Diagnostic Green | ICG Technologies
SPECTRALIS® cSLO Imaging
SPECTRALIS® cSLO imaging has sparked renewed interest in ICGA. Instead of the cloudy, still images traditionally associated with ICGA, the SPECTRALIS confocal technology avoids the scattered light from flash photography and produces video images of stunning clarity.
One of the strongest applications of ICGA is with choroidal neovascularization (CNV). ICGA offers a clearer picture, helping clinicians differentiate between occult and classic CNV. ICGA’s unique properties mean that areas of CNV beneath blood, exudate, or pigment epithelial detachment can be imaged more readily. Yannuzzi 1992.
FF450plus Fundus Camera with VISUPAC
At the core of every successful treatment is a reliable diagnosis. This is why ZEISS has combined the diverse functions of sound retinal diagnostic procedures to produce one pioneering solution: the FF450plus fundus camera. In combination with the VISUPAC® image processing system, it allows for a unique level of diagnostic accuracy. It delivers images with the clearest details, thus providing the dependable basis for first-class treatment outcomes. As a scalable system with a modular design, it can be upgraded at any time to suit future needs – for example, adding indocyanine green angiography or fundus autofluorescence to expand your retinal diagnostic procedures.
Image courtesy of Carl Zeiss Meditec AG. OPMI, PENTERO,
are registered trademarks of Carl Zeiss Meditec AG.
©Carl Zeiss Meditec AG
OPMI PENTERO 900 with INFRARED 800 and FLOW 800 from ZEISS
OPMI® PENTERO® 900 from ZEISS represents the next generation in visualization. It combines unique design concepts in a proven, fully integrated platform. OPMI PENTERO 900 is a high-end visualization system targeting demanding vascular and tumor surgical applications supported by intraoperative fluorescence technologies.INFRARED 800 from ZEISS provides immediate visual feedback on blood flow by visualizing ICG fluorescence in cerebral vessels, even small perforators previously not seen with standard diagnostic techniques. ZEISS INFRARED 800 is indicated for use in neurosurgery, plastic and reconstructive procedures and coronary artery bypass graft surgery.FLOW® 800 from ZEISS is a unique analysis tool generating blood flow dynamics data by identifying detailed vessel blood flow intraoperatively. Transformation of ZEISS INFRARED 800 video data
into visual maps and diagrams support fast identification of AVM feeding arteries, nidal vessels and draining veins – providing objective access to speed and sequence of blood flow.
Leica M530 OH4/ Leica M530 OHX/ Leica M720 OH5/ Leica M525 OH4/ Leica M525 F50/ with Leica FL800
Features, such as the fluorescence module Leica FL800, BrightCare Plus, HD and integrated 3D documentation, and others, make it an ideal microscope for procedures in Neurosurgery, Spine, Otolaryngology, and Plastic Reconstructive.With the Leica FL800, for intra-operative fluorescence-aided video angiography, surgeons can now see blood flow through vessels in real-time during surgery in order to determine the patency of vessels and improve the patient’s quality of life. During surgery, the patient is injected intravenously with ICG (indocyanine green) dye, which is well tolerated and spreads quickly. A near infrared camera then shows the bloodstream in black-and-white directly through the surgical microscope eyepieces and/or on a video monitor.
The HAAG-STREIT SURGICAL operating system HS 5-1000 consists of the SensorServo-driven microscope HS Hi-R 1000 and the extremely steady floor stand FS 5-33. The HS 5-1000 integrates latest technology to comply with the highest standards and can be equipped with ALA and ICG.For ICG applications the system includes a special infrared camera (in addition to the VIS camera) for detecting the ICG fluorescence. Following the injection of the ICG solution in the patient’s bloodstream, the vessel becomes visible to the camera when the ICG flows by. Now, all irregularities of the vessels can be seen on the unique microscope mounted display M.DIS as well as on the HS MIOS display.
LiMON is the Technology for non-invasive measurement of liver function and splanchnic perfusion monitoring, based on elimination of ICG-PULSION. ICG-PULSION is a fluorescent dye. It is intended for intravenous injection. The absorption and emission spectrum of ICG-Pulsion are both in the near infrared range. For this reason it can be detected and quantified by optical procedures. Measurement can be performed non-invasively through the skin. Due to the fact that ICG is eliminated in the liver exclusively, the ecretion rate is a valuable indicator for global liver function.The diagnostic importance of the ICG excretion as an indicator for the liver function has been confirmed in numerous scientific publications and is established since more than 30 years.
Minimally Invasive Surgery
In minimally invasive surgery, fluorescence-based procedures can be used to visualize what is hidden from view under conventional white light. Autofluorescence (AF) uses the endogenous fluorescence of the mucus membrane for the early differentiation of benign tissue from malignant tumors arising in the mucosa. With photodynamic diagnostics (PDD), pathological accumulations of fluorescent porphyrin products can be detected in bladder tumors to allow more rigorous treatment of these malignant changes. Near infrared (NIR) imaging expands the diagnostics spectrum and is used for assessing tissue and organ perfusion, as well as visualizing the bile duct during cholecystectomy. This method employs indocyanine green (ICG). These different diagnostic procedures rely on the D-LIGHT light sources as well as on specially adapted telescopes and our HD camera systems.
Quest Spectrum™ Platform
The Quest Spectrum Platform is designed and developed for open and minimal invasive (laparoscopic) fluorescent image-guided surgery by an easy to switch ringlight and laparoscope.
The Quest Spectrum Platform is FDA 510 (k) cleared and CE certified according to the medical device directive.
Fluobeam® and Fluostick™ (©Fluoptics)
Fluobeam® is a hand held versatile imager dedicated to open surgery providing a zoom and an autofocus enabling to image with a very high sensitivity the complete surgical field and then to focus on regions of interest. A software compatible Fluosoft™ allows to control the visualization and to acquire simultaneously images, sequences of images and videos.Fluobeam® can be used alone or placed on a trolley handling the control box the computer and a remote screen.
The integrated solution Fluobeam® allows the fluorescence imaging visualization via the panel computer (touch screen) and control box support. It is easily movable from a department to another thanks to the Fluocart™ trolley. The panel computer configured with Fluosoft™, software which allowing simultaneously the image visualization and the acquirement of images, sequences of images and videos.Learn More
Image courtesy of Carl Zeiss Meditec AG. OPMI, PENTERO, are registered trademarks of Carl Zeiss Meditec AG. ©Carl Zeiss Meditec AG
OPMI PENTERO 800 with INFRARED 800 from ZEISS
INFRARED 800 for OPMI PENTERO 800 provides immediate visual feedback on blood flow by visualizing ICG fluorescence following microvascular anastomosis. The full integration of all components into the OPMI PENTERO 800 ensures on-demand availability as well as optimum system maneuverability. A tailored software design including optional review of video sequences supports fast and easy assessment of vessel patency.
Leica M525 OH4/ Leica M525 F50/ Leica M525 OH4/ with NIR Leica FL800
Features, such as the fluorescence module Leica FL800, BrightCare™, HD documentation, and others, make it the ideal microscope for procedures in Neurosurgery, Spine, Otolaryngology, and Plastic Reconstructive.
With the Leica FL800, for intra-operative fluorescence-aided videoangiography, surgeons can now determine the patency of vessels. A near infrared camera then shows the bloodstream in black-and-white directly through the surgical microscope eyepieces and/or on a video monitor.
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