CENTURION Vision System with ACTIVE SENTRY
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CENTURION® ACTIVE SENTRY® Vision System with ACTIVE SENTRY® Handpiece

 

Step up your practice with the stability you need to enable the efficiency you want.

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CENTURION® ACTIVE SENTRY® Vision System with ACTIVE SENTRY® Handpiece 

Step up your practice with the stability you need to enable the efficiency you want.

 

 

Back to Category Page

Step Up Your Practice to CENTURION® Vision System with ACTIVE SENTRY®

A diagram illustrating the four sections of this webpage. An icon of a white shield with a blue cross stacked on a dark blue shield with text below that says “Safety”. An icon of a circle consisting of four connected arrows with text below that says “Consistency”. An icon of two gears and a stopwatch with text below that says “Efficiency”. An icon two interlinked semi-circles with text below that says “Integration”.
 
 
An icon of a white shield with a blue cross stacked on a dark blue shield
An icon of a white shield with a blue cross stacked on a dark blue shield

Enhanced Safety and Confidence2-4

CENTURION® Vision System with ACTIVE SENTRY® is designed with advanced technology to enhance safety and confidence during surgery with near to physiological IOP and enhanced chamber stability, even in very challenging cases.1-4 

A gloved hand holds the ACTIVE SENTRY® Handpiece on a light blue background.

Active Fluidics™ Technology with ACTIVE SENTRY® Handpiece

 

When occlusion break occurs, the ACTIVE SENTRY® Handpiece works with QuickValve™ technology to provide real-time surge minimisation ensuring more consistent volume and IOP maintenance.1,2

An illustration of CENTURION® Vision System with plus-sign buttons highlighting the irrigation pressure sensor, the ACTIVE SENTRY® Handpiece, Active Fluidics™ Technology and QuickValve™ Technology.

Irrigation pressure sensor directly in the handpiece detects changes in anterior chamber stability as they occur, delivering unprecedented* responsiveness and enhanced safety in every moment1

 

*Based on the range of features available for CENTURION® Vision System that are not available with other gravity-based systems currently on the market.

An animated image of the CENTURION Vision System and ACTIVE SENTRY handpiece next to a patient in surgery. A yellow dotted line highlights the irrigation pressure sensor located in the ACTIVE SENTRY Handpiece.

ACTIVE SENTRY® Handpiece signals to CENTURION® Vision System hardware and software that adjustments are needed to maintain consistent IOP1

An animated image of the CENTURION Vision System and ACTIVE SENTRY handpiece next to a patient in surgery. A yellow dotted line and yellow arrows indicate how the ACTIVE SENTRY Handpiece signals to CENTURION Vision System that adjustments are needed.

Active Fluidics™ technology uses compression plates to adjust pressure on the BSS® sterile irrigating solution bag, compensating for changes in the eye1

An animated image of the CENTURION Vision System and ACTIVE SENTRY handpiece next to a patient in surgery. Yellow arrows highlight the compression plates adjusting pressure on the BSS sterile solution bag.

When occlusion break occurs, QuickValve™ Technology releases fluid into the aspiration line, actively reducing surge and dynamically maintaining target IOP1

A close-up image of the QuickValve Technology component of CENTURION Vision System. Blue lines indicate how fluid is released into the aspiration line to reduce surge and maintain target IOP.

CENTURION® ACTIVE SENTRY® Vision System with ACTIVE SENTRY® Handpiec

 

Engineered for safe, stable phaco performance across a variety of vacuum levels. The ACTIVE SENTRY® Handpiece preserves more volume for less surge than other phaco systems.3,4,5,13,14,20

A line graph comparing Surge Mitigation with between the CENTURION with ACTIVE SENTRY, CENTURION with Active Fluidics Technology and INFINITI System with INTREPID FMS. CENTURION with ACTIVE SENTRY had the lowest surge at all vacuum limits. INFINITI System with INTREPID FMS had the highest surge at all vacuum limits.

Dr. Otávio Bisneto: Redefine Safety and Confidence

 

Dr. Zhang asks Dr. Bisneto how CENTURION® Vision System with ACTIVE SENTRY® Handpiece may improve patient safety and surgeon confidence in the OR.

Increase Patient Comfort

 

CENTURION® Vision System with ACTIVE SENTRY® Handpiece allows surgeons to maintain lower pressure in the eye thanks to surge reduction, increasing patient comfort during surgery.1-4

 

CENTURION® Vision System also includes an IOP ramp feature, allowing for progressive build-up of the selected IOP to increase patient comfort. 

A line graph comparing the Surge Volume After Occlusion Break with CENTURION with ACTIVE SENTRY and INFINITI System with IOP at 55 mmHg. CENTURION with ACTIVE SENTRY had 50% less surge and 50% faster recovery from surge.

