“Stay committed to your decisions, but stay flexible in your approach.”
Tony Robbins (author, motivational coach and speaker)
Many of us use the end of the year to reflect on what we have achieved, but also what we have missed, and to make new plans for the coming year. Looking back, also we at Geuder have realized that we have achieved a lot, such as the launch of our new Vivos phacomachine, the Amon forceps needle, the Mach4 vitreous cutter and our new corporate design. The positive feedback on our new products and our new corporate look at the ESCRS exceeded our expectations.
Nevertheless, we also had to accept setbacks, such as the regulatory hurdles that slow us
down when launching new products, as well as supply shortage with existing products due to a lack of production capacity, caused by increased demand.
However, we are entering the new year with confidence and are trying to clear the
hurdles out of the way so that we can supply our valued customers and patients.
We would like to thank all the doctors who have placed their trust in us and all our
partners who share our goals! We are convinced that we have made the right decisions for the future, but we always adapt flexibly to current circumstances when implementing our goals.
We wish you and your loved ones a peaceful holiday season and a healthy and successful 2024!
Mach 4 Vitreous Cutter
Four Cuts in a Row
Low Traction, High Flow
The lumen of a vitreous cutter can only be reduced to a limited extent because the
aspiration efficiency would otherwise be too low. Similarly, the length of a vitreous
cutter cannot be shortened because the vitreous base could otherwise not be reached.
We therefore looked for other ways to improve the aspiration and traction performance
of vitrectors.
The result is a new type of dual-blade vitreous cutter with a double port, which doubles
the cutting rate compared to single-port cutters because the blade passes four
cutting points instead of two. Further, Mach 4 cuts the vitreous body into
smaller pieces, which can be aspirated more easily and which minimize traction.
The permanently open double port, which is divided by a middle bar, ensures a
constant flow.
At 24,000 cpm in conjunction with the Geuder megaTRON S4 HPS machine for vitreoretinal
surgery, the quad-point cutter is not only faster, but also more efficient and
safer than conventional single and dual-blade cutters with just one port. Mach 4 is
currently the only 4-cut vitrector on the market.
New Solea Software
We are thrilled to reveal an update for Solea, the unique RGB LED light source, made
to enhance the surgeon’s vision during vitreoretinal surgery. Learn more about
the highlights of our latest software update:
Presets for Specific Tissues
Introducing presets for vitreous body, inner limiting membrane (ILM), blood vessels, general
structures, ERM peeling, cold and warm white light to enable quick
visualization of specific tissue structures without the need for time-consuming
RGB color adjustments from the scratch.
Instant Customization with Save and Undo
A dedicated SAVE-button enables surgeons to store their individual color settings easily.
In case of accidental changes, the UNDO-button can be a "lifesaver", promptly
reverting any unintended settings.
Enhanced Retinal Protection Mode and USB Functionality
The retinal protection mode is now supporting 27G light fibres. For improved usability, we
are introducing a USB-based data management system, empowering you to save your
settings on an independent USB stick.
Advanced Menu and Streamlined Parameter Settings
We have created an advanced menu that minimizes the size of the RGB color circle to 25%, placing it in the top-left corner. The maximized space next to this compact color
circle, allows to display your personal presets, available for quick selection.
Intuitive Intensity Control
For enhanced clarity, we have transformed the intensity/brightness slider. It now
exclusively regulates the light intensity, simplifying its function for more
intuitive control.
Geuder Following "Mission Zero" Vision
Advantages of Fluoron EasyGas SF6
The SF6 special property of chemical inertness and the fact that it is heavier than air makes it very useful as an endo-tamponade. In the posterior segment of the eye SF6 serves as a vitreoretinal tamponade in cases of retinal detachments with giant tears, retinal detachments without proliferation, traumatic retinal detachments or in proliferative diabetic retinopathy (PDR) and proliferative vitreoretinopathy (PVR). Here Fluoron’s sterile, pre-filled and pre-mixed, ready-to use gas syringes enable quick and easy application of this long-term tamponade.
Further, SF6 is used in the anterior segment e.g. at the end of a DMEK procedure to firmly attach the donor Descemet membrane to the recipient stroma. SF6 can support the graft growth as it remains longer in the eye than pure air. It favors graft adhesion without increased endothelial cell toxicity. Furthermore SF6 (in 20% concentration like in Fluoron’s SF6 syringe) reduces the re-bubbling rate and recipient corneas clear faster than corneas with air tamponades.
Why EasyGas on Mission Zero?
Following this year's ESCRS event, we are happy to align with the "Mission Zero" vision, a commitment to hosting environmentally responsible gatherings with zero waste and zero carbon emissions. At Geuder, we contribute to this vision through innovative product solutions that espouse sustainability.
So how do Fluoron EasyGas tamponades contribute to protecting our environment? The pre-filled and pre-mixed ready-to-use syringes make sure that no gas is wasted while mixing gas with air in the OR, concluding that with pre-mixed syringes no gas is released into the atmosphere. This is a great step towards a sustainable future as SF6 gas, classified as a fluorinated greenhouse gas under the Kyoto Protocol, carries immense environmental consequences. With a greenhouse potential over 22,000 times higher than CO2, it stands as one of the most potent known greenhouse gases. Choosing the pre-mixed ready-to-use EasyGas syringe not only enhances surgical precision, safety and efficiency but also significantly curbs the release of this impactful gas.
Our EasyGas production follows high safety standards, because we are aware of our high responsibility towards patients, users, and the environment.
Geuder Innovation for Optimized Cataract Surgery
Our new Vivos phaco machine is setting new standards in anterior segment surgery. With its
innovative technology and optimized key features, Vivos is the logical evolution of our trusted megaTRON systems.
SAFETY - Remarkable IOP Control
The actively pumped infusion mode of Vivos ensures a perfect balance between irrigation and aspiration, providing the surgeon with impressive anterior chamber stability. Its active IOP control is minimizing the risk of complications during cataract surgery. Compared to state-of-the-art machines, Vivos renders up to 25% lower anterior chamber depth variation, maintaining consistent IOP and thus enhancing patient safety.
STRENGTH – Maximum Vacuum
The vacuum range can be adjusted to a maximum level of 700 mmHg, almost reaching the upper limit defined by the law of physics (approximately 760 mmHg). Combined with the active IOP control, the high vacuum settings of the Vivos ensure a powerful and safe surgical experience.
SPEED – Fast Vacuum Rise Time
Vivos achieves a maximum flow rate of 100 ml/min due to its highly responsive pump system. It reaches desired vacuum levels 40% faster than state-of-the-art systems, allowing for reduced operation time, while maximizing the patient’s comfort and satisfaction.
PRECISION and PERFORMANCE – Preserving Stroke Length
For precise and consistent phacoemulsification, preserving the needle’s stroke length is key. The built-in autotune technology of Vivos maintains the maximum stroke length of phaco tips, ensuring consistent performance throughout the prolonged lifetime of handpieces.
CONSISTENCY – 40 Years of Ophthalmic Devices
Geuder is celebrating 40 years of medical devices for ophthalmic surgery ranging from phaco machines to light sources. Everything started with the Aspitron in 1982, an electronically controlled peristaltic pump for extracapsular cataract extraction (ECCE). Shortly after that, Geuder introduced its first vitrectomy device, the Magnetron. Over the course of 40 years, Geuder has been consistently keeping up with latest technologies and incorporating them into different ophthalmic devices. Today, we offer a wide range of devices with innovative technology and a long history of improving and perfecting the key features of these systems.
