VICTUS Femtosecond Laser Platform



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The VICTUS Femtosecond Laser Workstation delivers multi-mode versatility for cataract and corneal procedures on a single platform. This single laser platform enables surgeons to perform capsulotomies, fragmentation, arcuate incisions, corneal incisions, and LASIK flaps.

VICTUS incorporates innovative technologies, multimode versatility, and comprehensive abilities into a single laser platform to enable multiple premium procedures, deliver high efficiency, and optimize patient outcomes.

Key Features & Benefits

  • Multi-mode versatility - Cataract and corneal procedures on a single platform
  • REALEYEZ Swept-Source OCT delivers real-time, high-resolution visualization throughout the entire procedure
  • VICTUS VERAFIT Patient Interface delivers stability with a gentle touch
  • Pulse rates up to 160 kHz 
  • Eliminates the need to purchase and/or use separate surgical equipment

3.3 Software for VICTUS FEMTOSECOND LASER

The VICTUS 3.3 software features an option for capsulotomy and lens fragmentation centration, providing surgeons the choice to center the procedure on the pupil, the limbus, the lens apex or other positions as defined by the surgeon. Automatic pupil centration for the creation of corneal flaps is also included. These features eliminate the need for manual positioning, thus contributing to the precision of the treatment. Another feature of the software is the grid lens fragmentation pattern, which provides surgeons with additional options to optimize their individual phacoemulsification technique. The system’s startup diagnosis and pre-selection of its startup mode has also been enhanced to improve usability and work flow as well as facilitate service and maintenance of the system.

In addition to the software, the hardware features a S60 bed, which swings out further away from the laser, making it easier to get patients in and out during the procedure, helping to simplify workflow by allowing the phacoemulsification procedure to be completed on the same bed.

REALEYEZ Swept-Source OCT Software

Only VICTUS features live-action, real-time Optical Coherence Tomography (OCT), for high quality visualization during image-guided preprocedure planning and intraoperative monitoring. For a clear, detailed view of the surgical field, REALEYEZ OCT Software delivers real-time imaging throughout the entire procedure. Live-action, high-contrast OCT facilitates planning and control of procedures:


  • Real-time Enhanced Visualization
  • Auto-recognition
  • Guided Visual Adjustment
    • Easy-to-use graphic interface, and advanced high-contrast OCT capabilities
    • OCT-guided arcuate incisions enable precise control of incision depth, and independent adjustment of incision length, diameter, and axis.

VICTUS VERAFIT Patient Interface

The VICTUS VERAFIT Patient Interface provides a measured balance of both precision and ergonomics. And it’s paired with advanced docking technology that lets you switch on the fly between cataract and corneal procedures, while maintaining the correct position of the eye. For ease of use VICTUS VERAFIT may be used with or without an eye speculum.

Dual-mode performance:

  • Cataract Procedures: Non-contact, fluid-filled docking helps ensure stability, accurate centration and alignment, and precise cutting and fragmentation1,2
  • Corneal Procedures: Full-contact, dry docking engages with a direct connection, to provide excellent stability and enable precise corneal incisions

Intelligent Pressure Sensors

victus-sensors

Intelligent Pressure Sensors monitor the sheer forces exerted on the eye by the docking device.1 Sheer forces can cause posterior corneal folds or ripples and conjunctival hemorrhaging.3


Additonal Information:

About Femtosecond Lasers

Femtosecond lasers emit optical pulses of extremely short duration in the domain of femtoseconds, as short as one-quadrillionth of a second. These ultra-short pulses do not transfer heat or shock to the material being cut and can make surgical incisions with extreme precision. The technology was developed in the early 1990s at the University of Michigan Engineering Center. The first commercial platform was introduced in 2002 and the original approval was for flap creation during LASIK surgery. Recent platform approvals have been expanded to include additional corneal procedures and cataract applications.

Indications for Use

The VICTUS femtosecond laser platform is indicated for use for:

  • The creation of a corneal flap in patients undergoing LASIK surgery or other treatment requiring initial lamellar resection of the cornea

  • For anterior capsulotomy during cataract surgery

  • The creations of cuts / incisions in the cornea of patients undergoing cataract surgery or other ophthalmic treatment requiring cuts / incisions in the cornea

  • Laser-assisted lens fragmentation of nuclear cataracts during cataract surgery, not for posterior subcapsular (PSC) and cortical cataracts

Safety Information

The VICTUS femtosecond laser platform emits an invisible class 3B laser beam that may injure the retina of the eyes or burn the skin. Never look directly into the laser source.

Misuse of the laser system may lead to dangerous situations and severe injuries. See the Operator Manual for detailed directions, proper use, and full risk and safety information.

