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INTREPID® Phaco Tips and
INTREPID® Transformer I/A Handpiece

 

INTREPID Hybrid Tip, INTREPID Balanced Tip, and INTREPID Transformer I/A handpiece each on an individual blue circle background

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INTREPID® Phaco Tips
and INTREPID® Transformer I/A Handpiece

 

INTREPID Hybrid Tip, INTREPID Balanced Tip, and INTREPID Transformer I/A handpiece each on an individual blue circle background

 

Back to Category Page

Take Another Step Toward Safety and Confidence

INTREPID® Hybrid Tip

 

INTREPID® Hybrid Tip is designed to enhance safety and confidence vs Kelman® Tip.1-4 

  • Two trusted technologies in one innovative design
  • Based on fluidics performance advantage of the INTREPID® BALANCED Tip1,2 
INTREPID Hybrid Tip on a blue circle background.

For Efficient Nuclear Removal

 

  • More lateral movement at tip, less shaft movement at incision site2
  • Minimal heat production9,10

For Safety and Confidence

 

  • Polymer edge reduces the risk of capsular tears, PCR and capsule related problems5-8
  • Rounded edge is designed to ease occlusion5

Centurion® Vision System with ACTIVE SENTRY® Handpiece

 

Explore how to bring safety and confidence to the next level

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CENTURION Vision System with an ACTIVE SENTRY Handpiece in front of a light-blue background.

Designed to reduce PCR likelihood by almost 70%8

A bar graph, measured in percentage, displaying the mean torsional power required for posterior capsule rupture between Hybrid Torsional Power and Metal Torsional Power. Hybrid Torsional power is represented by the light-blue coloured bar and measures around 45%, while Metal Torsional Power is represented by the dark blue bar and measures around 12%.
 
 
INTREPID Balanced Tip on a blue circle background.
INTREPID Balanced Tip on a blue circle background.

INTREPID® BALANCED Tip

 

The combination of INTREPID® BALANCED Tip and OZil® Torisonal allows superior nuclear removal compared to Kelman® tip, thanks to increased torsional amplitude at the distal end.2,9,11

Optimised OZil® Torsional with the INTREPID® BALANCED Tip redefines nuclear removal.

 

The INTREPID® BALANCED Tip provides better fluidics performance compared to Kelman® tip, resulting in2,9,11:

  • Reduced cumulative dissipated energy (CDE)
  • Lower phaco time
  • Lower total aspiration time
  • Lower fluid use
OZil Torsional with an INTREPID Balanced Tip

See the Data

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.

P value * = statistically significant

INTREPID® BALANCED Tip reduces tip movement at the incision11

 

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.9,11

Graph comparing the INTREPID BALANCED Tip to the Mini Tip based on tip movement at the incision.

Centurion® Vision System with ACTIVE SENTRY® Handpiece

 

Explore how to benefit from enhanced cutting efficiency and wound integrity with OZil® Torsional & INTREPID® BALANCED Tip

See More
CENTURION Vision System with ACTIVE SENTRY Handpiece in front of a light-blue background.

CENTURION® Silver System

 

Explore how to benefit from enhanced cutting efficiency and wound integrity with OZil® Torsional & INTREPID® BALANCED Tip

See More
CENTURION Silver System in front of a light-blue background.

 

INTREPID® BALANCED
Tip Overview

 

Comparison with Kelman® Tip

 

INTREPID® BALANCED Tip Redefines Cutting Efficiency
 
 
INTREPID Transformer I/A Handpiece on a blue circle background.
INTREPID Transformer I/A Handpiece on a blue circle background.

INTREPID® Transformer I/A Handpiece

 

Transform I/A Performance to Enhance Safety and Confidence6,7,12,13

 

The Transformer I/A Handpiece is specifically engineered for an easy transition from either coaxial or bimanual cortical removal without the need to change handpieces, allowing for adaptability in a variety of cases.12

  • Enables versatile I/A technique
  • Features capsular-friendly polymer tips for reducing risk of PCR and capsule related problems
Coaxial Performance

 

  • Enhanced irrigation flow13 
  • Accessibility to cortical material in almost all directions
Bimanual Performance

 

INTREPID Transformer I/A Handpiece showcasing its bimanual performance in front of a grey background.
  • Greater access to the subincisional cortex
  • Extractable aspiration port features polymer-tip

CENTURION® Vision System with ACTIVE SENTRY® Handpiece

 

The leading technology in phacoemulsification, offering a new baseline of safety, consistency and efficiency at every stage of the cataract procedure.2,10,14-19

See More
CENTURION Vision System with ACTIVE SENTRY Handpiece in front of a light-blue background

CENTURION® Silver System

 

The most advanced gravity system from Alcon, with enhanced stability and efficiency during phacoemulsification compared to INFINITI®.6,7,16,17,20-23 

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CENTURION Silver System in front of a light-blue background

Clinical Support

Shumway C et al., Evaluation of the capsular safety of a new hybrid phacoemulsification tip in a cadaver eye

 

Evaluating the use of a new hybrid phacoemulsification tip made with a high strength polymer overmold designed to prevent posterior capsule rupture (PCR) compared with a metal tip
NOTE: JCRS articles are not open source and require membership

Alcon Experience Academy

 

For relevant training content from industry thought leaders

Visit AEA Portal

References

1. CENTURION® FMS Pack Directions for Use. 
2. 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.
3. Solomon et al. Clinical study using a new phacoemulsification system with surgical intraocular pressure control. J Cataract Refract Surg. 2016; 42:542–549.
4. Zacharias J. Comparative motion profile characterization of the miniflared and balanced phacoemulsification tips. ESCRS Annual Congress; 2015; Barcelona. 
5. Alcon Data on File, REF-07136, 2019. 
6. 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.
7. Salowi MA, et al. The Malaysian Cataract Surgery Registry: Risk indicators for posterior capsular rupture. Br J Ophthalmol. 2017;101:1466–1470. 
8. Shumway C. Utility of a novel hybrid phacoemulsification tip to prevent posterior capsule rupture. Presentation at ASCRS 2019; 3-7 May; San Diego.
9. Zacharias J. Thermal characterization of phacoemulsification probes operated in axial and torsional modes. J Cataract Refract Surg. 2015;41(1):208-216. 
10. Zacharias J. Laboratory assessment of thermal characteristics of three phacoemulsification tip designs operated using torsional ultrasound. Clin Ophthalmol. 2016:10;1095–1101. 
11. 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. 
12. Intrepid® Transformer I/A Handpiece Directions for use.
13. Alcon Data on File, REF-04313, 2013. 
14. CENTURION® Vision System Operator's Manual. 
15. Alcon Data on File, REF-02559, 2017.
16. Thorne A, Dyk DW, Fanney D, Miller KM. Phacoemulsifier occlusion break surge volume reduction. J Cataract Refract Surg. 2018 Dec;44(12):1491-1496. 
17. 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. 
18. 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. 
19. 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. 
20. 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. 
21. 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. 
22. Alcon Data on File, REF-08357, 2020. 
23. Sharif-Kashani P, Fanney D, Injev V. Comparison of occlusion break responses and vacuum rise times of phacoemulsification systems. BMC Ophthalmol. 2014;14:96. 

 

Please refer to relevant products DFU or Operator’s manuals for complete list of indications, contraindications and warnings.

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