iFS飞秒激光系统全面资料介绍课件

Presentation TitleDate Company Confidential 2019 Abbott飞秒激光的发展历史全球超全球超500万的飞秒手术例数万的飞秒手术例数Presentation TitleCompany Conf1Presentation TitleDate Company Confidential 2019 Abbott全球第一台开展临床应用的飞秒激光全球IntraLase装机超过1500台，国内装机近80台，已经有超过500万例手术，占据绝对领导地位美国将近60%的准分子激光用户拥有IntraLase，超过50%的LASIK手术使用IntraLase制瓣香港超过90%以上LASIK手术使用IntraLase制瓣被美国军队批准用于三军服役人员的激光视力矫正手术被美国宇航局NASA批准用于宇航员的激光视力矫正手术*Data from Market Scope 2019Presentation TitleCompany Conf2Presentation TitleDate Company Confidential 2019 Abbott反转嵌入式边切角反转嵌入式边切角手术医生可以在30-150之间选择生物力学稳定性最佳的反转嵌入式边切角Professor J Marshall,PhD,N Cartwright,PhD.Data on file,AMO,Inc.Presentation TitleCompany Conf4Presentation TitleDate Company Confidential 2019 Abbott5角膜瓣稳定性加强 易于瓣复位，减少瓣移位增加角膜瓣粘附力 利于切口愈合，减少上皮内生反转嵌入式边切角（最大到反转嵌入式边切角（最大到150）Presentation TitleCompany Conf5Presentation TitleDate Company Confidential 2019 AbbottiFSiFS角膜瓣的粘附力试验角膜瓣的粘附力试验角膜瓣的粘附力试验角膜瓣的粘附力试验试验设计试验设计:New Zealand white rabbitsIACUC approved study角膜瓣的制作角膜瓣的制作：1组组-Amadeus 角膜板层刀角膜板层刀2组组-iFS 70 边切角度边切角度3组组-iFS 140边切角度边切角度术后三个月测量角膜瓣的粘附力术后三个月测量角膜瓣的粘附力Prof M Knorz,U Vossmerbaeumer.Presented ASCRS 2019.Presentation TitleCompany Conf6Presentation TitleDate Company Confidential 2019 AbbottProf M Knorz,U Vossmerbaeumer.Presented ASCRS 2019.方法方法:3个月后兔子被安乐死用胶水粘住接触镜和角膜瓣，干燥6分钟用测量计连接接触镜，用垂直角膜瓣方向的力拉扯直到角膜瓣脱离记录峰值iFSiFS角膜瓣的粘附力试验角膜瓣的粘附力试验角膜瓣的粘附力试验角膜瓣的粘附力试验Presentation TitleCompany Conf7Presentation TitleDate Company Confidential 2019 AbbottGrams of force required to lift所有实验组的角膜瓣粘附力峰值具有显著统计学差异所有实验组的角膜瓣粘附力峰值具有显著统计学差异(p=0.001)Microkeratome AMADEUSIntraLase iFS laser 70 Side Cut IntraLase iFS laser 140 Side Cut 粘附力峰值比较粘附力峰值比较Prof M Knorz,U Vossmerbaeumer.Presented ASCRS 2019.iFS iFS 角膜瓣的粘附力试验角膜瓣的粘附力试验角膜瓣的粘附力试验角膜瓣的粘附力试验Presentation TitleCompany Conf8Presentation TitleDate Company Confidential 2019 Abbott个性化椭圆瓣最大化暴露角膜基质床 增加水平治疗直径，降低蒂部被切削几率允许使用较大的蒂夹角 角膜瓣更稳定，减少术中瓣移位 保留更多神经，减少术后干眼症iFS iFS 椭圆瓣椭圆瓣Presentation TitleCompany Conf9Presentation TitleDate Company Confidential 2019 Abbott60 蒂角度可能导致蒂部被切削 蒂部被切削的可能性蒂部被切削的可能性切削区角膜瓣10Presentation TitleCompany Conf10Presentation TitleDate Company Confidential 2019 Abbott选择一:减小蒂角度至45切削区角膜瓣减小蒂角度以增加水平切减小蒂角度以增加水平切削直径削直径11Presentation TitleCompany Conf11Presentation TitleDate Company Confidential 2019 Abbott选择二:椭圆角膜瓣以增加水平切削直径切削区角膜瓣 好处:更大的瓣蒂夹角，提高瓣稳定性 因保留了角膜神经，可能减少干眼 12Presentation TitleCompany Conf12Presentation TitleDate Company Confidential 2019 Abbott椭圆瓣 vs 圆形瓣 激光切削 Elliptical Round Round Presentation TitleCompany Conf13Presentation TitleDate Company Confidential 2019 Abbott激光频率增高至150kHz2.5倍于FS60飞秒激光最快制瓣时间8秒降低负压丢失的可能性加快手术流程增加了病人的舒适度更高的激光频率更高的激光频率Presentation TitleCompany Conf14Presentation TitleDate Company Confidential 2019 Abbott第二代第三代第四代第五代 iFS更高的激光频率更高的激光频率Presentation TitleCompany Conf15Presentation TitleDate Company Confidential 2019 Abbottthemegallery手术设置第四代IntraLase FS 60KHzn 点间距=9 mn 线间距=9 mn 基质床能量=1.2 J第五代IntraLase iFS 150KHzn 点间距=6mn 线间距=6mn 