IMT Catalog 2013
IMT Catalog 2013
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:
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 Rx2 system allows the clinician to micro-adjust the
patient’s visual acuity.1
“Both the Micro Incision version (HM60PM) of the Imperial Medical PRESBIOPTICxTM Progressive Refractive
Multifocal IOL and the Modified “C” version provide excellent visual acuity for both distance & near and can be
customized in the 2nd eye with Rx2 to achieve a full range of vision in 100% of the cases.”
ASCRS – San Diego, CA 2011 - G. Rubiolini, M.D., G. Gallo M.D. - G.R. Vision, Milano, Italy.
0 1 2 3 4 5 6
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 and Match doesn’t work because usually they are two different optical systems. NOW with Rx2 the same
system creates perfect or near perfect vision every time!(3)
+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.
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.
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.
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.
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.
IMT always recommends using a silicone cushion when implanting and we recommend that from +00.0 Diopters
to +25.0 Diopters you can use a 1.6mm to 1.8mm cartridge. From +25.0 to +30.0 Diopters you can use a 1.8mm
to 2.2mm cartridge and above +30.0 Diopters 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; 2004.
(2) 3M Diffracive Multifocal Intraocular Lens, Eight Year Follow-up; J. Cataract Refract Surg, 2000; 26(3):402-1;
PRESBIOPTICx™ Optical SystemTM
DIFFRACx Micro™
DIFFRACx Micro™ – Multi-Focal, Diffractive & Progressive
Model Number HM60PD - (MULTI-FOCAL – Diffractive & Progressive)
Optic Size / Style 6.0mm - 3600 PCO Barrier / Bi-Convex (Equi-Convex)
Overall Length 11.0mm - MICRO INCISION
Haptic Style / Angle Plate / 00 (Positioning hole: Top Right & Bottom Left)
Diopters +15.0 D to +25.0 D in +0.5 Diopter Increments
Reading “ADD” Variable with Pupil Size
“A” Constant / AC Depth 118.4 / 5.3mm (Note: Special Training Required)
Implant / Incision 1.8mm – 2.2mm (Depending on Diopter & Experience)
Material 25% Hydrophilic Acrylic – UV Absorbing
Dioptors < 15.0 and > 25.0 are custom and require a Special Order
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 ASPHERICxTM 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. ASPHERICxTM 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 3600 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!
NOTE: Diopters from Neg 10 - 0 and 30 - 40 are a custom order - please contact IMT for details.
KERATACx™ Advanced Intra-Corneal Segments
*
NOTE: Segments > 300µ is a custom segment - please consult with IMT before implanting.
CTRTM 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
Material Blue, Perspex C.Q. - PMMA or Clear (Custom)
OPTIC RxTM
OPTIC RxTM 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.
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.
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:
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.
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.
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.
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.
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!”
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 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.
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.
Vejarano Delaminator SystemTM - 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 SystemTM 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 KERATACxTM 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.
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 OphtaTOPTM 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 30120 USA - www.imt-usa.com
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, Rx2, PRESBIOPTICx Rx2 Optical System, Universal Star Medical, USM
and REFRACx are Trade Marks of Imperial Medical Technologies, Inc., 30 Curtis Court, Ste. 300, Cartersville,GA 30120.
Imperial Medical Technologies Inc., 30 Curtis Court, Ste. 300, Cartersville, Georgia 30120 USA, For Export Only.
Phone: (678) 290-5785 | Fax: (770) 874-4220
www.imt-usa.com