A line graph comparing the Surge Volume After Occlusion Break with CENTURION with ACTIVE SENTRY and INFINITI System with IOP at 40 mmHg. CENTURION with ACTIVE SENTRY had 60% less surge and 60% faster recovery from surge.

Prof. Bissen Miyajima Hiroko: Redefine Cataract Surgery with Lower IOP

 

Dr. Haripriya asks Prof. Bissen-Miyajima what benefits lower IOP can provide in cataract surgery. 

 
 
A blue icon of a circle consisting of four connected arrows
A blue icon of a circle consisting of four connected arrows

Consistency


CENTURION® Vision System with ACTIVE SENTRY® and the ACTIVE SENTRY® Handpiece is designed for consistency to help safeguard your outcomes.1

 

ACTIVE SENTRY® Handpiece addresses variables as they arise.

IOP Error vs. PEL Offset6
 

The integrated pressure sensor automatically recognises PEL, eliminating the need for manual adjustments and maintaining target IOP across cases.1,6

 

A line graph showing the linear increase of IOP Error correlated with an increase in PEL Visual Alignment Error with the CENTURION Vision System

 

IOP Error vs. Incision Leakage7
 

The integrated pressure sensor automatically detects the difference in aspiration and irrigation rates and adjusts flow to consistently maintain target IOP.1,7 

 

A line graph showing the increase in IOP error correlated with an increase in incision leakage with the CENTURION Vision System 

As changes occur in the anterior chamber, Active Fluidics™ technology actively works to maintain target IOP.

 

Dynamic IOP control automatically detects and compensates for varying flow rates in real time, supporting surgeons with superior performance reproducibility over gravity and pressurised bottle fluidics.1,5,8

IOP as Aspiration Rate Rises5,8

Gravity vs. Active Fluidics™

 

A line graph comparing the IOP at various aspiration rates of CENTURION Vision System and AMO WHITESTAR Signature with gravity fluidics. As aspiration rate rises, CENTURION Vision System maintains a consistent IOP. IOP with AMO WHITESTAR Signature decreases as aspiration rate rises

IOP as Aspiration Rate Rises5,8

Pressurised Bottle vs. Active Fluidics™

 

A line graph comparing the IOP at various aspiration rates of CENTURION Vision System and systems with pressurised bottle fluidics. As aspiration rate rises, CENTURION Vision System maintains a consistent IOP. IOP with pressurised bottle systems decreases as aspiration rate rises

* Trademarks are the property of their respective owners.

Dr. Aravind Haripriya: Redefine Procedural Consistency.

 

Dr. Bisneto asks Dr. Haripriya how to define performance consistency.

 
 
A blue icon of two gears and a stopwatch
A blue icon of two gears and a stopwatch

Your Preferred Efficiency

    Nuclear Removal

    With the efficient combination of OZil® Torsional, INTREPID® BALANCED Tip and Active Fluidics™ technology, CENTURION® Vision System offers superior nuclear removal.9-12

     

    Compared to other systems, surgeons will experience accelerated cataract removal with reduced repulsion, reduced cumulative dissipated energy (CDE) and less aspiration fluid use.9-12

    A bar graph comparing aspiration time measured in seconds between the CENTURION with INTREPID BALANCED Tip, CENTURION with Kelman Tip and INFINITI with Kelman Tip. CENTURION with INTREPID BALANCED Tip had a significantly lower aspiration time than CENTURION with Kelman Tip and INFINITI with Kelman Tip. A bar graph comparing cumulative dissipated energy between the CENTURION with INTREPID BALANCED Tip, CENTURION with Kelman Tip and INFINITI with Kelman Tip. CENTURION with INTREPID BALANCED Tip had significantly lower cumulative dissipated energy than CENTURION with Kelman Tip and INFINITI with Kelman Tip. A bar graph comparing aspiration fluid used with the CENTURION with INTREPID BALANCED Tip, CENTURION with Kelman Tip and INFINITI with Kelman Tip. CENTURION with INTREPID BALANCED Tip used significantly less aspiration fluid than CENTURION with Kelman Tip and INFINITI with Kelman Tip.
    Holdability

    Using the CENTURION® Vision System with ACTIVE SENTRY® Handpiece with a higher vacuum setting and the same bottle height provides ideal holdability.3-5,13,14

    In Vitro Study Showing the Surge Volume After Occlusion Break2

     

    (IOP 55 mmHG; Vac setting 600 mmHg; Asp Rate 30 cc/min; 55 mmHg = 75 cm H2O)

     

    A line graph comparing the Surge Volume After Occlusion Break with CENTURION with ACTIVE SENTRY and INFINITI System with IOP at 55 mmHg. CENTURION with ACTIVE SENTRY had 50% less surge and 50% faster recovery from surge.

