CENTURION® Vision System with ACTIVE SENTRY®
Step up your practice with the ideal stability you need to enable the efficiency you want.
CENTURION® Vision System with ACTIVE SENTRY®
Step up your practice with the ideal stability you need to enable the efficiency you want.
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”.](/eg/sites/g/files/rbvwei3641/files/2022-09/safety-consistency-efficiency-integration2.png)
![An icon of a white shield with a blue cross stacked on a dark blue shield](/eg/sites/g/files/rbvwei3641/files/2022-09/Enhanced%20Safety%20and%20Confidence2.png)
![An icon of a white shield with a blue cross stacked on a dark blue shield](/eg/sites/g/files/rbvwei3641/files/2022-09/Enhanced%20Safety%20and%20Confidence2_0.png)
Enhanced Safety and Confidence
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 the most challenging cases.1-4
![A gloved hand holds the ACTIVE SENTRY® Handpiece on a light blue background.](/eg/sites/g/files/rbvwei3641/files/2022-08/Hand%20holding%20the%20surgery%20apparatus.png)
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.](/eg/sites/g/files/rbvwei3641/files/2022-09/An%20illustration%20of%20CENTURION%20Vision%20System.png_.png)
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
![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.](/eg/sites/g/files/rbvwei3641/files/2022-10/An-animated-image-of-the-CENTURION-Vision-System-and-ACTIVE-SENTRY-handpiece-next-to-a-patient-in-surgery.png)
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.](/eg/sites/g/files/rbvwei3641/files/2022-10/An-animated-image-of-the-CENTURION-Vision-System.png)
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.](/eg/sites/g/files/rbvwei3641/files/2022-10/An-animated-image-of-the-CENTURION-Vision-System-and-ACTIVE-SENTRY-handpiece.png)
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.](/eg/sites/g/files/rbvwei3641/files/2022-10/A-close-up-image-of-the-QuickValve-Technology-component-of-CENTURION-Vision-System.png)
CENTURION® Vision System with ACTIVE SENTRY® Handpiece
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.5
![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.](/eg/sites/g/files/rbvwei3641/files/2022-09/Surge%20Mitigation%20Comparison2.png)
Increase Patient Comfort
CENTURION® Vision System with ACTIVE SENTRY® Handpiece allows surgeons to maintain lower pressure in the eye thanks to best-in-class 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.
Surge Volume After Occulusion Break2
(IOP 55 mmHG; Vac setting 600 mmHg;
Asp Rate 30 cc/min; 55 mmHg = 75 cm H2O)
Surge Volume After Occulusion Break2
(IOP 40 mmHG; Vac setting 600 mmHg;
Asp Rate 30 cc/min; 40 mmHg = 54 cm H2O)
![A blue icon of a circle consisting of four connected arrows](/eg/sites/g/files/rbvwei3641/files/2022-09/A%20blue%20icon%20of%20a%20circle%20consisting%20of%20four%20connected%20arrows.png)
![A blue icon of a circle consisting of four connected arrows](/eg/sites/g/files/rbvwei3641/files/2022-09/A%20blue%20icon%20of%20a%20circle%20consisting%20of%20four%20connected%20arrows.png)
Consistency
CENTURION® Vision System with ACTIVE SENTRY® Handpiece is designed for consistency to help safeguard your outcomes.1
The 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
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
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™
IOP as Aspiration Rate Rises5,8
Pressurised Bottle vs. Active Fluidics™
*Trademarks are the property of their respective owners.
![A blue icon of two gears and a stopwatch.](/eg/sites/g/files/rbvwei3641/files/2022-08/A%20blue%20icon%20of%20two%20gears%20and%20a%20stopwatch%20mobile.png)
![A blue icon of two gears and a stopwatch.](/eg/sites/g/files/rbvwei3641/files/2022-09/A%20blue%20icon%20of%20two%20gears%20and%20a%20stopwatch-mobile.png)
Your Preferred Efficiency
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.](/eg/sites/g/files/rbvwei3641/files/2022-09/An-image-of-the-CENTURION-Vision-System-Graphic-User-Interface.png)
![A close-up image of an eye with a digital overlay from VERION™ showing the toric implantation axis.](/eg/sites/g/files/rbvwei3641/files/2022-09/A%20close-up%20image%20of%20an%20eye%20with%20a%20digital%20overlay.png)
![A close-up image of an eye with a digital overlay from VERION™ showing the toric implantation axis.](/eg/sites/g/files/rbvwei3641/files/2022-09/A%20close-up%20image%20of%20an%20eye%20with%20a%20digital%20overlay.png)
Connection with VERION™ Link allows for visualization of the surgical steps throughout the procedure1,17
![An image of the CENTURION Vision System wireless footswitch](/eg/sites/g/files/rbvwei3641/files/2022-09/An%20image%20of%20the%20CENTURION%20Vision%20System%20wireless%20footswitch.png)
![An image of the CENTURION Vision System wireless footswitch](/eg/sites/g/files/rbvwei3641/files/2022-09/An%20image%20of%20the%20CENTURION%20Vision%20System%20wireless%20footswitch.png)
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.](/eg/sites/g/files/rbvwei3641/files/2022-09/A%20close-up%20image%20of%20an%20eye%20with%20a%20digital%20overlay%20from%20NGENUITY.png)
![A close-up image of an eye with a digital overlay from NGENUITY showing patient information and surgical data.](/eg/sites/g/files/rbvwei3641/files/2022-09/A%20close-up%20image%20of%20an%20eye%20with%20a%20digital%20overlay%20from%20NGENUITY.png)
Connection with NGENUITY® enables a centralised visualization of surgical data, allowing for enhanced focus on the surgical procedure1,18
Related Products
CENTURION® Silver System
The most advanced gravity system, with enhanced stability and efficiency during phacoemulsification.3-5,13,14,19-21
![An image of the CENTURION Silver System placed on a light blue background](/eg/sites/g/files/rbvwei3641/files/2022-09/An-image-of-the-CENTURION-Silver-System-placed-on-a-light-blue-background-mobile.png)
LEGION® System
A CENTURION®-based portable phacoemulsification system bringing stability, efficiency and convenience to the clinic.3-5,13,20,21
![An image of the LEGION System placed on a light blue background](/eg/sites/g/files/rbvwei3641/files/2022-10/LEGION-System-in-front-of-a-light-blue-background.png)
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.22-25
![A close-up image of the INTREPID BALANCED Tip.](/eg/sites/g/files/rbvwei3641/files/2022-09/A-close-up-image-of-the-INTREPID-BALANCED-Tip.png)
Clinical Support
Technical Specifications
![Centurion Vision System product comparison chart](/eg/sites/g/files/rbvwei3641/files/2022-09/Tabele-TechnicalSpecifications.png)
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.
Alcon Experience Academy
For relevant training content from industry thought leaders
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. Dssues/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.