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CENTURION® Silver System

The Most Advanced Gravity System1-3*

 

Step up your practice with the most advanced gravity phaco system with stability and efficiency

Three interlocking circles. Inside the first circle is a blue icon of two arrows rotating in a clockwise direction with text that reads “stability.” Inside the second circle is a blue icon of two gears behind a stopwatch with text that reads “efficiency.” Inside the third circle is a blue icon of a thumbs up with text that reads “user experience.” A CENTURION Silver System sits to the right of the interlocking circles.

 

 

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*Comparison with the Stellaris† PC (Bausch&Lomb), WHITESTAR SIGNATURE† (AMO), EVA† (DORC).
†Trademarks are the property of their respective owners.

CENTURION® Silver System 

The Most Advanced Gravity System1-3*

 

Step up your practice with the most advanced gravity phaco system with stability and efficiency

 

Three interlocking circles. Inside the first circle is a blue icon of two arrows rotating in a clockwise direction with text that reads “stability.” Inside the second circle is a blue icon of two gears behind a stopwatch with text that reads “efficiency.” Inside the third circle is a blue icon of a thumbs up with text that reads “user experience.” A CENTURION Silver System sits to the right of the interlocking circles.

 

Back to Category Page

*Comparison with the Stellaris† PC (Bausch&Lomb), WHITESTAR SIGNATURE† (AMO), EVA† (DORC).
†Trademarks are the property of their respective owners.

 

 

A blue icon that shows jagged lines and 2 arrows surrounding a small circle

Increased Stability During Phacoemulsification

 

With superior surge protection at higher vacuum levels, CENTURION® Silver System reduces the risk of posterior capsular rupture (PCR) and other capsule-related problems.2-9*

 

CENTURION® Silver shows surge protection comparable to CENTURION® Active Fluidics™*

 

 

A line graph that shows the surge protection comparison of various phaco systems. CENTURION Gravity Fluidics and CENTURION Active Fluidics without ACTIVE SENTRY had comparably low levels of surge at every vacuum limit. The WhiteStar Signature and INFINITI System had higher levels of surge at all vacuum limits compared to CENTURION Gravity Fluidics and CENTURION Active Fluidics.

 

Gravity fluidics at 90 cm bottle height
 

CENTURION® Active Fluidics™ with IOP target of 65 mmHg (Equiv. Approx. 90 cm H2O)


*Comparison with Stellaris† PC (Bausch + Lomb), WHITESTAR SIGNATURE† (AMO), EVA† (DORC). This comparison did not include ACTIVE SENTRY®.

†Trademarks are property of their respective owners.

 

Surge Volume After Occlusion Break7
(IOP 55 mmHg; Vac setting 550 mmHg; Asp 40 cc/min; 55 mmHg = 75 cm H2O)

 

 

A line graph that shows the surge protection comparison of various phaco systems. CENTURION Gravity Fluidics and CENTURION Active Fluidics without ACTIVE SENTRY had comparably low levels of surge at every vacuum limit. The WhiteStar Signature and INFINITI System had higher levels of surge at all vacuum limits compared to CENTURION Gravity Fluidics and CENTURION Active Fluidics.

  • 50% faster recovery from surge
  • 50% less surge

Centurion® Vision System with ACTIVE SENTRY® Handpiece

Explore how to bring surge protection to the next level

See More
An image of the CENTURION Vision System with ACTIVE SENTRY placed on a blue gradient background.

Dr. Francisco Pastor Pascual: Control Anterior Chamber with Confidence

Dr. Pastor explains how enhanced surge protection enables higher vacuum even in complicated cases.

 

 

Blue icon of two gears behind a stopwatch.

