

HAAG-STREIT Medtech AG

www.haag-streit-medtech.com

HAAG-STREIT France EURL

www.haag-streit.fr

HAAG-STREIT Far East

www.haag-streit-fareast.com

HAAG-STREIT Surgical GmbH

www.haag-streit-surgical.com

Möller-Wedel GmbH & Co KG

www.moeller-wedel.com

Möller-Wedel Optical GmbH

www.moeller-wedel-optical.com

HAAG-STREIT Deutschland GmbH

www.haag-streit.de

IPRO GmbH

www.ipro.com

CLEMENT CLARKE Ltd.

www.clement-clarke.com

HAAG-STREIT UK

www.haag-streit-uk.com

John Weiss Ltd.

www.johnweiss.com

HAAG-STREIT USA

www.haag-streit-usa.com

Reliance Medical Inc.

www.haag-streit-usa.com

Asetronics AG

www.asetronics.ch

ComLab AG

www.comlab.ch

Members of HAAG-STREIT Group

HAAG-STREIT SURGICAL GmbHRosengarten 10D-22880 Wedel, GermanyTelephone +49-4103-709 04Fax +49-4103-709 355sales@haag-streit-surgical.comwww.haag-streit-surgical.com