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EVA UPGRADED*

Phaco-Vitrectomy System

Integrated footswitch & more light

EVA UPGRADED*: Phaco-Vitrectomy system that maximizes surgeon control

*UPGRADED features (new LED module and integrated footswitch) are not yet available in all markets. Please contact D.O.R.C. or your local distributor for information on the availability.

Revolutionary fluidics

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REVOLUTIONARY DUAL MODE FLUIDICS: VACUUM AND FLOW MODES

VACUFLOW VTI: VACUUM AND FLOW MODES

At the heart of EVA is a revolutionary fluid control system called Vacuflow VTi. Vacuflow VTi uses Valve Timing intelligence (VTi). The beauty of our Vacuflow VTi technology is that it eliminates the risk of unwanted pulsation or unwanted flow; it just effortlessly delivers the precise flow and fast vacuum required by the surgeon.

Vacuum mode

•Provides surgeon with efficiency: tissue comes to the port
• Ideal for core vitreous removal
• Controllable vacuum response time

Flow mode

• Provides control for precise removal of tissue
• Ideal fluidics for:
– shaving vitreous base
– trimming membranes for retinal tears
– working close to mobile retina

Single, universal cassette for cataract, vitrectomy and combined procedures

Fully programmable surgeon preferences

 

 

TDC

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TDC: Two Dimensional Cutter

“TDC simplifies vitrectomy. Combined with the VTI pump of the EVA in vacuum or flow mode, TDC maximizes the efficiency and the reduced turbulence increases shaving safety” Ass. Prof Dr. Mitrofanis Pavlidis – Augencentrum Köln – Germany

TWO DIMENSIONAL CUTTER (TDC): UP TO 16,000 CPM*

 

TDC with VacuFlow VTi fluidics allows surgeon to control flow of tissue into the port for precise cutting.

Port open design reduces intraocular turbulence caused by traditional cutters allowing better surgeon control. 

TDC cuts in both directions doubling the cutting further reducing traction.

Port open 92% of the time – for faster tissue removal.

 

* The TDC cutter has a cut speed of up to 8,000 CPM and is designed to facilitate cutting tissue on the return of each stroke of the vitrectome, effectively doubling the cut speed.

Combining TDC with up to 16,000 CPM* and VacuFlow VTi fluidics defines a new standard for surgeon control.

 

 

Prof Pavlidis (TDC Cutter developer) about efficient and secure 27G surgery.

Prof Fanis Pavlidis, vitreoretinal surgeon from Cologne, Germany, in collaboration with whom the TDC cutter was developed, explains how the latest technology allows for efficiency and security in 27G surgery.

 

TDC cutter vs Standard

8000 CPM, 6cc/min, 650mmHg: slow motion video comparison filmed in artificial vitreous with Microbeads.

 

Disposable High Speed TDC Cutter

Two Dimensional Cutting (TDC) up to 16,000 cpm*

 

Enhanced LED illumination

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Latest 27G light fibres provide 65% increase in output + Enhanced LED module delivers further increase of at least 30%

3 Port Light Emitting Diode (LED) Illumination advances visualization. Improved light output for no compromise small gauge surgery

Increased light output for 27G surgery

Latest 27G light fibres provide 65% increase in output

Enhanced LED light source delivers further increase of at least 30%

Achieves optimum illumination for 27G surgery

 

Constant lumen output

No degradation of light output over the +10,000 hour life of the LED 

Significant cost savings compared to traditional Xenon bulbs (400 hours).

 

Available color tinting

Allows for user adjustable tissue contrast for enhanced visualization

Increased safety profile for extended or highly complicated cases.

Integrated footswitch

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Improved efficiency of use and comfort, with integrated laser control

Refined ergonomics
• 6 programmable buttons
• Customizable inlays
• Alternative positions for optimal comfort


Enhanced surgeon control
• Integrated laser control
• Intuitive switching between laser and vitrectomy modes
• Wireless with longer battery life


Wireless, dual linear functionality
• Independent control of aspiration and cutting
• Independent control of aspiration and phaco
• Single linear lock

Reviews & Testimonials

Mitul Mehta, MD, USA about a more efficient, controlled and safer procedure.

 

Carlos Sjoholm, MD, Spain about EVA Flow Mode, VTi and 27G TDC

Vacuum mode or Flow mode? There’s no need to choose.

David Eichenbaum, MD (USA), and Colin McCannel, MD (USA), describe how they utilize the unique vacuum and flow pump system of the EVA (DORC) phaco-vitrectomy system.

DORC TDC cutter: a step forward

Colin McCannel, MD (USA), believes the EVA (DORC) system’s two-dimensional (TDC) cutter is the biggest advancement in the last decade in vitrectomy technology. David Eichenbaum, MD (USA), reviews why the TDC cutter makes him feel as if he is taking a step forward with surgery.

Case report by Dr Mercanti, Italy: total retinal detachment, traumatic white cataract and inferior iridodialysis

Case report 

• Male, 35 years old

• Total retinal detachment with grade C type 4 PVR, subretinal strands • Traumatic white cataract and inferior iridodialysis

SURGICAL APPROACH:

• 1.8 mm phacoemulsification with Malyugin ring pupil expansion

• 25G PPV with TDC (Two Dimensional Cutting) EVA DORC system, 27G Twinlight chandelier and illuminated transcleral depression

• Subretinal strands removal by using new DORC 27G Wide Grip microforceps.