Enhanced Efficiency

    Cutting Efficiency

    The combination of OZil® Torsional and the INTREPID® BALANCED Tip allows CENTURION® Silver System to offer superior nuclear removal compared to the Kelman® tip, thanks to increased torsional amplitude at the distal end.10-12

    A bar graph comparing cumulative dissipated energy with the INTREPID BALANCED Tip and the Kelman Tip. INTREPID BALANCED Tip showed 36.5% less cumulative dissipated energy than the Kelman Tip. This was a statistically significant difference.
    A bar graph comparing cumulative dissipated energy with the INTREPID BALANCED Tip and the Kelman Tip. INTREPID BALANCED Tip showed 36.5% less cumulative dissipated energy than the Kelman Tip. This was a statistically significant difference.
    A bar graph comparing total ultrasound time with the INTREPID BALANCED Tip and the Kelman Tip. INTREPID BALANCED Tip required 21.5% less time than the Kelman Tip. This was a statistically significant difference.
    A bar graph comparing total ultrasound time with the INTREPID BALANCED Tip and the Kelman Tip. INTREPID BALANCED Tip required 21.5% less time than the Kelman Tip. This was a statistically significant difference.
    A bar graph comparing aspiration time with the INTREPID BALANCED Tip and the Kelman Tip. INTREPID BALANCED Tip required 14.4% less aspiration time than the Kelman Tip. This was a statistically significant difference.
    A bar graph comparing aspiration time with the INTREPID BALANCED Tip and the Kelman Tip. INTREPID BALANCED Tip required 14.4% less aspiration time than the Kelman Tip. This was a statistically significant difference.
    A bar graph comparing aspiration fluid use with the INTREPID BALANCED Tip and the Kelman Tip. INTREPID BALANCED Tip used 31.4% less aspiration fluid than the Kelman Tip. This was a statistically significant difference.
    A bar graph comparing aspiration fluid use with the INTREPID BALANCED Tip and the Kelman Tip. INTREPID BALANCED Tip used 31.4% less aspiration fluid than the Kelman Tip. This was a statistically significant difference.

    When performing surgery with CENTURION® Silver and OZil® Torsional with INTREPID® BALANCED Tip, surgeons can expect reduced CDE, lower phaco and aspiration time, and less aspiration fluid use.10

    Close up of an INTREPID BALANCED tip.
    Holdability

    Using CENTURION® Silver System’s Gravity Fluidics with a higher vacuum setting and the same bottle height allows enhanced holdability compared to INFINITI®.2,4-7

    Surge Volume After Occlusion Break7 
    (IOP 55 mmHg; Vac setting 400 mmHg; Asp 40 cc/min; 55 mmHg = 75 cm H2O)

     

     

    A line graph comparing the Surge Volume After Occlusion Break with CENTURION Gravity Fluidics and INFINITI System with IOP at 55 mmHg and a vacuum setting of 400 mmHg. LEGION System had 50% less surge and 40% faster recovery from surge.

    • 40% faster recovery from surge 
    • 50% less surge

    Surge Volume After Occlusion Break7  
    (IOP 55 mmHg; Vac setting 550 mmHg; Asp 40 cc/min; 55 mmHg = 75 cm H2O)

     

     

    A line graph comparing the Surge Volume After Occlusion Break with CENTURION Gravity Fluidics and INFINITI System with IOP at 55 mmHg and a vacuum setting of 550 mmHg. LEGION System had 50% less surge and 50% faster recovery from surge.

    • 50% faster recovery from surge
    • 50% less surge

    Centurion® Vision System with ACTIVE SENTRY® Handpiece

     

    Explore how to bring holdability to the next level

    See More
    An image of the CENTURION Vision System with ACTIVE SENTRY on a blue gradient background.
    Followability

    CENTURION® Silver System dual segment and 7 rollers peristaltic pump has a smoother, faster fluidics response, allowing for better followability than INFINITI®.1,13

    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® BALANCED Tip reduces tip movement at the incision, lowering thermal risk during surgery, which can result in less tissue damage at the incision site.11,12

    A close up comparison of the INTREPID BALANCED tip and the Mini Tip.
    A close up comparison of the INTREPID BALANCED tip and the Mini Tip.

    INTREPID® BALANCED Tip reduces tip movement at the incision while increasing amplitude at the distal end12

    A line graph that comparing the tip movement at the incision site of the INTREPID BALANCED tip and the Mini Tip. The INTREPID BALANCED Tip reduces tip movement at the incision while increasing amplitude at the distal end.

    The y-axis indicates the amplitude range, and the x-axis indicates the measurement points of the tips (* = P = .002, Mann-Whitney U test).