基质床能量=0.58 J更高的频率 更密的间距 更低的能量更密的点间距和更低的脉冲能量更密的点间距和更低的脉冲能量Presentation TitleCompany Conf16Presentation TitleDate Company Confidential 2019 Abbott点间距缩小基质床更光滑，掀瓣更容易1脉冲能量降低有利于减少组织反应/炎症2罕见的不透明气泡层（Opaque Bubble Layer,OBL）1.M Sarayba,MD,D Durrie,MD.Data on file,AMO Development,LLC2.A Chayet,MD.Data on file,AMO Development,LLC更密的点间距和更低的脉冲能量更密的点间距和更低的脉冲能量Presentation TitleCompany Conf17Presentation TitleDate Company Confidential 2019 AbbottiFSiFS 精确均匀的角膜瓣精确均匀的角膜瓣目标厚度=90 um非常均匀Achieved=89 90 um-计算机软件控制中心 增强手术安全性和精确度 -均匀一致的角膜瓣 减少术后散光和高阶像差-更平滑的基质床 术后恢复更快Presentation TitleCompany Conf18Presentation TitleDate Company Confidential 2019 AbbottiFSiFS平滑的基质床平滑的基质床9 x30 x300 x135 x4th Generation IntraLase FS Laser5th Generation iFS Laser其它品牌其它品牌 M Sarayba MD,D Durrie,MD.Data on file,AMO,Inc.Presentation TitleCompany Conf19Presentation TitleDate Company Confidential 2019 Abbott视频显微镜:高分辨率显示更好的人体工学仪表盘风格触摸屏用户界面:通过图形用户界面容许快速操作计算机软件控制的中心调整 iFS 飞秒激光Presentation TitleCompany Conf20Presentation TitleDate Company Confidential 2019 Abbott无限制自定义角膜切口 适应各类角膜切口角膜板层切口（全切或环切）、角膜浅层切口、角膜深层切口各类角膜切口制作各类角膜切口制作Presentation TitleCompany Conf21Presentation TitleDate Company Confidential 2019 Abbott角膜基质环制作角膜基质环制作Presentation TitleCompany Conf22Presentation TitleDate Company Confidential 2019 Abbott飞秒激光飞秒激光辅助角膜移植术辅助角膜移植术（IEK）Presentation TitleCompany Conf23Presentation TitleDate Company Confidential 2019 Abbott礼帽形礼帽形 提供更多的内皮层飞秒激光飞秒激光辅助角膜移植术辅助角膜移植术（IEK）Presentation TitleCompany Conf24Presentation TitleDate Company Confidential 2019 Abbott蘑菇形蘑菇形保留更多的受体内皮飞秒激光飞秒激光辅助角膜移植术辅助角膜移植术（IEK）Presentation TitleCompany Conf25Presentation TitleDate Company Confidential 2019 AbbottZ Z字形字形密闭性伤口愈合愈合边缘更光滑飞秒激光飞秒激光辅助角膜移植术辅助角膜移植术（IEK）Presentation TitleCompany Conf26Presentation TitleDate Company Confidential 2019 AbbottIEK术后切口愈合显示IEK采用Zig-Zag切口的愈合十分迅速，角膜光学性能良好，很少出现散光 Roger Steinert,M.D.飞秒激光飞秒激光辅助角膜移植术辅助角膜移植术（IEK）Presentation TitleCompany Conf27Presentation TitleDate Company Confidential 2019 Abbott角膜散光矫正（角膜散光矫正（AI弓形切口弓形切口）Presentation TitleCompany Conf28Presentation TitleDate Company Confidential 2019 Abbott角膜散光矫正（角膜散光矫正（AI弓形切口弓形切口）表面穿透型基质型Presentation TitleCompany Conf29Presentation TitleDate Company Confidential 2019 Abbott角膜散光矫正（角膜散光矫正（AI弓形切口弓形切口）不同角度Presentation TitleCompany Conf30Presentation TitleDate Company Confidential 2019 Abbott全层角膜移植术后1年8 diopters of astigmatism 使用IntraLase 术后3个月0.5 diopter of astigmatism 角膜散光矫正（角膜散光矫正（AI弓形切口弓形切口）Presentation TitleCompany Conf31Presentation TitleDate Company Confidential 2019 AbbottInlay口袋制作口袋制作Presentation TitleCompany Conf32Presentation TitleDate Company Confidential 2019 AbbottFS 3 Plane OCT1 Plane FS 2 Plane FS 2019.09.01-MP3950-透明角膜切口激光白内障手术应用激光白内障手术应用一平面切口 两平面切口 三平面切口Presentation TitleCompany Conf33Presentation TitleDate Company Confidential 2019 AbbottFS 3 Plane OCT2019.09.01-MP3950 连续环形撕囊激光白内障手术应用激光白内障手术应用Presentation TitleCompany Conf34iFS飞秒激光系统全面资料介绍课件35iFS飞秒激光系统全面资料介绍课件36