Femto

Femto cornea tower

This tower represents gentle but ultra-precise treatments on the cornea. Every floor symbolizes its own appli­ cation: from crystal clear Z-LASIK to advanced corneal surgery, with various indications highlighted:

• Z-LASIK – tapered and customized flaps
• Customizable tunnels for intracorneal ring segments
• Lamellar and penetrating keratoplasty
• Corneal blindness treatment option
• Arcuate incisions

Femto presbyopia tower

The middle tower is dedicated to the challenge of presbyopia. Designed to improve the daily life of your patients, several applications support the precise techniques and intricate surgery of inlays. Available treatments are:

• SIM LASIK™ – all-in-one combined Z-LASIK plus presbyopia correction
• Post-LASIK treatments – highly precise pocket resection below an existing flap
• Tailored pocket software for intrastromal inlays for presbyopia treatment

Femto cataract tower

Femtosecond laser assisted cataract surgery is supported by the third tower. A variety of applications assist you in performing the actual surgery. Our goal with this tower is to have no compromises in precision and the highest level of quality control is maintained on both the cornea and the lens.

• A new Z Model, fully equipped to assist you in performing femto-cataract surgery, is already under development.
• The FEMTO LDV Z6 is ready for upgrading to femto-cataract capability when it becomes available

The application towers are constantly growing and being developed as we continue to learn. Although some treatments might not be available in your country yet, be confident that your platform is already designed to accommodate these applications. Versatility makes it happen!

The Power of One

Presenting the unparalleled Ziemer FEMTO LDV Z Models

There are lasers. And then there are Ziemer femtosecond lasers. No laser is more precise, more powerful or more progressive when it comes to meeting all your procedure needs in a single platform.

Ziemer’s FEMTO LDV systems, the first compact, mobile femtosecond­ surgical lasers, have been conceived to provide a versatile, powerful platform for a wide spectrum of applications in ocular surgery.

The one FEMTO platform for cornea, presbyopia and cataract

Based on clinical experience of over 1.5 million successful procedures, the FEMTO LDV stands out as the femto­ second laser that is robust, easy to use and safe to operate, all with a remarkably low complication rate. The new FEMTO LDV Z Models are designed to maximize these capabilities resulting in a revolutionary femto­ second laser platform:

The new FEMTO LDV Z Models are designed to maximize these capabilities resulting in a revolutionary femto­ second laser platform:

• Unique femtosecond technology
• True mobility, true efficiency
• Modular platform solution
• Outstanding clinical results

Now, you can offer your patients a premium experience with the Ziemer FEMTO LDV Z Models and deliver the most advanced vision care available.

Developing your business with Ziemer

With Ziemer’s FEMTO LDV Z Models, you can operate with a modular femtosecond system that is designed to grow with your practice – cornea and presbyopia today, cataract tomorrow.

Unique femtosecond technology

A technical revolution in ocular surgery

With their unique operating concept, the FEMTO LDV systems have already become the technology leader among all femtosecond lasers.

Other femtosecond lasers currently in the market are based on the same basic technology that has been used in femtosecond lasers since they were introduced to ophthalmology several years ago. Laser sources operating at tens to hundreds of kilohertz are fed to amplifiers­ to achieve high pulse energies to create large cavitation bubbles to disrupt corneal tissue. This inevitably induces mechanical stresses in the eye.

Ziemer’s proprietary FEMTO LDV systems are based on a radically different technology. Operating with very low pulse energy and very short pulse width but very high pulse frequencies in the megahertz range, the threshold for tissue disruption is reached without requiring an amplifier. This low energy delivery has turned out to be the most relevant factor for a gentle tissue resection.

Microscope lens quality optics

The unique design of the FEMTO LDV laser delivery system features a hand-piece with a highly sophisticated optical system: an optomechatronical masterpiece. These custom made microscope lenses with high numerical aperture assure a perfect focus and ensure high precision in cutting depth:

Laser energy is delivered to the eye through an articulated arm and a hand-held scanning device, which affords a direct view of the cornea.

High Density Pulse raster

The precision optics, the custom made laser sources and a proprietary high speed scanning system generate tightly focused low-energy laser pulses in an overlapped pulse raster. This results in a complete and smooth resection with no interstitial, un-dissected spaces and minimal complications.