    P value * = statistically significant

    Centurion® Vision System with ACTIVE SENTRY® Handpiece

    Explore how the addition of Active Fluidics™ brings nuclear removal to the next level

    See More
    An image of the CENTURION Vision System with ACTIVE SENTRY on a blue gradient background.

    Dr. Francisco Pastor Pascual: Enhanced Efficiency with Stability

    Dr. Pastor explains how enhanced fluidics and energy delivery enable higher holdability and followability.

     
     

    thumb up icon

     

    Intuitive
    User Experience

     

    CENTURION® Silver System’s intuitive graphic user interface enables quick adjustment and enhanced customisation of surgical parameters and settings.1

    An image of the CENTURION Silver System graphic user interface

    CENTURION® Vision System with ACTIVE SENTRY® Handpiece

     

    The leading technology in phacoemulsification, offering a new baseline of safety, consistency and efficiency in every cataract procedure.2,4,10,14-18

    See More
    CENTURION Vision System in front of a blue background.

    LEGION® System

    A CENTURION®-based portable phacoemulsification system bringing stability, efficiency and convenience to the clinic.2,4-6,8,9

    See More
    Legion System in front of a blue background.

    INTREPID® Phaco Tips and I/A Handpieces

    Enhance phaco procedures by merging CENTURION®-based systems technology with the effectiveness and versatility of the INTREPID® Hybrid Tip, INTREPID® BALANCED tip and INTREPID® Transformer I/A Handpiece.11,12,19,20

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

    Clinical Support

    Sharif-Kashani et al., Comparison of occlusion break responses and vacuum rise times of phacoemulsification systems

     

    Quantifying occlusion break surge and vacuum rise time of current phacoemulsification systems used in cataract surgery

    Khokhar S et al., Effect of balanced phacoemulsification tip on the outcomes of torsional phacoemulsification using an active-fluidics system

     

    Comparing the outcomes of torsional phacoemulsification with a new balanced tip (Intrepid) and a conventional tip (Kelman) using a single active-fluidics torsional phacoemulsification machine (Centurion)*

    *INTREPID® Balanced tip related clinical evidence

    NOTE: JCRS articles are not open source and require membership

    Noguchi S. Difference in torsional phacoemulsification oscillation between a balanced tip and a mini tip using an ultra-high-speed video camera

     

    Evaluating the behavior of 2 types of torsional phaco tips, the newly developed balanced tip and the current mini tip, using an ultra-high-speed video camera

    NOTE: JCRS articles are not open source and require membership

    Technical Specifications

    table technical specifications

    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® Silver System Operator’s Manual.

    2. 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.

    3. Sharif-Kashani P, Fanney D, Injev V. Comparison of occlusion break responses and vacuum rise times of phacoemulsification systems. BMC Ophthalmol. 2014;14:96.

    4. Thorne A, Dyk DW, Fanney D, Miller KM. Phacoemulsifier occlusion break surge volume reduction. J Cataract Refract Surg. 2018 Dec;44(12):1491-1496.

    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. 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.

    7. Alcon Data on File, REF-08357, 2020.

    8. 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.

    9. Salowi MA, et al. The Malaysian Cataract Surgery Registry: Risk indicators for posterior capsular rupture. Br J Ophthalmol. 2017;101:1466–1470.

    10. 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.

    11. Zacharias J. Thermal characterization of phacoemulsification probes operated in axial and torsional modes. J Cataract Refract Surg. 2015;41(1):208-216.

    12. 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.

    13. Hiroyuki Matsushima. Presentation in the 119th annual meeting of the Japanese Ophthalmological Society, 17 Apr 2015.

    14. CENTURION® Vision System Operator's Manual.

    15. Alcon Data on File, REF-02559, 2017.

    16. 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.

    17. Zacharias J. Laboratory assessment of thermal characteristics of three phacoemulsification tip designs operated using torsional ultrasound. Clin Ophthalmol. 2016:10;1095–1101.

    18. 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.

    19. Alcon Data on File, REF-07136, 2019.

    20. Intrepid® Transformer I/A Handpiece Directions for use.

     

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