    In Vitro Study Showing the Surge Volume After Occlusion Break2

     

    (IOP 30 mmHG; Vac setting 600 mmHg; Asp Rate 30 cc/min; 30 mmHg = 41 cm H2O)

     

    A line graph comparing the Surge Volume After Occlusion Break with CENTURION with ACTIVE SENTRY and INFINITI System with IOP at 55 mmHg. CENTURION with ACTIVE SENTRY had 60% less surge and 70% faster recovery from surge

    Followability

    CENTURION® Vision System dual segment and 7 rollers peristaltic pump has a smoother, faster fluidics response, allowing for better followability than INFINITI®.1,15

    A line graph that shows the non-occlusion vacuum variation of CENTURION FMS and INFINITI INTREPID PLUS FMS. CENTURION FMS is more stable over time compared to INFINITI FMS. An image of the CENTURION FMS and INFINITI FMS. The dual segment technology of CENTURION FMS generates a dual sinusoidal curve, allowing for more efficient and stable aspiration compared to INFINITI FMS.
    Wound Integrity

    The INTREPID®  Irrigation Sleeve is optimised for cataract micro procedures and works synergistically with the INTREPID® BALANCED Tip, reducing thermal risk during phaco.1,16*

    An image of that showcases the INTREPID irrigation sleeve with a 4-rib sleeve design which reduces sleeve movement and increases irrigation flow compared to the INFINITI Vision System

    Dr. Guangbin Zhang: Redefine Efficiency.

     

    Prof. Tognetto asked Dr. Zhang how the ACTIVE SENTRY® Handpiece enables surgeons to achieve higher followability.

     

     

    Seamless Integration

     

    CENTURION® Vision System Graphic User Interface is designed to be intuitive, for an easier learning curve for the surgeon and the staff:

     

    • Acts as a safeguard to protect the eye by ensuring BSS® irrigation1
    • Enables quick adjustment and enhanced customisation of surgical parameters and settings1
    An image of the CENTURION Vision System Graphic User Interface
    A close-up image of an eye with a digital overlay from VERION™ showing the toric implantation axis
    A close-up image of an eye with a digital overlay from VERION™ showing the toric implantation axis

    Connection with VERION™ Link allows for visualisation of the surgical steps throughout the procedure1,17

    An image of the CENTURION Vision System wireless footswitch
    An image of the CENTURION Vision System wireless footswitch

    Step-by-step procedural navigation using the wireless footswitch, to ease manoeuvres in the OR1,17

    A close-up image of an eye with a digital overlay from NGENUITY showing patient information and surgical data.
    A close-up image of an eye with a digital overlay from NGENUITY showing patient information and surgical data.

    Connection with NGENUITY® enables a centralised visualisation of surgical data, allowing for enhanced focus on the surgical procedure1,18

    Related Products

     

    An product shot of the disposables that may be included in the Alcon Custom-Pak.
    An product shot of the disposables that may be included in the Alcon Custom-Pak.

    Custom-Pak® Surgical Pack

    Product shots of Alcon’s Ophthalmic Viscosurgical Devices: ProVisc, Viscoat, DuoVisc
    Product shots of Alcon’s Ophthalmic Viscosurgical Devices: ProVisc, Viscoat, DuoVisc

    Ophthalmic Viscosurgical Devices (OVDs) 

    INTREPID® Phaco Tips and I/A Handpieces

     

    Enhance phaco procedures by merging CENTURION® technology with the effectiveness and versatility of the INTREPID® Hybrid Tip, INTREPID® BALANCED tip and INTREPID® Transformer I/A Handpiece.22-25

    See More
    A close-up image of the INTREPID BALANCED Tip

    Clinical Support

    Aravena C et al., Aqueous volume loss associated with occlusion break surge in phacoemulsifiers from 4 different manufacturers

     

    Evaluating aqueous volume losses associated with occlusion breaks at varying vacuum limits in phacoemulsification systems from 4 different manufacturers
    NOTE: JCRS articles are not open source and require membership

    Miller KM et al., Experimental study of occlusion break surge volume in 3 different phacoemulsification systems

     

    Evaluating surge volume after occlusion breaks in 3 different phacoemulsification systems

    Vasavada et al., Real-time dynamic changes in intraocular pressure after occlusion break: comparing 2 phacoemulsification systems

     

    Comparing real-time intraocular pressure (IOP) response to occlusion break event in 2 phacoemulsification systems
    NOTE: JCRS articles are not open source and require membership

    Jirásková N., Naše zkušenosti s použitím fakoemulzifikační koncovky active sentry a centurion ozil

     

    Comparing parameters of phacoemulsification using handpiece Active Sentry and Centurion Ozil

    Malik PK et al., Effect of IOP based infusion system with and without balanced phaco tip on cumulative dissipated energy and estimated fluid usage in comparison to gravity fed infusion in torsional phacoemulsification

     

    Evaluating the effect of three different combinations of tip designs and infusion systems in torsional phacoemulsification (INFINITI and CENTURION) in patients with cataract

    Technical Specifications

    Centurion Vision System product comparison chart

    Instructions for Use (IFU)

     

    For a full list of indications, contraindications and warnings, please visit ifu.alcon.com and refer to the relevant product’s instructions for use. 