Professor Avci, Turkey, about EVA and DORC instruments

Prof. Remzi Avci (Turkey) explains the benefits of using EVA VTi Flow mode in conjunction with the TDC cutter, Eckardt Twinlight Chandelier, Extendible 41G subretinal injection needle, Ultra Peel and Wide Grip forceps.

Prof. Peter Stalmans: 5 years with EVA, thousands of cases and 20+ live surgeries

Professor Peter Stalmans from UZ Leuven, Belgium has been using D.O.R.C. EVA Phaco-Vitrectomy system for the last 5 years; in this 5-min video he describes his experience and impressions of the VTi pump, TDC cutter, Automatic Infusion Compensation and the range of favourite instruments (incl. 23/27G hybrid vitrectomy pack) and liquids he uses in conjunction with EVA.

EVA case report nr.1 by Dr Paolo Rossini, Italy

Prof. Remzi Avci (Turkey) explains the benefits of using EVA VTi Flow mode in conjunction with the TDC cutter, Eckardt Twinlight Chandelier, Extendible 41G subretinal injection needle, Ultra Peel and Wide Grip forceps.

EVA case report nr.2 by Dr Paolo Rossini, Italy

Professor Peter Stalmans from UZ Leuven, Belgium has been using D.O.R.C. EVA Phaco-Vitrectomy system for the last 5 years; in this 5-min video he describes his experience and impressions of the VTi pump, TDC cutter, Automatic Infusion Compensation and the range of favourite instruments (incl. 23/27G hybrid vitrectomy pack) and liquids he uses in conjunction with EVA.

Dr Marco Coassin about predictability and maximized safety of EVA

Dr Marco Coassin, VR surgeon from Santa Maria Nuova Hospital IRCCS in Reggio Emilia, Italy, tells how easy it was to use EVA for the first time during Live Surgery:

Dr Casas about safe and complete phaco-vitrectomy platform

Dr Diego Ruiz Casas, vitreoretinal surgeon from Ramón y Cajal, Madrid, Spain, highly appreciates the safety of the EVA platform and flexibility provided by the TDC cutter in Flow Mode.

Dr Marco Vecchi about VR and phaco

Dr Marco Vecchi, Director of Complex Operative Unit at AUSL Reggio Emilia, Italy, tells about the speed of vitreous evacuation and stability of retina, effective LED endo illumination and about extraordinary phaco capabilities of the EVA machine.

Prof. Ferenc Kuhn compares EVA to other surgical platforms

Prof Ferenc Kuhn, President of the International Society of Ocular Trauma, Vice President for Clinical Research at the Helen Keller Foundation, who has performed more than 15.000 vitrectomies within the last 32 years, compares EVA to the other surgical platforms.

Prof. Nawrocki about EVA for VR and Anterior surgery, about forceps and dyes

Prof Jerzy Nawrocki, Poland, president of the the European Vitreoretinal Society, has been using EVA for 3 years for both VR and Anterior segment surgery and is satisfied with the effectiveness and safety of its fluidics, allowing to handle complicated cases.

Dr Philippe Koch about safety of the EVA flow mode

Dr Philippe Koch, Vitreoretinal surgeon from Brussels, Belgium, explains the reasons for switching from venturi-based phaco-vitrectomy machines to EVA and reveals the major benefits of the EVA Flow mode – safety, maximised control and comfort.

Gaurav K Shah, MD, USA, describes his experience and impression of EVA

“DORC has always been synonymous with quality…”: Gaurav K Shah, MD, USA, describes his experience and impression of EVA, Two Dimensional Cutter, compares EVA fluidics to the other vitrectomy platforms.

Prof Romano about 27G fluidics, EVA pump and High Flow infusion

Prof Mario Romano, vitreoretinal surgeon from the University of Naples Federico II, Italy, shares his experience on the 27G EVA fluidics, effectiveness of the VTi pump in vacuum and flow modes, and on the 27G high flow infusion line, and explains why these benefits allow for performing about 80% of his surgeries in 27G.

Prof Pavlidis (TDC Cutter developer) about efficient and secure 27G surgery.

Prof Fanis Pavlidis, vitreoretinal surgeon from Cologne, Germany, in collaboration with whom the TDC cutter was developed, explains how the latest technology allows for efficiency and security in 27G surgery.

Dr Patelli about EVA and 27G

Dr Fabio Patelli, Vitreoretinal surgeon, Director of vitreoretinal service at San Paolo Hospital University of Milan, Italy, shares his opinion on EVA phaco-vitrectomy system in conjunction with the 27G instrumentation.

Dr Nerinckx about 27G in paediatric cases and dynamic usage of EVA

Dr Fanny Nerinckx, Vitreoretinal surgeon from Belgium, explains the benefits of using 27G TDC cutter in paediatric cases and describes the advantages of the VTi pump.

Dr Vanwynsberghe about EVA

Dr David Vanwynsberghe, vitreoretinal surgeon from Ghent, Belgium, describes his experience with EVA phaco-vitrectomy system.

Dr Koshy about EVA phaco-vitrectomy system and 27G TDC cutter

Dr Zac Koshy, Vitreoretinal surgeon from the UK, shares his opinion on EVA phaco-vitrectomy system and 27G Two Dimensional Cutter (filmed at EURETINA 2015).

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