• Flaps can be easily lifted (no “tissue bridges”)
• Excellent stroma bed quality
• Minimal complications such as opaque bubble layer (OBL), transient light sensitivity (TLS), or laser-induced diffuse lamellar keratitis (DLK)

Efficient

The productivity tool that integrates into your surgical workflow.

• Universal workstation – fits with every excimer
• Simplified patient flow

Workflow integrated solution:

Due to its unique hand-held laser delivery system, which is attached to an easily maneuverable articulated arm, patients can be treated on the patient bed of the excimer laser. Neither the patient nor the surgeon needs to move, and the treatment is a single, uninterrupted process with no waiting time.

This makes Z-LASIK a more comfortable and less stress­ ful for the patient.

• Single working position for the doctor
• No need to move the patient

Mobile

True mobility. The first truly mobile femtosecond surgical laser, designed to meet your needs.

• The FEMTO LDV Z Models are designed to be moved between different surgical rooms:
  9.00 AM – Z-LASIK, 11.00 AM – Presbyopia,
  2.00 PM – Keratoplasty, etc.
• Multi-site universal system: With the FEMTO LDV Z Models this is not just possible – it’s easy

HD visual control

A large high definition (HD) flat monitor shows a real-time image of the eye. This gives the surgeon full tactile and visual control while observing the treatment field both through the microscope and the TopView camera built into the handpiece.

• Professional HDR (High Dynamic Range) imaging
• Multiple screen technology
• Easier centration
• More precise positioning
• Improved ergonomics, improved usability

Compact

Experience our line of premium FEMTO LDV Z Models and see how the world’s smallest femtosecond laser can deliver the biggest results.

• Its small size makes it ideal for almost every refractive and operating room.
• It’s a workflow integrated solution.
• No need to enlarge your practice
• Fits into a small van

Robust system

The ultra stable laser sources and optics minimize downtime. A plug and play laser technology, no calibration needed.

• Resistance to humidity
• Resistance to heat
• Resistance to movement
• No investment in infrastructure needed
• Minimal break-down time

Platform concept

Ziemer’s FEMTO LDV Z Models offer you a powerful platform for performing a broad variety of ocular surgeries. Each of the systems – FEMTO LDV Z2, Z4 and Z6 – offers unique solutions, that provide unique results.

Keeping our eye on the future, development is ongoing on a range of applications. Have confidence that your platform is ready for tomorrow’s technology today.

• Convenient on-site upgrades
• Standardized components and interfaces

Be ready for the future!

Excellent vision

Based on clinical experience from over 1.5 million successful Z-LASIK procedures, the FEMTO LDV systems stand out as the femtosecond lasers with a remarkably low complication rate.

The FEMTO LDV Z Models provide the basis for excellent outcomes in laser vision correction.

• Large corneal flaps
• Uniform, reproducible flap thickness
• Capable of thin flaps (SBK)
• Full computer-controlled suction

Z-LASIK – the gold standard

With this method, the flap resection is created in a planar mode (xy-plane), at the requested depth. Fully-adjustable hinge size and position.

• Natural curvature flap edges
• Smooth, self-sealing flap edges

Z-LASIK Z – NEW

This new Z-LASIK method performs the resection in a three-dimensional mode. Each flap can be customized to accommodate the desired geometry.

• Round and oval flaps
• Angled edge as desired by surgeon

Very fast visual recovery

In conjunction with state-of-the-art excimer lasers, the FEMTO LDV systems achieve superior short-term results as well as excellent long-term visual outcomes in femto-LASIK procedures.

The graphic compares binocular uncorrected distance visual acuities (UDCVA) immediately at the conclusion of surgery and at 15, 30 minutes, 1, 2, 4 hours and 1 day postoperatively. The results speak for themselves: right after surgery, uncorrected visual acuity of 20/40 for 80% of the patients. After only 4 hours, 100% had 20/20.

Corneal surgery and therapeutic procedures

The FEMTO LDV Z Models address the demand of ophthalmologists for a versatile femto-platform that is highly efficient and extends the range of surgical modalities. Procedures customizable to patient’s specific conditions. Designed to enable corneal transplantations, in a sterile environment (OR)

• Tunnel resections for Intracorneal ring segments
• Intrastromal pocket incisions for inlays for presbyopia treatment
• Lamellar Keratoplasty: (D)ALK and DSAEK
• Penetrating Keratoplasty