    Visit IFU Database

    Alcon Experience Academy

     

    For relevant training content from industry thought leaders

    Visit AEA Portal

    References:

    1. CENTURION® Vision System Operator's Manual.
    2. Alcon Data on File, REF-02559, 2017. v
    3. Thorne A, Dyk DW, Fanney D, Miller KM. Phacoemulsifier occlusion break surge volume reduction. J Cataract Refract Surg. 2018 Dec;44(12):1491-1496.
    4, Aravena C, Dyk DW, Thorne A, Fanney D, Miller KM. Aqueous volume loss associated with occlusion break surge in phacoemulsifiers from 4 different manufacturers. J Cataract Refract Surg. 2018 Jul;44(7):884-888.
    5. Nicoli CM, Dimalanta R, Miller KM. Experimental anterior chamber maintenance in active versus passive phacoemulsification fluidics systems. J Cataract Refract Surg. 2016;42(1):157:162.
    6. Lehmann R. Automated Patient Eye Level by Sensor-based Handpiece. Presentation at ASCRS 2019, 3-7 May, San Diego.
    7. Crandall AS. Role of Incision Leakage in Anterior Chamber Stability in Different Phacoemulsifier Systems. Presentation at ASCRS 2019, 3-7 May, San Diego.
    8. Boukhny M, Sorensen G, Gordon R. A novel phacoemulsification system utilizing feedback based IOP target control. ASCRS-ASOA Symposium and Congress; April 25-29, 2014; Boston, MA.
    9. Khokhar S, Aron N, Sen S, Pillay G, Agarwal E. Effect of balanced phacoemulsification tip on the outcomes of torsional phacoemulsification using an active-fluidics system. J Cataract Refract Surg. 2017;43(1):22-28.
    10. Malik PK, Dewan T, Patidar AK, Sain E. Effect of IOP based infusion system with and without balanced phacotip on cumulative dissipated energy and estimated fluid usage in comparison to gravity fed infusion in torsional phacoemulsification. Eye Vis (Lond). 2017;4:22.
    11. Zacharias J. Laboratory assessment of thermal characteristics of three phacoemulsification tip designs operated using torsional ultrasound. Clin Ophthalmol. 2016:10;1095–1101.
    12. Vasavada AR, et al. Comparison of torsional and microburst longitudinal phacoemulsification: A prospective, randomized, masked clinical trial. Ophthalmic Surg Lasers Imaging. 2010;41(1):109-114.
    13. Dyk DW, Miller KM. Mechanical model of human eye compliance for volumetric occlusion break surge measurements. J Cataract Refract Surg. 2018 Feb;44(2):231-236.
    14. Alcon Data on File, REF-08357, 2020.
    15. Hiroyuki Matsushima. Presentation in the 119th annual meeting of the Japanese Ophthalmological Society, 17 Apr 2015.
    16. Yoo A, Nam KY, Tchah H, Kim MJ. Heat Generation and Efficiency of a New Modified Phaco Tip and Sleeve. PLoS ONE. 11(8):e0159049.
    17. VERION™ Digital Marker M User Manual v3.2.
    18. Davidson R. An introduction to digital and digitally assisted microscopes. July 1, 2021. Ophthalmic Professional. Accessed August 10, 2021. Available from: https://www.ophthalmicprofessional.com/issues/2020/july-august-2020/an-introduction-to-digital-and-digitally-assisted
    19. Sharif-Kashani P, Fanney D, Injev V. Comparison of occlusion break responses and vacuum rise times of phacoemulsification systems. BMC Ophthalmol. 2014;14:96.
    20. Narendran N, et al. The Cataract National Dataset electronic multicentre audit of 55 567 operations: Risk stratification for posterior capsule rupture and vitreous loss. Eye. 2009;23:31–37.
    21. Salowi MA, et al. The Malaysian Cataract Surgery Registry: Risk indicators for posterior capsular rupture. Br J Ophthalmol. 2017;101:1466–1470.
    22. Alcon Data on File, REF-07136, 2019.
    23. Zacharias J. Thermal characterization of phacoemulsification probes operated in axial and torsional modes. J Cataract Refract Surg. 2015;41(1):208-216.
    24. Noguchi S, et al. Difference in torsional phacoemulsification oscillation between a balanced tip and a mini tip using an ultra-high-speed video camera. J Cataract Refract Surg. 2016;42:1511–1517.
    25. Intrepid® Transformer I/A Handpiece Directions for use.

     

    For indications, contraindications and warnings please refer to the relevant product's instruction for use​.​

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