Contraindications

General contraindications for using the VICTUS femtosecond laser platform include, but are not limited to:

  • Pediatric surgery, hypotony, glaucoma, retinal disorders, rheumatic diseases, occlusion of retinal vessels, pellucid marginal degeneration, existing corneal implant, heavy vascularization of the ocular tissue, or epilepsy.
  • Conditions that would cause inadequate clearance between the intended capsulotomy cut and the corneal endothelium, such as chemosis, significant loss of stability of the conjunctiva, and nystagmus.
  • Subjects with corneal disease or pathology that precludes applanation of the cornea or transmission of laser wavelength or distortion of laser light, such as: residual, recurrent, active ocular or uncontrolled eyelid disease or any corneal abnormalities (including endothelial dystrophy, guttata, recurrent corneal erosion, etc.) in the eye to be treated; ophthalmoscopic signs of keratoconus (or keratoconus suspect) in the eye to be treated; a history of herpes zoster or herpes simplex keratitis; or subjects who are using ophthalmic medication(s) other than artificial tears for the treatment of ocular pathology including ocular allergy, or any corneal disease in the fellow eye that requires treatment (recurrent corneal erosion, severe basement membrane disease).
  • Patients who are pregnant or nursing, are blind in the fellow eye, or have a known sensitivity to planned concomitant medication.
  • Patients with a difference of more than 5D between minimum and maximum K-values of the central 3mm zone on a keratometric map of the cornea, maximum K-value of more than 60D, or minimum K-value of less than 37D.

General contraindications for using the VICTUS femtosecond laser platform to perform anterior capsulotomy include, but are not limited to

  • Patients with a poorly dilating pupil, anterior chamber depth (ACD) <1.5mm or ACD >4.8 mm as measured by ultrasonic examination, less than 40 years of age, previous corneal surgery of any kind, dry eye diseases, severe wound-healing disorders (such as connective tissue disease, autoimmune illnesses, immunodeficiency illnesses, endocrine diseases, lupus, rheumatoid arthritis), diabetes mellitus, severe acne rosacea, or patients suffering from AIDS or HIV.

General contraindications for using the VICTUS femtosecond laser platform to perform lens fragmentation include, but are not limited to, the following:

  • Patients with a poorly dilating pupil, anterior chamber depth (ACD) <1.5mm or ACD >4.8 mm as measured by ultrasonic examination, history of lens or zonular instability, less than 40 years of age, posterior subcapsular (PSC) or cortical cataracts.

General contraindications for using the VICTUS femtosecond laser platform to perform corneal incisions include, but are not limited to, the following:

  • Dry eye diseases, previous corneal surgery, specifically incisions that might provide a potential space into which the gas produced by the procedure can escape, or corneal thickness requirements that are beyond the range of the system.

General contraindications for using the VICTUS femtosecond laser platform to flaps for LASIK include, but are not limited to, the following:

  • Anyone who is not eligible for a laser vision correction (LVC), patient under the age of 18 years or legal age, previous corneal surgery of any kind, dry eye diseases, cataract, diabetes mellitus, severe wound-healing disorders (connective tissue disease, autoimmune illnesses, immunodeficiency illnesses, endocrine diseases, lupus, rheumatoid arthritis, etc.), patients with an autoimmune disease, collagenosis, or clinically significant atopy, patients suffering from AIDS or HIV, or patients with signs of progressive or unstable myopia in the eye that require treatment.

Potential Complications

Potential general complications resulting from VICTUS procedures include, but are not limited to the following:

  • Corneal abrasion or defect, pain, bleeding, inflammation, or elevated intraocular pressure.

Potential complications resulting from anterior capsulotomy or lens fragmentation include, but are not limited to the following:

  • Capsulotomy decentration, incomplete or interrupted capsulotomy or lens fragmentation, decentered intraocular lens (IOL), capsular tear, or damage to intraocular structures.

Potential complications resulting from the creation of corneal flaps or corneal cuts / incisions include, but are not limited to the following:

  • Corneal edema, epithelial ingrowth, flap or corneal cuts / incisions decentration, incomplete flap or corneal cuts / incisions creation
  • Flaps only: flap tearing or incomplete lift-off, free cap, photophobia, thick or thin flaps, flap striae

Misuse of the laser system may lead to dangerous situations and severe injuries. See the Operator Manual for detailed directions, proper use, and full risk and safety information.

CAUTION: Federal (U.S.) Law restricts this device to sale, by or on the order of a physician.









1. Data on file, Bausch & Lomb Incorporated.
2. Reddy KP, Kandulla J, and Auffarth GU. Effectiveness and safety of femtosecond laser-assisted lens fragmentation and anterior capsulotomy versus the manual technique in cataract surgery. J Cataract Refract Surg 2013; 39(9):1297-1306.
3. Talamo JH, et al. Optical patient interface in femtosecond laser-assisted cataract surgery: contact corneal applanation versus liquid immersion. J Cataract Refract Surg. 2013;39(4):501-10.

VCT.0105.USA.18

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